MISS JESSICA J MCNALLY (NPI# 1679078174) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679078174 |
| Entity Type | Individual |
| Full Name | MISS JESSICA J MCNALLY |
| Credential | MPA, AT, ATC |
| Practice Address |
5101 John C Lodge Fwy Detroit MI 48202-3327 |
| Practice Telephone | 3135771008 |
| Practice Fax Number | 3135771012 |
| Mailing Telephone | 3135771008 |
| Mailing Fax Number | 3135771012 |
| Enumeration Date | 2018-03-27 |
| Last Update Date | 2018-03-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
2601001090 | MI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396936035 | Jessica J Mcnally | Ophthalmology | 111 Colchester Ave., Uvm Medical Center, Surgery/ophthalmology, Burlington, VT 05401 | 2007-08-07 |
| Street Address |
5101 JOHN C LODGE FWY |
| City | DETROIT |
| State | MI |
| Zip Code | 48202-3327 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205985322 | Michael Chan | Specialist/Technologist | 5101 John C Lodge Fwy, 101 Matthaei Building, Detroit, MI 48202-3327 | 2007-01-09 |
| 1861929879 | Erin Brown | Specialist/Technologist | 5101 John C Lodge Fwy, Detroit, MI 48202-3327 | 2017-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710584602 | Andrea Irene Martin | Audiologist | 2799 E Grand Blvd, Detroit, MI 48202 | 2020-10-05 |
| 1174132583 | Odei Alayyas | Student in an Organized Health Care Education/Training Program | 2799 W. Grand Boulevard Henry Ford Hospital, Medical Ed, Detroit, MI 48202 | 2020-07-31 |
| 1912529801 | Aroob Nabil Nimer Sweidan | Student in an Organized Health Care Education/Training Program | 2799 West Grand Boulvard, Department of Internal Meidicine, Cfp 1, Detroit, MI 48202 | 2020-05-13 |
| 1306485636 | Katie Burlen-davis | Registered Nurse | 9045 Woodward Ave, Detroit, MI 48202 | 2020-01-03 |
| 1407401250 | Santhalakshmi Angappan | Student in an Organized Health Care Education/Training Program | Henry Ford Hospital Medical Education Department, 2799 W. Grand Boulevard, Detroit, MI 48202 | 2019-08-08 |
| 1851945687 | Walter Mitini Etoh | Nurse Practitioner | Henry Ford Hospital I1 Observation, 2799 W. Grand Blvd, Detroit, MI 48202 | 2019-07-30 |
| 1467913756 | Andrew Michael Schock | Emergency Medicine | Ceci Murrell-harvey, Henry Ford Hospital, 2799 W. Grand. Blvd, Cfp 046, Detroit, MI 48202 | 2019-03-28 |
| 1700363892 | Zaid Al-saheli | Student in an Organized Health Care Education/Training Program | 2799 W. Grand Blvdl, Cfp 046, Hope Peck, Detroit, MI 48202 | 2018-07-23 |
| 1932690096 | Yusuf Naser Alalwan | Student in an Organized Health Care Education/Training Program | 2799 W. Grand Blvd. Henry Ford Hospital - Gme Office, Detroit, MI 48202 | 2018-05-24 |
| 1568952729 | Kelvin Sellers | Massage Therapist | 832 Seward, Detriot, MI 48202 | 2018-05-14 |
| Find all providers in zip 48202 | ||||
| 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 |
|---|---|---|---|---|
| 1194368985 | Marybeth Taylor | Specialist/Technologist | 261 Mack Ave # 215, Detroit, MI 48201-2417 | 2019-10-24 |
| 1932740776 | Tera D Winton | Specialist/Technologist | 9198 Grayton St, Detroit, MI 48224-1923 | 2019-10-02 |
| 1013471069 | Carlos Lamont Hamilton | Specialist/Technologist | 927 E Grand Blvd, Detroit, MI 48207-1964 | 2019-01-24 |
| 1639642895 | Robert Lee Wright | Specialist/Technologist | 20111 Mendota St, Detroit, MI 48221-1047 | 2019-01-09 |
| 1144772229 | David Robeson Vanzant | Specialist/Technologist | 19 Steve Yzerman Dr, Detroit, MI 48226-4428 | 2016-10-25 |
| 1326405762 | Brianna Nicole Gauna | Specialist/Technologist | 42 W Warren Ave, Detroit, MI 48201-1347 | 2016-01-15 |
| 1205985322 | Michael Chan | Specialist/Technologist | 5101 John C Lodge Fwy, 101 Matthaei Building, Detroit, MI 48202-3327 | 2007-01-09 |
| 1407904071 | Steven Bruce Carter | Specialist/Technologist | 2100 Woodward Ave, Detroit, MI 48201-3470 | 2007-01-08 |
| 1316094899 | Marcus Alexander Ebejer | Specialist/Technologist | 216 Mack Ave, Detroit, MI 48201 | 2007-01-05 |
| 1205852621 | Nicole L Schreiber | Specialist/Technologist | 6525 2nd Ave, Detroit, MI 48202-3006 | 2006-07-15 |
| Find all providers in DETROIT | ||||
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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.