CODY MOON (NPI# 1790340693) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790340693 |
| Entity Type | Individual |
| Full Name | CODY MOON |
| Credential | ATC |
| Practice Address |
515 W 11th St Apt 16 Maryville MO 64468-3509 |
| Mailing Address |
800 University Dr Maryville MO 64468-6015 |
| Practice Telephone | 7854470626 |
| Mailing Telephone | 6605621313 |
| Enumeration Date | 2019-05-06 |
| Last Update Date | 2019-05-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
2018016971 | MO | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
515 W 11TH ST APT 16 |
| City | MARYVILLE |
| State | MO |
| Zip Code | 64468-3509 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275199457 | Mason Finn | Student in an Organized Health Care Education/Training Program | 515 W 11th St Apt 16, Maryville, MO 64468-3509 | 2019-05-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619315603 | William Sean Prescott | Counselor | 318 North Main, Maryville, MO 64468 | 2013-06-12 |
| 1215284617 | Janet Luzmoor | Counselor | 109 East Summit Dr, Maryville, MO 64468 | 2012-08-06 |
| 1629336177 | Kristi Renee White | Social Worker | 423 N Market St, Maryville, MO 64468 | 2012-05-02 |
| 1285942474 | Kyle William Bowers | Physical Therapist | 2016 South Main Street, Maryville, MO 64468 | 2010-09-22 |
| 1861600660 | Debra Anne Hopkins | Physical Therapist | 2416 South Main St, Maryville, MO 64468 | 2007-05-18 |
| 1023235975 | Susan Kay Grispino | Occupational Therapist | Area Cooperative for Educational Support, 1429 South Munn Avenue, Maryville, MO 64468 | 2007-04-20 |
| 1760542567 | North West Missouri State University | Clinic/Center | 800 University Drive, Maryville, MO 64468 | 2006-12-11 |
| 1528154994 | Bruce E Twaddle | Dentist | 231 Summit Drive, Maryville, MO 64468 | 2006-10-05 |
| 1669588075 | Stanley David Snyder | Dentist | 2825 South Main Street, Maryville, MO 64468 | 2006-08-21 |
| 1710906896 | Ileen Richey-arellin | Social Worker | 109 E Summit Drive, Family Guidance Center, Maryville, MO 64468 | 2006-07-19 |
| Find all providers in zip 64468 | ||||
| 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 |
|---|---|---|---|---|
| 1770029233 | Amanda Joyce Cagle | Specialist/Technologist | 1410 Sevierville Rd, Maryville, TN 37804-5108 | 2017-01-09 |
| 1588032825 | Paul Snow | Specialist/Technologist | 1503 S Munn Ave, Maryville, MO 64468-2757 | 2015-09-03 |
| 1982814554 | Kelly Leann Quinlin | Specialist/Technologist | Northwest Missouri State University, 800 University Drive, Lac 45, Maryville, MO 64468-2712 | 2007-05-23 |
| 1942264676 | Peggy L Bratt | Specialist/Technologist | 1412 Sevierville Rd, Maryville, TN 37804-5108 | 2006-04-12 |
| 1124087069 | David Eaton Colt | Specialist/Technologist | 800 University Dr, Lac - 043, Maryville, MO 64468-6015 | 2006-03-20 |
| 1629604996 | Kelly Griffith | Specialist/Technologist | 800 University Dr, Maryville, MO 64468-6015 | 2020-03-19 |
| 1184139545 | David Montes | Specialist/Technologist | 502 E Lamar Alexander Pkwy, Maryville, TN 37804-5907 | 2017-12-07 |
| 1548704950 | Sheena Macgowan | Specialist/Technologist | 502 E Lamar Alexander Pkwy, Maryville, TN 37804-5907 | 2016-12-05 |
| 1376095463 | Christina Tapps | Specialist/Technologist | 800 University Dr, Northwest Missouri State University Lamkin Center, Maryville, MO 64468-6015 | 2016-10-25 |
| 1043697899 | Elizabeth Hevern | Specialist/Technologist | 800 University Dr, Maryville, MO 64468-6015 | 2015-04-30 |
| Find all providers in MARYVILLE | ||||
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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.