ALAN KILLINGSWORTH (NPI# 1750796074) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750796074 |
| Entity Type | Individual |
| Full Name | ALAN KILLINGSWORTH |
| Credential | ATC |
| Practice Address |
7209 Mccormick Ln Fairview TN 37062-8347 |
| Practice Telephone | 6156047092 |
| Enumeration Date | 2014-06-25 |
| Last Update Date | 2014-06-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AT0000001219 | TN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
7209 MCCORMICK LN |
| City | FAIRVIEW |
| State | TN |
| Zip Code | 37062-8347 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740757764 | Advanced Diagnostic Imaging, PC | Internal Medicine | 2340 Fairview Boulevard, Suite 600d, Fairview, TN 37062 | 2018-10-29 |
| 1730680414 | Kjk LLC | Pharmacy | 2340 Fairview Blvd. Suite 300, Fairview, TN 37062 | 2018-02-27 |
| 1992257281 | Amanda Clark | Occupational Therapy Assistant | 7146 Bahne Rd, Fairview, TN 37062 | 2016-11-02 |
| 1740654458 | Nicolette Stephens | Nurse Practitioner | 7130 New Hope Rd, Fairview, TN 37062 | 2015-11-18 |
| 1063849875 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 7100 Hopgood Rd, Fairview, TN 37062 | 2013-10-11 |
| 1710230628 | Phillip Owens | Counselor | 7200 Cumberland Dr, Fairview, TN 37062 | 2012-10-17 |
| 1013290899 | Zachary Neal Alexander | Counselor | 2595 Fairview Blvd, Fairview, TN 37062 | 2011-09-27 |
| 1750608113 | Savita Leanne Fanta | Internal Medicine | 2340 Fairview Blvd Ste 600d, Fairview, TN 37062 | 2010-04-26 |
| 1083818108 | Fairview Medical Center | Family Medicine | 7100 Adams Dr, Fairview, TN 37062 | 2007-06-13 |
| 1689759516 | Teresa Marie Clark | Dental Assistant | 7218 Birch Bark Drive, Fairview, TN 37062 | 2006-10-26 |
| Find all providers in zip 37062 | ||||
| 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 |
|---|---|---|---|---|
| 1023670460 | Alicia Marie Lyon | Specialist/Technologist | 2024 Lakeland Dr, Fairview, PA 16415-1911 | 2019-07-06 |
| 1013467430 | Jon Allen | Specialist/Technologist | 905 Carter St, Fairview, IL 61432-5036 | 2016-10-10 |
| 1174875355 | Nicole Marie Parker | Specialist/Technologist | 7460 Mccray Rd, Fairview School District, Fairview, PA 16415-2401 | 2012-10-11 |
| 1053352336 | Cassie Gaskins Stewart | Specialist/Technologist | 1696 Fairview Blvd, Suite 103, Fairview, TN 37062-5137 | 2006-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124628979 | Casey Brooks | Specialist/Technologist | 1223 Huntsville Hwy, Fayetteville, TN 37334-3617 | 2020-10-30 |
| 1275147761 | Samantha Michelle Howell | Specialist/Technologist | 1551 Lake Loudon Blvd Ofc A111, Knoxville, TN 37916-4009 | 2020-09-02 |
| 1447869391 | Kurt Howard Robbins | Specialist/Technologist | 7855 Racquetball Ln Apt 317, Cordova, TN 38016-8629 | 2020-07-27 |
| 1285242529 | Kelley Anne Seekins | Specialist/Technologist | 204 E. College St., Athens, TN 37303 | 2020-07-22 |
| 1437776143 | Kayla Hayes | Specialist/Technologist | 305 W Bell Ave, Chattanooga, TN 37405-3401 | 2020-06-29 |
| 1952928673 | Ashton Bailey Sexton | Specialist/Technologist | 622 Steekee St, Loudon, TN 37774-1167 | 2020-06-29 |
| 1710504303 | David Spencer Hiland | Specialist/Technologist | 150 Jake Branch Rd, Beechgrove, TN 37018-3177 | 2020-06-29 |
| 1659998367 | Kristopher Ace Ippolito | Specialist/Technologist | 212 Walnut St Apt 254, Chattanooga, TN 37403-4400 | 2020-06-29 |
| 1316564032 | Zachary Peter Brown | Specialist/Technologist | 24 Mountain Orchard Path, Signal Mountain, TN 37377-2663 | 2020-06-29 |
| 1518584218 | Christopher Zane Slater | Specialist/Technologist | 1915 Miller Crossroads Rd, Hillsboro, TN 37342-3720 | 2020-06-29 |
| 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.