KAITLIN KARA MCDOWELL HERMES (NPI# 1750741831) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750741831 |
| Entity Type | Individual |
| Full Name | KAITLIN KARA MCDOWELL HERMES |
| Credential | CTRS |
| Practice Address |
730 E Beach Blvd # 5128 Long Beach MS 39560-6259 |
| Practice Telephone | 2282143319 |
| Mailing Telephone | 2282143319 |
| Enumeration Date | 2016-03-02 |
| Last Update Date | 2016-03-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225800000X | Recreation Therapist | 58268 | MS | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
730 E BEACH BLVD # 5128 |
| City | LONG BEACH |
| State | MS |
| Zip Code | 39560-6259 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669832747 | Shelley R Holland | Recreation Therapist | 730 E Beach Blvd # 5128, Long Beach, MS 39560-6259 | 2016-03-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336660786 | Vitas Laboratory LLC | Clinical Medical Laboratory | 2048 Pineville Road, Suite B, Long Beach, MS 39560 | 2017-07-06 |
| 1760889554 | Laura Catherine Ranson | Physical Therapist | 2 Tower Plaz, Suite B, Community Rehab Center, Long Beach, MS 39560 | 2014-11-24 |
| 1073803714 | Kathleen Ann Williams | Pharmacist | Riteaid #7227 Pharmacy 200 West Railroad St, Suite B, Long Beach, MS 39560 | 2011-04-14 |
| 1609177179 | Robert William Wylie | Hearing Instrument Specialist | 100 Larosa Rd, Ste D, Long Beach, MS 39560 | 2010-11-15 |
| 1891026498 | James Paul Bertinato | Speech-Language Pathologist | 20337 Longview Rd, Long Beach, MS 39560 | 2010-01-21 |
| 1639317274 | Robert A Wiemer Jr. | Pain Medicine | 528-f Klondike Road, Long Beach, MS 39560 | 2009-02-03 |
| 1932362324 | Family Physical Therapy of South Ms LLC | Physical Therapist | 100-a La Rosa Rd, Long Beach, MS 39560 | 2008-07-07 |
| 1952589863 | Miller-whitmer Family Chiropractic | Chiropractor | 125 Jeff Davis Avenue, Long Beach, MS 39560 | 2008-02-01 |
| 1528267333 | Rachel S Conrad Md PC | Family Medicine | 100a Larosa, Long Beach, MS 39560 | 2007-07-12 |
| 1386720241 | Betty Diane Edrington | Registered Nurse | 2 Tower Plaza, Pineville Road, Long Beach, MS 39560 | 2006-10-31 |
| Find all providers in zip 39560 | ||||
| Taxonomy Code | 225800000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Recreation Therapist |
| A recreation therapist uses recreational activities for intervention in some physical, social or emotional behavior to bring about a desired change in that behavior and promote the growth and development of the patient. |
| Notes: Source: Joel A. DeLisa and Bruce M. Gans, Rehabilitation Medicine: Principles and Practice Second Edition, J.B. Lippincott Company, Philadelphia: 1993, p. 7 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417153032 | Sonja Denise Grayson | Recreation Therapist | 3491 E Andy St Apt 4, Long Beach, CA 90805-4542 | 2007-06-21 |
| 1699843706 | Jean Marie Lima | Recreation Therapist | 240 E 20th Street, Long Beach, CA 90806-1312 | 2006-11-30 |
| 1669832747 | Shelley R Holland | Recreation Therapist | 730 E Beach Blvd # 5128, Long Beach, MS 39560-6259 | 2016-03-02 |
| 1124288030 | Ann Elizabeth Kinnischtzke | Recreation Therapist | 5901 E 7th St, Long Beach, CA 90822-5201 | 2008-06-13 |
| 1346300043 | Mark Kevin Martin | Recreation Therapist | 1975 Long Beach Blvd, Long Beach, CA 90806-5501 | 2006-12-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588192165 | Leslie Michelle White | Recreation Therapist | 374 Ginger Dr, Diberville, MS 39540-3746 | 2017-05-26 |
| 1528149226 | Laura T. Throop | Recreation Therapist | 2106 Boardman Blvd, Gulfport, MS 39507-2727 | 2006-10-18 |
| 1043229925 | Christopher Gable | Recreation Therapist | 16009 Cherry Dr, Biloxi, MS 39532-3937 | 2006-08-07 |
| 1114936150 | Danny Skrnich | Recreation Therapist | 704 Sharon Hills Dr, Biloxi, MS 39532-4360 | 2006-08-07 |
| 1780691188 | Lyla Brooke James | Recreation Therapist | 400 Veterans Ave # 135, Biloxi, MS 39531-2410 | 2006-08-01 |
| 1801494109 | Destin Parsley | Recreation Therapist | 400 Veterans Ave, Biloxi, MS 39531-2410 | 2020-10-09 |
| 1881291383 | Regina Marie Riley | Recreation Therapist | 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116 | 2020-10-07 |
| 1932727468 | Davis Mckenna Simms | Recreation Therapist | 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116 | 2020-07-10 |
| 1154948222 | Tiffany Floyd | Recreation Therapist | 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116 | 2020-07-06 |
| 1962029389 | Devonda Y Elliott | Recreation Therapist | 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116 | 2020-07-01 |
| Find all providers with the same taxonomy | ||||
| City | LONG BEACH |
| Zip Code | 39560 |
Please comment or provide details below to improve the information on KAITLIN KARA MCDOWELL HERMES.
| 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.