RICHARD MATTHEW FENNELL (NPI# 1831714252) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831714252 |
| Entity Type | Individual |
| Full Name | RICHARD MATTHEW FENNELL |
| Practice Address |
1422 Old Weisgarber Rd Knoxville TN 37909-1293 |
| Practice Telephone | 8655584400 |
| Enumeration Date | 2020-06-11 |
| Last Update Date | 2020-06-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
1153 | TN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1422 OLD WEISGARBER RD |
| City | KNOXVILLE |
| State | TN |
| Zip Code | 37909-1293 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730178880 | Richard Capo | Physician Assistant | 1422 Old Weisgarber Rd, Knoxville, TN 37909-1293 | 2005-10-20 |
| 1578100210 | Hannah R Hartman | Physician Assistant | 1422 Old Weisgarber Rd, Knoxville, TN 37909-1293 | 2019-12-02 |
| 1699233353 | Kristen Cook | Specialist/Technologist | 1422 Old Weisgarber Rd, Knoxville, TN 37909-1293 | 2019-03-12 |
| 1861950958 | Hannah Melhorn | Specialist/Technologist | 1422 Old Weisgarber Rd, Knoxville, TN 37909-1293 | 2019-03-07 |
| 1063989739 | Rachel Diane Kohn | Physician Assistant | 1422 Old Weisgarber Rd, Knoxville, TN 37909-1293 | 2018-10-31 |
| 1992242887 | Brandy Massey | Specialist/Technologist | 1422 Old Weisgarber Rd, Knoxville, TN 37909-1293 | 2017-01-30 |
| 1366989469 | Brian Loeffler | Specialist/Technologist | 1422 Old Weisgarber Rd, Knoxville, TN 37909-1293 | 2017-01-26 |
| 1982159356 | Elizabeth Ann Wallace | Nurse Practitioner | 1422 Old Weisgarber Rd, Knoxville, TN 37909 | 2016-08-16 |
| 1962854968 | Matej Bosnjak | Registered Nurse | 1422 Old Weisgarber Rd, Knoxville, TN 37909-1293 | 2016-07-01 |
| 1760843254 | Cody Blackford | Specialist/Technologist | 1422 Old Weisgarber Rd, Knoxville, TN 37909-1293 | 2016-03-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326687534 | Rosalie Ting Mcglashen | Behavioral Analyst | 1508 Coleman Rd., Suites 105 and 110, Knoxville, TN 37909 | 2020-01-06 |
| 1770133597 | Renewal Healthcare | Family Medicine | 7035 Middlebrook Pike, Knoxville, TN 37909 | 2019-09-13 |
| 1417461211 | Lean Knox, LLC | Family Medicine | 1415 Old Weisgarber Rd. Ste 350, Knoxville, TN 37909 | 2017-12-01 |
| 1750757514 | Victor Brown | Counselor | 1451 Dowell Springs Blvd., Knoxville, TN 37909 | 2015-08-17 |
| 1083012488 | Melissa Wells Woodby | Marriage & Family Therapist | 6305 Lonas Dr, Knoxville, TN 37909 | 2014-12-17 |
| 1417375700 | David Francis Fair | Chiropractor | 1720 Tonalea Rd, Knoxville, TN 37909 | 2014-04-03 |
| 1295157519 | Danny Adkins, D.d.s. | Dentist | 1301 Old Weisgarber Road, Knoxville, TN 37909 | 2014-01-07 |
| 1376971085 | Quality Health Clinic LLC | Clinic/Center | 7348 Middlebrook Pike Suite D, Knoxville, TN 37909 | 2013-10-16 |
| 1952737942 | Martirea Fostine Jenkins Pratt | Nurse Practitioner | 930 Adell Ree Park Lane, Knoxville, TN 37909 | 2013-09-23 |
| 1104259324 | Dana Michelle Sweitzer | Nurse Practitioner | 1320 Old Weisgarber Road, Knoxville, TN 37909 | 2013-08-12 |
| Find all providers in zip 37909 | ||||
| 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 |
|---|---|---|---|---|
| 1275147761 | Samantha Michelle Howell | Specialist/Technologist | 1551 Lake Loudon Blvd Ofc A111, Knoxville, TN 37916-4009 | 2020-09-02 |
| 1679194328 | Mia Brooks | Specialist/Technologist | 256 Fort Sanders West Blvd, Knoxville, TN 37922-3355 | 2020-05-05 |
| 1720636772 | Hannah Boller | Specialist/Technologist | 8129 Wiebelo Dr, Knoxville, TN 37931-3458 | 2019-09-03 |
| 1225690928 | Rachel Anna Kozemko | Specialist/Technologist | 417 Dixie View Rd, Knoxville, TN 37934-2610 | 2019-07-02 |
| 1194283234 | Alyshia Teffeteller | Specialist/Technologist | 1023 Nod St, Knoxville, TN 37932-3716 | 2019-03-07 |
| 1972091593 | Nathan Lee Sommers | Specialist/Technologist | 5636 Davida Rd, Knoxville, TN 37912-3820 | 2018-04-30 |
| 1538698170 | Kaitlin Blankenship | Specialist/Technologist | 6800 Highbank Ln, Knoxville, TN 37938 | 2017-06-07 |
| 1053845800 | Amanda Snow | Specialist/Technologist | 1201 Ashwood Pl, Knoxville, TN 37917-4418 | 2017-04-19 |
| 1346788262 | Veronica Danielle Carmazzi | Specialist/Technologist | 700 E Emerald Ave, Knoxville, TN 37917-5547 | 2017-02-11 |
| 1053645424 | Shannon Lee Lyle | Specialist/Technologist | 1120 E Weisgarber Rd Ste 101, Knoxville, TN 37909-3606 | 2009-10-01 |
| Find all providers in KNOXVILLE | ||||
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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.