JADE NYCOLE AGUILAR (NPI# 1790251981) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1790251981 |
Entity Type | Individual |
Full Name | JADE NYCOLE AGUILAR |
Practice Address |
5945 Waterside Dr Apt 2 Portage IN 46368-4933 |
Practice Telephone | 2196177855 |
Mailing Telephone | 2196177855 |
Enumeration Date | 2018-10-16 |
Last Update Date | 2018-10-16 |
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 | ||
N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NONE | NONE | 01 |
Street Address |
5945 WATERSIDE DR APT 2 |
City | PORTAGE |
State | IN |
Zip Code | 46368-4933 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366041121 | Latresa Renee Sims | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1777 Armstrong St. Suite C., Portage, IN 46368 | 2020-10-22 |
1831576693 | Bishara Robert Khoury | Family Medicine | 3545 Arbor Blvd Ste E, Portage, IN 46368 | 2015-04-30 |
1962813535 | Diane Farrington | Pharmacist | 6050 Us Hwy 6, Portage, IN 46368 | 2014-05-16 |
1588827562 | Jennifer Ann Rumpel | Allergy & Immunology | 6375 Us Highway 6 Ste C, Portage, IN 46368 | 2008-07-09 |
1588822688 | Total Renal Care Inc | Clinic/Center | 5823 Us Highway 6, Portage, IN 46368 | 2008-05-27 |
1235321480 | Michael Wendahl | Physical Therapist | 3691 Willowcreek Road, Suite 100, Portage, IN 46368 | 2007-08-13 |
1679663603 | Stephen V Headley | Family Medicine | 3283 Willowcreek Rd, Portage, IN 46368 | 2006-10-13 |
1730276486 | Robert Tan Ang | Psychiatry & Neurology | 3156 Willowcreek Road, Portage, IN 46368 | 2006-10-06 |
1013029883 | Primary Care PC | Family Medicine | 3125 Willowcreek Road, Portage, IN 46368 | 2006-08-31 |
1104936962 | Margaret Eileen Griffith | Dentist | 2646 Lois Street, Portage, IN 46368 | 2006-08-30 |
Find all providers in zip 46368 |
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 |
---|---|---|---|---|
1487255642 | Siarra Grace Crum | Specialist/Technologist | 102 Bellwood Lane, Portage, PA 15946-1441 | 2020-11-04 |
1043841711 | Megan S Kaminski | Specialist/Technologist | 2273 Sandwood St, Portage, IN 46368-2434 | 2020-01-30 |
1386285740 | Natalie Mcclish | Specialist/Technologist | 5640 Grand Traverse Ln, Portage, MI 49024-1129 | 2019-10-07 |
1306320866 | Rachel O'boyle | Specialist/Technologist | 8135 S Westnedge Ave, Portage, MI 49002-5433 | 2018-09-20 |
1699279240 | Julie Lynn Griffin | Specialist/Technologist | Portage Northern High School, 1000 Idaho Ave, Portage, MI 49024 | 2018-03-20 |
1033591797 | Corbett Lafrance | Specialist/Technologist | 3511 Fawn Cove Ln Apt 1, Portage, MI 49024-4778 | 2015-06-18 |
1518363480 | Christopher Miller | Specialist/Technologist | 5441 Meredith St, Apt K, Portage, MI 49002-2143 | 2014-11-05 |
1295945046 | Matthew Steven Bekkedal | Specialist/Technologist | 2817 New Pinery Rd Ste 103, Portage, WI 53901-9257 | 2007-05-23 |
1699791079 | Kathleen Levandoski | Specialist/Technologist | 6154 Lute Rd, Portage, IN 46368-5010 | 2006-07-15 |
1871954495 | Charles Hesser | Specialist/Technologist | 3691 Willowcreek Rd, Portage, IN 46368-5076 | 2016-03-09 |
Find all providers in PORTAGE |
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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.