MISS KELSEY PAYGE EDWARDS (NPI# 1730746116) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730746116 |
| Entity Type | Individual |
| Full Name | MISS KELSEY PAYGE EDWARDS |
| Credential | ATC |
| Practice Address |
5125 20th St Rockford IL 61109-3803 |
| Practice Telephone | 8158713543 |
| Mailing Telephone | 8158713543 |
| Enumeration Date | 2019-05-21 |
| Last Update Date | 2019-05-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518585603 | Kelsey Blair Edwards | Nurse Practitioner | 1645 W Government St Ste F, Brandon, MS 39042-4602 | 2020-07-06 |
| 1922581172 | Kelsey Edwards | Physician Assistant | 525 E 68th St, New York, NY 10065-4870 | 2018-09-13 |
| 1023555471 | Kelsey Link Edwards | Counselor | 10 Bridge St Ste 300, Lowell, MA 01852-1269 | 2017-01-24 |
| Street Address |
5125 20TH ST |
| City | ROCKFORD |
| State | IL |
| Zip Code | 61109-3803 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487164398 | Linda A Morel | Speech-Language Pathologist | 6129 Valley Knoll Drive, Rockford, IL 61109 | 2017-10-05 |
| 1841720315 | Activate Healthcare - Local 23 Clinic | Clinic/Center | 3413 Colony Bay, Rockford, IL 61109 | 2017-06-15 |
| 1255430062 | Suzanne E. Wang | Nurse Practitioner | 4940 East State Street, Rockford Veterans Administration Out Patient Clinic, Rockford, IL 61109 | 2006-09-21 |
| 1073597498 | Peter Joseph Gunther | Optometrist | 2995 Eastrock Dr, Rockford, IL 61109 | 2005-11-30 |
| 1104482769 | Catherine L Hill | Nurse's Aide | 2831 Bildahl St, Rockford, IL 61109-1136 | 2019-05-18 |
| 1962671701 | Rosecrance, Inc. | Substance Abuse Rehabilitation Facility | 3522 Green Dale Dr, Rockford, IL 61109-1575 | 2008-02-26 |
| 1326174665 | Lloyd Hearing Aid Corp | Hearing Instrument Specialist | 4435 Manchester Dr, Rockford, IL 61109-1655 | 2007-02-23 |
| 1710965439 | Gary Michael Briden | Family Medicine | 4423 Manchester Dr, Rockford, IL 61109-1655 | 2006-01-03 |
| 1386092625 | Andrew Palmquist | Hearing Instrument Specialist | 4435 Manchester Dr, Rockford, IL 61109-1655 | 2016-05-26 |
| 1851324289 | Reginald Dinan Quart | Family Medicine | 4423 Manchester Dr, Rockford, IL 61109-1655 | 2006-07-09 |
| Find all providers in zip 61109 | ||||
| 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 |
|---|---|---|---|---|
| 1649738709 | Amanda Carlen | Specialist/Technologist | 7600 County Road 50, Rockford, MN 55373-8100 | 2019-03-07 |
| 1861964736 | Britteny Weisensel | Specialist/Technologist | 5797 Kirkwood Dr, Rockford, IL 61109-3762 | 2018-12-17 |
| 1164947933 | Scarlett Waite | Specialist/Technologist | 9040 Courtland Dr Ne, Rockford, MI 49341-7200 | 2017-08-14 |
| 1912429473 | Courtney Leanne Gray | Specialist/Technologist | 319 Brown Ave, Rockford, IL 61103-4102 | 2017-07-16 |
| 1043677099 | Megan Blackburn | Specialist/Technologist | 5022 Arbutus Rd, Rockford, IL 61107-2402 | 2016-01-21 |
| 1124414842 | Jeremy Clausen | Specialist/Technologist | 6626 N Meridian Rd, Rockford, IL 61101-7879 | 2015-04-09 |
| 1861899692 | Erik John Smith | Specialist/Technologist | 321 W Jefferson St, Apt #2, Rockford, IL 61101-1024 | 2014-11-21 |
| 1063853794 | Ashley R Rogers | Specialist/Technologist | 714 Lundvall Ave, Rockford, IL 61107-3321 | 2013-07-10 |
| 1770787509 | Michael P Rose | Specialist/Technologist | 735 Highgrove Pl, Rockford, IL 61108-2520 | 2007-06-14 |
| 1396880183 | Michael Mcfarlane York | Specialist/Technologist | 4100 Kroes Rd., Rockford, MI 49341-0000 | 2007-02-20 |
| Find all providers in ROCKFORD | ||||
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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.