MR. JON DAVID SMITH (NPI# 1710940846) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710940846 |
| Entity Type | Individual |
| Full Name | MR. JON DAVID SMITH |
| Credential | LAT, ATC |
| Practice Address |
1 University Ave Angola IN 46703-1764 |
| Mailing Address |
175 Lane 200 Lake James Angola IN 46703-7506 |
| Practice Telephone | 2606654846 |
| Practice Fax Number | 2606654839 |
| Mailing Telephone | 2608339316 |
| Mailing Fax Number | 2606654839 |
| Enumeration Date | 2006-04-10 |
| 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 |
36000440A | IN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336201870 | Jon Alan Smith | Chiropractor | 200 East Sand Mountain Drive, Suite B, Albertville, AL 35950 | 2006-12-14 |
| 1144337395 | Jon Christopher Smith | Dentist | 1501 Seventh Ave, Charleston, WV 25312 | 2006-08-24 |
| 1235160169 | Jon D Smith | Dentist | 110 Charter Oak Rd, Lexington, SC 29072-9710 | 2006-07-06 |
| 1801850615 | Jon R. Smith | Specialist/Technologist | 907 Upper Front St, Binghamton, NY 13905-1328 | 2006-04-17 |
| 1366751596 | Jon C Smith | Counselor | 7200 E Dry Creek Rd, Suite E-207, Centennial, CO 80112-2537 | 2010-10-05 |
| 1811043011 | Jon Larry Smith | Counselor | 5009 Ne Killingsworth St, Portland, OR 97218-1915 | 2007-01-28 |
| Street Address |
1 UNIVERSITY AVE |
| City | ANGOLA |
| State | IN |
| Zip Code | 46703-1764 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598374217 | Taylor Sheron | Physician Assistant | 1 University Ave, Angola, IN 46703-1764 | 2020-07-28 |
| 1649889353 | Katrina Lynn | Physician Assistant | 1 University Ave, Angola, IN 46703-1752 | 2020-07-28 |
| 1841734381 | Aaron Turner | Specialist/Technologist | 1 University Ave, Angola, IN 46703-1764 | 2016-12-16 |
| 1902274046 | Kerri Grothaus | Specialist/Technologist | 1 University Ave, Angola, IN 46703-1764 | 2015-09-07 |
| 1841347945 | Ryan Shockey | Specialist/Technologist | 1 University Ave, Angola, IN 46703-1764 | 2007-01-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629617097 | Carolyn Yvonne Davis | Registered Nurse | 909b South Darling Street, Angola, IN 46703 | 2020-01-02 |
| 1588144760 | Travis William Simmons | Chiropractor | 1220 N 200 W, Angola, IN 46703 | 2018-08-17 |
| 1386025427 | Jessica Conrad | Physical Therapist | 1913 North Wayne St, Suite D, Angola, IN 46703 | 2015-06-15 |
| 1578977385 | Amber Joy Richards | Counselor | 200 Hoosier Dr. Suite E, Angola, IN 46703 | 2014-06-19 |
| 1972874667 | Amanda Louise Traxler | Specialist/Technologist | 350 S John Mcbride Ave, Angola, IN 46703 | 2012-01-26 |
| 1659656155 | Kelly Balyeat | Pharmacist | 2012 North Wayne Street, Angola, IN 46703 | 2011-10-15 |
| 1689843930 | Erin Nicole Culler | Pharmacist | 2290 North Wayne Street, Angola, IN 46703 | 2008-02-20 |
| 1235319963 | J Andrew Stoner | Counselor | 430 N Wayne St, Suite 201, Angola, IN 46703 | 2007-11-09 |
| 1760537658 | Margaret Jean Schreiber | Nurse Practitioner | 103 Intertech Parkway, Suite A, Angola, IN 46703 | 2007-01-24 |
| 1922163120 | Tamara Lynn Watkins | Dentist | 101 N. Terrace Blvd., Angola, IN 46703 | 2006-12-27 |
| Find all providers in zip 46703 | ||||
| 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 |
|---|---|---|---|---|
| 1902266802 | Julie Reinking | Specialist/Technologist | 2970 N Bay View Rd, Angola, IN 46703-9013 | 2016-03-04 |
| 1972874667 | Amanda Louise Traxler | Specialist/Technologist | 350 S John Mcbride Ave, Angola, IN 46703 | 2012-01-26 |
| 1841734381 | Aaron Turner | Specialist/Technologist | 1 University Ave, Angola, IN 46703-1764 | 2016-12-16 |
| 1902274046 | Kerri Grothaus | Specialist/Technologist | 1 University Ave, Angola, IN 46703-1764 | 2015-09-07 |
| 1841347945 | Ryan Shockey | Specialist/Technologist | 1 University Ave, Angola, IN 46703-1764 | 2007-01-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295342988 | Sarah Elizabeth Schiller | Specialist/Technologist | 3499 W 800 S, Fort Branch, IN 47648-8174 | 2020-09-26 |
| 1093321374 | Claire Elizabeth Sayre | Specialist/Technologist | 7764 W County Road 625 N, Middletown, IN 47356-9725 | 2020-09-22 |
| 1386256071 | Dylan A Wirick | Specialist/Technologist | 3547 Mechanicsburg Dr, Indianapolis, IN 46227-9626 | 2020-08-23 |
| 1750993267 | Kathryn Ruark | Specialist/Technologist | 625 Canal View Dr Apt G, Indianapolis, IN 46202-6121 | 2020-08-18 |
| 1679184477 | Zachry Skinner | Specialist/Technologist | 1683 E Hanna Ave, Indianapolis, IN 46227 | 2020-08-14 |
| 1538778139 | Tyralee Frye | Specialist/Technologist | 731 Lincoln Dr, Bloomfield, IN 47424-1023 | 2020-07-29 |
| 1902415508 | Kaitlyn Kendrick | Specialist/Technologist | 2909 Tindall St, Indianapolis, IN 46203-5449 | 2020-07-29 |
| 1063037166 | Ronald Lee Ennis Jr. | Specialist/Technologist | 307 Henley Rd, Richmond, IN 47374-5946 | 2020-06-15 |
| 1235753278 | Lauren Schnell | Specialist/Technologist | 3196 Lakeside Dr, Jasper, IN 47546-9517 | 2020-06-05 |
| 1942824552 | Deni Nicole Roller | Specialist/Technologist | 544 Royalton Dr, New Haven, IN 46774-2658 | 2020-05-31 |
| 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.