SHAWN MATSUNAGA (NPI# 1760699771) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760699771 |
| Entity Type | Individual |
| Full Name | SHAWN MATSUNAGA |
| Credential | ATC,CSHE |
| Practice Address |
6557 Sungate Ave. Bartlett TN 38135-3105 |
| Mailing Address |
6557 Sungate Dr S Bartlett TN 38135-3105 |
| Practice Telephone | 9013771435 |
| Mailing Telephone | 9013771435 |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2016-10-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AT631 | TN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
6557 SUNGATE AVE. |
| City | BARTLETT |
| State | TN |
| Zip Code | 38135-3105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326677907 | Hamad Ahmad Md PC | Family Medicine | 6490 Memphis Arlington Rd Suite 106, Bartlett, TN 38135 | 2020-04-06 |
| 1699143156 | Cortney Brugal | Pharmacist | 3881 Rim Creek Ln, Memphis, TN 38135 | 2015-09-14 |
| 1841689783 | Georginia Melius Ix | Occupational Therapist | 3655 Jalan Drive, Bartlett, TN 38135 | 2015-01-15 |
| 1518123033 | Sheila Ann Perkins | Occupational Therapy Assistant | 3909 Old Covington Pike Road, Memphis, TN 38135 | 2008-08-04 |
| 1881815801 | Rahul Vasant Sonone | Psychiatry & Neurology | 7645 Wolfriver Circle, 100, Germatown, TN 38135 | 2007-05-01 |
| 1295873842 | Tanya Lasha Hill | Counselor | 7410 Memphis-arlington Road, Memphis, TN 38135 | 2007-02-02 |
| 1013056084 | Nicole Lynn Gebke | Social Worker | 7410 Memphis-arlington Rd, Bartlett, TN 38135 | 2007-02-06 |
| 1922056431 | Carl J Siciliano | Podiatrist | 7424 Us Highway 64, Ste 119, Bartlett, TN 38135 | 2006-05-05 |
| 1053949586 | Michella Glenna Douglas | Physician Assistant | 3911 Oak Branch Cir W, Memphis, TN 38135-0213 | 2020-03-30 |
| 1124671060 | Anne Ellen Roberson | Nurse Practitioner | 3924 Oak Branch Cir E, Bartlett, TN 38135-0223 | 2019-07-19 |
| Find all providers in zip 38135 | ||||
| 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 |
|---|---|---|---|---|
| 1013534437 | Nicole Rose Mondelli | Specialist/Technologist | 958 Tallgrass Dr, Bartlett, IL 60103-5071 | 2020-07-01 |
| 1871057919 | Jackelyn R Delamora | Specialist/Technologist | 1787 Lanyon Dr, Bartlett, IL 60103-2322 | 2019-01-23 |
| 1467916593 | Nicole Taylor Gerdevich | Specialist/Technologist | 1302 Branden Lane, Bartlett, IL 60103 | 2019-01-23 |
| 1003308529 | Elizabeth Longo | Specialist/Technologist | 5756 Redford Cv, Bartlett, TN 38135-1408 | 2018-05-31 |
| 1295122489 | Kelly Howard | Specialist/Technologist | 3110 Milkyway Dr, Bartlett, TN 38134-2828 | 2015-04-25 |
| 1780071266 | Stephanie Gebbia | Specialist/Technologist | 1478 Newcastle Ln, Bartlett, IL 60103-8932 | 2015-04-22 |
| 1932590734 | Taeopae Wetterman | Specialist/Technologist | 993 Apple Valley Dr, Bartlett, IL 60103-5601 | 2015-02-15 |
| 1548398530 | Nicole Chisholm | Specialist/Technologist | 701 W Schick Rd, Bartlett, IL 60103-3046 | 2007-03-01 |
| 1902411317 | Erin Elizabeth Blackburn | Specialist/Technologist | 260 E Army Trail Rd Ste D, Bartlett, IL 60103-3005 | 2020-09-11 |
| 1114487121 | Abby Bouldin | Specialist/Technologist | 701 W Schick Rd, Bartlett, IL 60103-3046 | 2019-03-25 |
| Find all providers in BARTLETT | ||||
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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.