CYNTHIA LEE DEDEAUX (NPI# 1922338037) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922338037 |
| Entity Type | Individual |
| Full Name | CYNTHIA LEE DEDEAUX |
| Credential | ATC |
| Practice Address |
21271 Lawrence Ladner Rd Kiln MS 39556-6490 |
| Practice Telephone | 2284938514 |
| Practice Fax Number | 2282552515 |
| Mailing Telephone | 2284938514 |
| Mailing Fax Number | 2282552515 |
| Enumeration Date | 2010-01-12 |
| Last Update Date | 2010-01-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AT0044 | MS | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
21271 LAWRENCE LADNER RD |
| City | KILN |
| State | MS |
| Zip Code | 39556-6490 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003167529 | Hancock Medical Health Services, Inc. | Nurse Practitioner | 6122 Cuevas Town Road, Kiln, MS 39556 | 2012-09-24 |
| 1568713071 | Hancock Medical Health Services | Nurse Practitioner | 4221 Kiln - Delisle Rd., Kiln, MS 39556 | 2012-09-24 |
| 1548511066 | Hancock Medical Health Services, Inc. | Nurse Practitioner | 7070 Stennis Airport Dr., Kiln, MS 39556 | 2012-09-24 |
| 1356692875 | Hancock Medical Health Services, Inc. | Nurse Practitioner | 7084 Stennis Airport Dr., Kiln, MS 39556 | 2012-09-24 |
| 1205955283 | Dana Hal Jones | Dentist | 17094 Hwy 603, Kiln, MS 39556 | 2007-03-28 |
| 1447549761 | Kiln Dental Center LLC | Dentist | 17094 Hwy 603, Kiln, MS 39556 | 2011-04-07 |
| 1952420937 | Martin Macrae Murphree | Dentist | 17094 Hwy 603, Kiln, MS 39556 | 2007-03-28 |
| 1861920407 | Micah A Ladner Fnp-c LLC | Nurse Practitioner | 22549 Fenton Dedeaux Rd, Kiln, MS 39556-6576 | 2017-05-26 |
| 1417134230 | Bridget Ann Pendley | Licensed Practical Nurse | 22463 Fenton Dedeaux Rd, Kiln, MS 39556-6578 | 2008-01-23 |
| 1164804191 | Lexie Jo Cupp | Behavioral Analyst | 17095 Fenton Dedeaux Rd, Kiln, MS 39556-6931 | 2015-06-25 |
| Find all providers in zip 39556 | ||||
| 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 |
|---|---|---|---|---|
| 1942817895 | Thaxton Sullivan | Specialist/Technologist | 3 Courtland Dr Apt 50, Hattiesburg, MS 39402-8186 | 2020-09-24 |
| 1114532587 | David Vincent Hughes Jr. | Specialist/Technologist | 1 Priority Plaza, West Point, MS 39773 | 2020-09-13 |
| 1194333484 | Rebbecca Alister Ruckes | Specialist/Technologist | 741 Cr 503, Ripley, MS 38663-3866 | 2020-07-22 |
| 1164049102 | Catherine Meredith Pendergast | Specialist/Technologist | 36 Hill Dr., University, MS 38677 | 2020-06-25 |
| 1972137685 | Pamela Sue Ezell | Specialist/Technologist | 920 Cedar Lake Rd Ste C, Biloxi, MS 39532-2107 | 2020-03-03 |
| 1629600606 | Weldon Meng | Specialist/Technologist | 1084 Looxahoma Tyro Rd, Senatobia, MS 38668-6518 | 2020-02-07 |
| 1295374536 | Celia Shields | Specialist/Technologist | 1776 Brookhaven Dr, Southaven, MS 38671-3554 | 2020-01-03 |
| 1396384947 | Natasha Lea Hayes | Specialist/Technologist | 254 Springhill Rd, Laurel, MS 39443-7874 | 2019-12-30 |
| 1184263048 | Keizia Davidson | Specialist/Technologist | 153 Ripon Ct, Ridgeland, MS 39157-1265 | 2019-12-24 |
| 1730726530 | Stephen Thompson | Specialist/Technologist | 2816 Jim St, Tupelo, MS 38801-6763 | 2019-11-30 |
| 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.