DAVID JAKE MALDONADO (NPI# 1649669359) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649669359 |
| Entity Type | Individual |
| Full Name | DAVID JAKE MALDONADO |
| Credential | ATC, LAT |
| Practice Address |
30 Verde Ridge St Apt C Los Alamos NM 87544-3243 |
| Practice Telephone | 5055159816 |
| Mailing Telephone | 5055159816 |
| Enumeration Date | 2015-01-19 |
| Last Update Date | 2016-04-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396234373 | David Bradley Maldonado | Student in an Organized Health Care Education/Training Program | 184 S Mayo Trl, Pikeville, KY 41501-1518 | 2018-05-06 |
| 1083152938 | David R Maldonado | Specialist/Technologist, Other | 1010 Executive Dr, Suite 250, Westmont, IL 60559-6135 | 2017-02-10 |
| 1104299593 | David Maldonado | Emergency Medicine | 1225 E Coolspring Ave Ste 2d, Michigan City, IN 46360 | 2015-11-05 |
| 1891046942 | David Maldonado | Case Manager/Care Coordinator | 750 N 200 W, Provo, UT 84601-1677 | 2012-09-28 |
| 1366730137 | David Maldonado | Physical Therapist | 6601 220th St Sw Ste 1, Mountlake Terrace, WA 98043-2166 | 2011-07-14 |
| 1043230105 | David Maldonado | Technician/Technologist | 1200 E Michigan Ave, Suite 110, Lansing, MI 48912-1800 | 2006-07-20 |
| 1386624476 | David Maldonado IIi | Internal Medicine | 6551 Harris Pkwy, Suite 250, Fort Worth, TX 76132-6103 | 2006-01-17 |
| Street Address |
30 VERDE RIDGE ST APT C |
| City | LOS ALAMOS |
| State | NM |
| Zip Code | 87544-3243 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679945935 | Zia Home Health | Home Health | 1475 Central Ave., Suite 125, Los Alamos, NM 87544 | 2015-10-27 |
| 1295131167 | Sara Pocernik | Dietitian, Registered | 1450 Iris Street, Los Alamos, NM 87544 | 2014-11-05 |
| 1760824890 | Lisa Renee Marr Lyon | Psychologist | 3917 West Road, Suite 128, Children's Clinic, P.a., Los Alamos, NM 87544 | 2013-07-17 |
| 1558629725 | Rachel Meyer | Dentist | 112 Central Park Square, Los Alamos, NM 87544 | 2012-04-25 |
| 1902183908 | Susana T. Chavarria | Occupational Therapist | 5 Quemazon Pl., Los Alamos, NM 87544 | 2011-11-04 |
| 1881998664 | Dr. Tom Child and Adolescent Medicine | Pediatrics | Los Alamos Medical Center, 3917 West Rd, Suite M250, Los Alamos, NM 87544 | 2011-01-07 |
| 1952565905 | Dawn Judy Barr | Social Worker | 3 Agila Ct, Los Alamos, NM 87544 | 2008-07-17 |
| 1649452129 | Ellen Vandergust Ballard | Dentist | 111 Longview, Suite B-3, White Rock, NM 87544 | 2007-11-27 |
| 1629290283 | Wildwind Dental | Dentist | 111 Longview Drive, Suite B3, Los Alamos, NM 87544 | 2007-05-03 |
| 1255407342 | Sarah Sue Teasdale | Counselor | 1362 C Trinity Dr, Los Alamos, NM 87544 | 2006-11-28 |
| Find all providers in zip 87544 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093312779 | Gabrielle Julia Atencio | Specialist/Technologist | 53 Road 3312, Aztec, NM 87410-9516 | 2020-10-05 |
| 1447867403 | Hayley Lucero | Specialist/Technologist | 2300 Diamond Mesa Trl Sw Apt 9702, Albuquerque, NM 87121-3723 | 2020-09-24 |
| 1770197709 | Tracy Murtha | Specialist/Technologist | 29 Teddy Bear Lane, Eagle Nest, NM 87718 | 2020-09-08 |
| 1881228815 | Richard Webster | Specialist/Technologist | 1315 Casady Dr, Alamogordo, NM 88310-5346 | 2020-02-28 |
| 1518504885 | Douglas Richard Spence | Specialist/Technologist | 2920 Leopoldo Rd Nw, Albuquerque, NM 87104-2728 | 2019-12-05 |
| 1265081285 | James Eagle | Specialist/Technologist | 21 Cougar Rdg, Santa Fe, NM 87505-8196 | 2019-09-11 |
| 1770136459 | Yangmi Kang | Specialist/Technologist | 825 S Telshor Blvd Apt 59, Las Cruces, NM 88011-4645 | 2019-07-22 |
| 1477105922 | Haden Gregory Maloney | Specialist/Technologist | 8 Riverview Cir, Roswell, NM 88201-9197 | 2019-07-15 |
| 1972155349 | Daisuke Shibata | Specialist/Technologist | 1 University of New Mexico # 42610, Albuquerque, NM 87131-0001 | 2019-07-15 |
| 1467917997 | Austin Frazier | Specialist/Technologist | 1181 Mall Dr Ste C, Las Cruces, NM 88011-8105 | 2019-02-08 |
| Find all providers with the same taxonomy | ||||
| City | LOS ALAMOS |
| Zip Code | 87544 |
Please comment or provide details below to improve the information on DAVID JAKE MALDONADO.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.