MR. CHARLES KEITH HAAGA (NPI# 1679538789) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679538789 |
| Entity Type | Individual |
| Full Name | MR. CHARLES KEITH HAAGA |
| Credential | ATC |
| Practice Address |
1104 Charlie Dr Slidell LA 70461-5346 |
| Practice Telephone | 9857811635 |
| Mailing Telephone | 9857811635 |
| Enumeration Date | 2006-04-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
J00124 | LA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1104 CHARLIE DR |
| City | SLIDELL |
| State | LA |
| Zip Code | 70461-5346 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013553577 | Kira Gilmore Smith | Nurse Practitioner | Pelican Urgent Care, 2375 Gause Blvd. East, Slidell, LA 70461 | 2019-11-20 |
| 1104477256 | Peter Khong | Pharmacy | 2915 Us-190, Mandeville, LA 70461 | 2019-09-20 |
| 1457844706 | April Hughes Whitfield | Counselor | 1313 Brownswitch Rd, Ste D, Slidell, LA 70461 | 2018-06-12 |
| 1154824761 | Lisa Michele Mcclinton | Counselor | 1212 Montgomery Blvd, Slidell, LA 70461 | 2018-03-10 |
| 1952816902 | Keiona Monae Thompson | Counselor | 1121 Clairise Ct, Slidell, LA 70461 | 2017-12-12 |
| 1275048688 | Aisha Cade | Counselor | 250 Cross Gates Blvd, Slidell, LA 70461 | 2017-12-07 |
| 1598285405 | Sureway Transits | Non-emergency Medical Transport (VAN) | 135 Rue De La Paix, Slidell, LA 70461 | 2017-06-21 |
| 1043743198 | Natasha Hunter | Counselor | 1650 Barrymore St, Slidell, LA 70461 | 2017-04-05 |
| 1154873891 | Chaise A Bennett | Physical Therapist | 2040 Gause Blvd, Suite 6, Slidell, LA 70461 | 2016-10-28 |
| 1104373539 | Kaonta Simmons | Counselor | 2185 Wellington Ln, Slidell, LA 70461 | 2016-09-01 |
| Find all providers in zip 70461 | ||||
| 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 |
|---|---|---|---|---|
| 1285087098 | Maria Reyes | Specialist/Technologist | 39426 Highway 190 E, Slidell, LA 70461-2356 | 2016-07-16 |
| 1295106417 | Daniel Ray Lawrence | Specialist/Technologist | 1101 Doverville Ct, Slidell, LA 70461-4401 | 2015-10-14 |
| 1043625015 | Jeanne Marie Baldwin | Specialist/Technologist | 1125 Rose Meadow Loop, Slidell, LA 70460-5224 | 2014-06-27 |
| 1235429184 | Sidney Davell Stokes | Specialist/Technologist | 7212 Oakpoint Dr, Slidell, LA 70460-3978 | 2011-04-12 |
| 1427180157 | Deborah L. Knight | Specialist/Technologist | 112 Valiant Ln, Slidell, LA 70458-9135 | 2007-03-09 |
| 1104298322 | Amanda Palazola | Specialist/Technologist | 104 Medical Center Dr, Slidell, LA 70461-5575 | 2015-10-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346848116 | Kerry Michael Ruiz | Specialist/Technologist | 2378 Kensington Dr, Baton Rouge, LA 70809-1210 | 2020-10-14 |
| 1013514710 | Jody Powell | Specialist/Technologist | 1600 Arizona Ave, Monroe, LA 71202-3602 | 2020-10-06 |
| 1336755495 | Kevin Keys | Specialist/Technologist | 106 Tomahawk Dr, Lafayette, LA 70503-6606 | 2020-09-23 |
| 1770199531 | Ryan Petrossi | Specialist/Technologist | 11959 Nicholson Dr Apt 17304, Baton Rouge, LA 70810-7626 | 2020-09-17 |
| 1285240028 | Cecilia Kieliszewski | Specialist/Technologist | 308 Warhawk Way Ulm Athletics Department, Monroe, LA 71209-0001 | 2020-09-17 |
| 1659985596 | Jake Bradley Lipps | Specialist/Technologist | 40068 Davis Dr, Ponchatoula, LA 70454-6410 | 2020-09-08 |
| 1942811773 | William Connor Sinclair | Specialist/Technologist | 12019 Fairview Way, Saint Francisville, LA 70775-7464 | 2020-08-14 |
| 1336750306 | Margaret Anne Schladenhauffen | Specialist/Technologist | 131 S Jeff Davis Pkwy Unit 100, New Orleans, LA 70119-6227 | 2020-08-13 |
| 1457962847 | Alexa Yanez | Specialist/Technologist | 936 Elmeer Ave, Metairie, LA 70005-1612 | 2020-08-11 |
| 1609486885 | Jasmine Joane Anderson | Specialist/Technologist | 1228 S Genois St, New Orleans, LA 70125-1724 | 2020-08-03 |
| Find all providers with the same taxonomy | ||||
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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.