MRS. JENNIFER LYNN CLOSE (NPI# 1720150253) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720150253 |
| Entity Type | Individual |
| Full Name | MRS. JENNIFER LYNN CLOSE |
| Credential | ATC |
| Practice Address |
5260 Williams Lake Rd Waterford MI 48329-3556 |
| Mailing Address |
19303 Baldwin Cir Holly MI 48442-9528 |
| Practice Telephone | 2488573272 |
| Practice Fax Number | 2488573272 |
| Mailing Telephone | 2488464337 |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AT001801 | OH | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619471422 | Jennifer Close | Social Worker | 77 E 1st St, Corning, NY 14830-2715 | 2018-03-19 |
| 1992029714 | Jennifer A Close | Counselor | 245 W Race St, Somerset, PA 15501-1922 | 2010-03-23 |
| 1134315864 | Jennifer Gilley Close | Dietitian, Registered | 8 Medical Park, Valley, AL 36854-3665 | 2007-09-17 |
| Street Address |
5260 WILLIAMS LAKE RD |
| City | WATERFORD |
| State | MI |
| Zip Code | 48329-3556 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386124139 | Melissa A Blake | Occupational Therapist | 3257 Whitfield Ct, Waterford, MI 48329 | 2018-08-20 |
| 1932699741 | Julianne Marie Fittonneville | Counselor | 4000 W Walton Blvd Ste A&b, Waterford, MI 48329 | 2018-05-16 |
| 1730615717 | Innovative Lifestyles, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5490 Dixie Hwy, Suite 1, Waterford, MI 48329 | 2017-05-11 |
| 1841670502 | Kayla Brianne Dandino | Speech-Language Pathologist | 5601 Hatchery Rd., Waterford Township, MI 48329 | 2015-06-08 |
| 1093122400 | Caring 4 Loved Ones, Inc | Registered Nurse | 3549 Lakeshore Dr., Waterford, MI 48329 | 2014-07-17 |
| 1124448329 | Michael Alan Watson | Emergency Medicine | 5826 Dixie Hwy, Waterford Township, MI 48329 | 2014-04-27 |
| 1417263120 | Metro Imaging Center Plc | Dentist | 4664 W. Walton Blvd., Waterford, MI 48329 | 2010-08-19 |
| 1225278013 | S.e.t. Footcare, P.C. | Podiatrist | 4396-1 Dixie Hwy, Waterford, MI 48329 | 2009-03-06 |
| 1962556498 | Mark Andrew Laszlo | Dentist | 4624 Walton Blvd, Waterford, MI 48329 | 2007-01-22 |
| 1437211927 | Pankajini N Doshi | Pediatrics | 4299 Roseberry Ct, Waterford, MI 48329 | 2006-12-14 |
| Find all providers in zip 48329 | ||||
| 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 |
|---|---|---|---|---|
| 1386243913 | Carrie A Lindsay | Specialist/Technologist | 4761 Highland Rd, Waterford, MI 48328-1178 | 2020-10-24 |
| 1184222085 | Ryan James Mcnamara | Specialist/Technologist | 28914 Golden Cir, Waterford, WI 53185-1197 | 2020-10-13 |
| 1255947750 | Kiera Kenyon | Specialist/Technologist | 2 Short 6th St Apt B, Waterford, NY 12188-2223 | 2020-09-20 |
| 1710591169 | Allison Jane Harry | Specialist/Technologist | 3258 Whitfield Ct, Waterford, MI 48329-2767 | 2020-09-02 |
| 1184269052 | Michelle Renee La Forte | Specialist/Technologist | 8 Foot Ct, Waterford, CT 06385-2712 | 2019-11-14 |
| 1043777113 | Joslynn Trail | Specialist/Technologist | 19701 Oh-339, Waterford, OH 45786 | 2019-02-26 |
| 1932638020 | Paige L Kast | Specialist/Technologist | 1032 Myrtle Ave, Waterford, MI 48328-3829 | 2017-06-12 |
| 1376099952 | Naomi Smith | Specialist/Technologist | 4746 Riverview Dr, Waterford, MI 48329-3768 | 2016-09-01 |
| 1609265131 | Molly Winowiecki | Specialist/Technologist | 2844 Orange Grove Rd, Waterford, MI 48329-2965 | 2015-01-21 |
| 1386061703 | Bethany Forshaw | Specialist/Technologist | 37 Mullen Hill Rd, Waterford, CT 06385-1908 | 2014-03-24 |
| Find all providers in WATERFORD | ||||
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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.