JACQUELINE HEEMAN (NPI# 1912462300) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912462300 |
| Entity Type | Individual |
| Full Name | JACQUELINE HEEMAN |
| Credential | ATC |
| Practice Address |
51385 Sw Old Portland Rd Ste E Scappoose OR 97056-4062 |
| Mailing Address |
9322 N Charleston Ave Portland OR 97203-2204 |
| Practice Telephone | 5035437768 |
| Enumeration Date | 2019-02-10 |
| Last Update Date | 2019-02-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AT-AT-10169822 | OR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
51385 SW OLD PORTLAND RD STE E |
| City | SCAPPOOSE |
| State | OR |
| Zip Code | 97056-4062 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376854992 | Orion Lambert Kooistra | Physical Therapist | 51385 Sw Old Portland Rd Ste E, Scappoose, OR 97056-4062 | 2010-06-29 |
| 1679063531 | Caitlin D Duran | Physical Therapist | 51385 Sw Old Portland Rd Ste E, Scappoose, OR 97056-4062 | 2018-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780177964 | Gregory Randolph | Physician Assistant | 51377 Sw Old Portland Rd. Suite C, Scappoose, OR 97056 | 2018-06-12 |
| 1356707681 | Bi-mart Corporation | Pharmacy | 51536 Se 2nd Street, Scappoose, OR 97056 | 2015-12-31 |
| 1720326143 | Mark Liu | Pharmacist | 51501 S. Columbia River Hwy, Scappoose, OR 97056 | 2013-01-18 |
| 1114291622 | Oregon Aero, Inc. | Durable Medical Equipment & Medical Supplies | 34020 Skyway Dr., Scappoose, OR 97056 | 2012-03-01 |
| 1619140506 | Scappoose Chiropractic Clinic PC | Clinic/Center | 52481 Sw 1st Street, Scappoose, OR 97056 | 2008-04-11 |
| 1992903454 | Family Vision of Oregon PC | Optometrist | 51675 N Columbia River Hwy, Scappoose, OR 97056 | 2007-07-06 |
| 1265649586 | Hopkins Chiropractic Clinic | Chiropractor | 51669 S. Columbia River Hwy., Suite 130, Scappoose, OR 97056 | 2007-05-17 |
| 1811062706 | Mary Davey Dower | Counselor | 51891 Old Portland Rd, Suite B, Scappoose, OR 97056 | 2006-11-24 |
| 1740378223 | Kendall Rae Liday | Dentist | 33640 E Columbia Ave, Scappoose, OR 97056 | 2006-10-10 |
| 1265533608 | Stephen Frederick Taylor | Dentist | 33454 Havlik Road, Scappoose, OR 97056 | 2006-09-26 |
| Find all providers in zip 97056 | ||||
| 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 |
|---|---|---|---|---|
| 1083232847 | Bailey Michelle Allen | Specialist/Technologist | 3521 Ne 154th Ave, Portland, OR 97230-4677 | 2020-07-08 |
| 1699394585 | Jennifer Elizabeth O'sullivan | Specialist/Technologist | 1369 Monmouth St, Independence, OR 97351-1126 | 2020-04-10 |
| 1134754633 | Zoey Louise Dahme | Specialist/Technologist | 9635 Sw 74th Ave, Tigard, OR 97223-9137 | 2020-03-05 |
| 1568097061 | Rob Gersky | Specialist/Technologist | 2712 Se 170th Ave, Portland, OR 97236-1215 | 2020-03-05 |
| 1891329884 | Johanna Claire Wilson | Specialist/Technologist | 222 Se 8th Ave # Hpc2, Hillsboro, OR 97123-4218 | 2020-02-27 |
| 1861025454 | Riley Elaine Beagle | Specialist/Technologist | 285 Nw Baltimore, Heppner, OR 97836 | 2020-02-21 |
| 1225661754 | Mikayla Jeppsen | Specialist/Technologist | 470 Michael Way, Aumsville, OR 97325-8930 | 2020-02-12 |
| 1386276061 | Lesley Castillo | Specialist/Technologist | 10384 Ne Evergreen Pkwy Apt 31, Hillsboro, OR 97124-7857 | 2020-02-10 |
| 1922630037 | Vanessa A Guerrero | Specialist/Technologist | 2219 Se 68th Ave # 410, Portland, OR 97215-4026 | 2020-02-06 |
| 1326670548 | Colin Michael Szabo Mulligan | Specialist/Technologist | 236 Kerr Administration Bldg, Corvallis, OR 97331-8578 | 2020-02-05 |
| 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.