JEFFREY CASE (NPI# 1669881017) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669881017 |
| Entity Type | Individual |
| Full Name | JEFFREY CASE |
| Credential | ATC |
| Practice Address |
2501 4th Ave Canyon TX 79016-0001 |
| Mailing Address |
47 Valley View Rd Apt 338c Canyon TX 79015-3237 |
| Practice Telephone | 3143040902 |
| Mailing Telephone | 3143040902 |
| Enumeration Date | 2014-08-11 |
| Last Update Date | 2014-08-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
2000018557 | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629220322 | Jeffrey Owen Case | Counselor | 7441 Foxridge Way, # E, Anchorage, AK 99518-2756 | 2008-10-14 |
| 1407808694 | Jeffrey William Case | Optometrist | 3710 Route 9 S, Suite 1501, Freehold, NJ 07728-4801 | 2006-05-16 |
| 1043756851 | Jeffrey Case | Counselor | 113 Oak Ridge Ct, Prestonsburg, KY 41653-8607 | 2017-01-18 |
| 1326403007 | Jeffrey M Case | Occupational Therapy Assistant | 1118 Woodward Drive, Greensburg, PA 15601-6414 | 2015-12-22 |
| 1992853071 | Jeffrey Scott Case | Counselor | 109 E Locust St, Clearfield, PA 16830-2412 | 2007-01-08 |
| 1710916176 | Jeffrey Don Case | Legal Medicine | 110 Medical Center Dr, Paducah, KY 42003-7909 | 2006-06-30 |
| Street Address |
2501 4TH AVE |
| City | CANYON |
| State | TX |
| Zip Code | 79016-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235387184 | Traci B Fredman | Speech-Language Pathologist | 2501 4th Ave, Canyon, TX 79016-0001 | 2008-09-04 |
| 1821469487 | Noel Francis Clifton | Speech-Language Pathologist | 2501 4th Ave, Canyon, TX 79016-0001 | 2015-10-08 |
| 1043571938 | Leslie W Dalton Jr. | Audiologist | 2501 4th Ave, Canyon, TX 79016-0001 | 2012-06-06 |
| 1194083311 | West Texas A & M University | Clinic/Center | 2501 4th Ave, Canyon, TX 79016-0001 | 2012-04-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912920844 | Candy C Marshall | Nurse Practitioner | 2620 Russell Long Blvd, Canyon, TX 79016 | 2006-07-25 |
| 1811400666 | Tracey Dianne Ecklund | Student in an Organized Health Care Education/Training Program | 2620 Russel Long Blvd, Canyon, TX 79016-0001 | 2017-11-14 |
| 1689014326 | Lorna Strong | Specialist/Technologist | 2342 Russell Long Blvd, Virgil Henson Activities Center 217, Canyon, TX 79016-0001 | 2013-06-26 |
| 1790971224 | Sally Lynn Gaines | Student in an Organized Health Care Education/Training Program | West Texas A & M University, Old Main, Room 308-a, Canyon, TX 79016-0001 | 2007-09-19 |
| 1639394984 | Robby Douglas Rhodes | Specialist/Technologist | 60216 Wtamu, Canyon, TX 79016-0001 | 2007-04-13 |
| 1992869929 | James Edward Gibbs | Family Medicine | Student Medical Services, 2620 Russell Long Blvd., Canyon, TX 79016-0001 | 2006-12-21 |
| 1407967599 | West Texas A&m University Student Medical Services | Clinic/Center | 2620 N Russel Long Blvd, Virgil Henson Activities Center Room 104, Canyon, TX 79016-0001 | 2006-08-31 |
| 1245341692 | Wendy L Bertram | Nurse Practitioner | 2620 N. Russell Long Blvd, Canyon, TX 79016-0001 | 2006-08-31 |
| 1376526129 | Karen Elizabeth Knapp | Nurse Practitioner | Wt Box 61401, Canyon, TX 79016-0001 | 2005-11-25 |
| 1912410762 | Heather Ann Ferrell | Specialist/Technologist | 2620 Russel Long Blvd, Canyon, TX 79016-0001 | 2017-11-14 |
| Find all providers in zip 79016 | ||||
| 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 |
|---|---|---|---|---|
| 1851939342 | Liam Rettenmeier | Specialist/Technologist | 107 28th St Apt 13, Canyon, TX 79015-3130 | 2019-12-15 |
| 1295297273 | Niki L'shaun Brown | Specialist/Technologist | 2712 9th Ave Apt 4, Canyon, TX 79015-4701 | 2019-04-01 |
| 1568924546 | Ian Holacka | Specialist/Technologist | 2005 2nd Ave Unit B, Canyon, TX 79015-3052 | 2019-04-01 |
| 1518310879 | Joshua Ortiz | Specialist/Technologist | 2006 N 2nd Ave Apt C, Canyon, TX 79015-2518 | 2016-07-21 |
| 1194195826 | Melani Kelly | Specialist/Technologist | 702 3rd Avenue, Canyon, TX 79015 | 2015-10-07 |
| 1790192102 | Tucker Eichhorn | Specialist/Technologist | 2819 Conner Dr, Canyon, TX 79015-4201 | 2014-07-17 |
| 1689014326 | Lorna Strong | Specialist/Technologist | 2342 Russell Long Blvd, Virgil Henson Activities Center 217, Canyon, TX 79016-0001 | 2013-06-26 |
| 1639394984 | Robby Douglas Rhodes | Specialist/Technologist | 60216 Wtamu, Canyon, TX 79016-0001 | 2007-04-13 |
| 1912410762 | Heather Ann Ferrell | Specialist/Technologist | 2620 Russel Long Blvd, Canyon, TX 79016-0001 | 2017-11-14 |
| 1346657749 | Todd Bowman | Specialist/Technologist | 1701 23rd St, Canyon, TX 79015-5316 | 2014-07-17 |
| Find all providers in CANYON | ||||
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| 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.