ERIC-JASON MCKIVER WARREN (NPI# 1922620194) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1922620194 |
Entity Type | Individual |
Full Name | ERIC-JASON MCKIVER WARREN |
Credential | CTRS |
Practice Address |
3600 Memorial Blvd Kerrville TX 78028 |
Practice Telephone | 8308962020 |
Mailing Telephone | 8308962020 |
Enumeration Date | 2020-05-11 |
Last Update Date | 2020-05-11 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 225800000X | Recreation Therapist | 63435 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | NCTRC | 63435 | 01 |
Street Address |
3600 MEMORIAL BLVD |
City | KERRVILLE |
State | TX |
Zip Code | 78028 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871551606 | San Antonio Vamc | Department of Veterans Affairs (VA) Pharmacy | 3600 Memorial Blvd, Kerrville, TX 78028-5768 | 2006-05-02 |
1881202265 | Lauren Payne | Social Worker | 3600 Memorial Blvd, Kerrville, TX 78028-5819 | 2020-07-21 |
1871101030 | Jeffrey Lee Eckert | Respiratory Therapist, Registered | 3600 Memorial Blvd, Kerrville, TX 78028-5819 | 2020-07-14 |
1609490887 | Patrick Alan Boyle | Respiratory Therapist, Certified | 3600 Memorial Blvd, Kerrville, TX 78028-5819 | 2020-06-03 |
1205498730 | Yiu-kwong Leung | Pharmacist | 3600 Memorial Blvd, Kerrville, TX 78028-5819 | 2019-07-04 |
1295209906 | Jeffery Evan Steagall | Social Worker | 3600 Memorial Blvd, Kerrville, TX 78028-5819 | 2019-01-15 |
1972015352 | Pamela Raborn | Social Worker | 3600 Memorial Blvd, Kerrville, TX 78028-5819 | 2017-10-25 |
1780122887 | Megan Pauline Oliveri | Social Worker | 3600 Memorial Blvd, Kerrville, TX 78028-5819 | 2017-02-08 |
1881087419 | Carrie Smith | Social Worker | 3600 Memorial Blvd, Kerrville, TX 78028-5768 | 2015-03-06 |
1033501291 | Ashley Jenette Szabo Miller | Psychologist | 3600 Memorial Blvd, Kerrville, TX 78028-5768 | 2015-02-25 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982247201 | Js Clark Holdings LLC | In Home Supportive Care | 1001 Water St Bldg. G, Kerrville, TX 78028 | 2019-10-18 |
1265931232 | Nancy Ellen Morris | Nurse Practitioner | 1331 Bandera Hwy Ste. 2, Kerrville, TX 78028 | 2018-02-06 |
1396254181 | Ha Huynh | Occupational Therapist | 1213 Water Street, Kerrville, TX 78028 | 2017-09-25 |
1518498302 | Kelsey Marie Jones | Chiropractor | 1416 Sidney Baker St, Kerrville, TX 78028 | 2017-03-23 |
1710422597 | Tracy L. Flowers | Speech-Language Pathologist | 306 Westey Dr., Ste A, Kerrville, TX 78028 | 2017-01-03 |
1104271576 | Laurence Robert Bower IIi | Clinic/Center | 207b Sidney Baker Street S, Kerrville, TX 78028 | 2016-05-04 |
1760865505 | Kathryn Figer | Internal Medicine | 551 Hill Country Dr Dept Of, Kerrville, TX 78028 | 2015-06-29 |
1992187892 | Caroline Z Garcia | Counselor | 819 Water St Ste 130, Kerrville, TX 78028 | 2015-06-26 |
1124405188 | Str8 Smiles Inc | Dentist | 115 Plaza Drive, Apt 5005, Kerrville, TX 78028 | 2015-04-29 |
1447655782 | Jesus Ramirez | Counselor | 222 Sidney Baker Suite 435, Kerville, TX 78028 | 2014-10-29 |
Find all providers in zip 78028 |
Taxonomy Code | 225800000X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Recreation Therapist |
A recreation therapist uses recreational activities for intervention in some physical, social or emotional behavior to bring about a desired change in that behavior and promote the growth and development of the patient. |
Notes: Source: Joel A. DeLisa and Bruce M. Gans, Rehabilitation Medicine: Principles and Practice Second Edition, J.B. Lippincott Company, Philadelphia: 1993, p. 7 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083246862 | Meghan Elizabeth Scott | Recreation Therapist | 110 Contour Dr, Kerrville, TX 78028-6202 | 2020-02-10 |
1982790457 | Jacquelyn Laxson Vaughan-williams | Recreation Therapist | 3600 Memorial Blvd Room 024, Stvhcs Kerrville Division, Kerrville, TX 78028 | 2006-10-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609480250 | Shanteria Onyemem | Recreation Therapist | 3811 Glade Hill Ln, Richmond, TX 77407-3244 | 2020-09-01 |
1730790387 | Joan R Lamayo-buse | Recreation Therapist | 1853 Yount Cir, San Antonio, TX 78236-1007 | 2020-08-16 |
1881202240 | Brittany Danielle Lundeen | Recreation Therapist | 10320 Boulder Ln Apt 1317, Austin, TX 78726-1865 | 2020-07-21 |
1750905816 | Ideal Recreational Therapies | Recreation Therapist | 19800 Kenswick Dr Apt 823, Humble, TX 77338-2159 | 2020-06-04 |
1184247645 | Joel Stephen Caltrider | Recreation Therapist | 3354 Putnam Flds, Converse, TX 78109-3808 | 2020-05-19 |
1396367405 | Caressa Blackman | Recreation Therapist | 5810 Utsa Blvd Apt 4202, San Antonio, TX 78249-4094 | 2020-05-12 |
1740801331 | Jasmine Mathew | Recreation Therapist | 15820 Christopher Lane, Frisco, TX 75035 | 2020-05-05 |
1972135168 | Amanda Petri | Recreation Therapist | 1978 Kalli Jo Ln, New Braunfels, TX 78130-1960 | 2020-02-06 |
1346871969 | Requel Pace | Recreation Therapist | 4830 Wilson Rd Ste 300-1027, Humble, TX 77396-1971 | 2020-02-01 |
1881224277 | Tinyada Robinson | Recreation Therapist | 1777 Ne Interstate 410 Loop, Ste 1009, San Antonio, TX 78217 | 2020-01-24 |
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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.