ANTHONY R. WALUKONIS (NPI# 1932643665) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932643665 |
| Entity Type | Individual |
| Full Name | ANTHONY R. WALUKONIS |
| Credential | ATC |
| Practice Address |
1160 N Peachtree Cookeville TN 38505-0001 |
| Mailing Address |
1300 Byrne Ave Apt A Cookeville TN 38501-1211 |
| Practice Telephone | 9313723934 |
| Mailing Telephone | 2312864210 |
| Enumeration Date | 2016-12-14 |
| Last Update Date | 2016-12-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
1957 | TN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1160 N PEACHTREE |
| City | COOKEVILLE |
| State | TN |
| Zip Code | 38505-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053728535 | Adam Graham | Specialist/Technologist | 1160 N Peachtree Rd Es Rm 114, Box 5102, Cookeville, TN 38505-0001 | 2014-07-17 |
| 1477743896 | Russell David Darley | Specialist/Technologist | Box 5102, 1160 N Peachtree Rm 114, Cookeville, TN 38505-0001 | 2007-08-01 |
| 1174732507 | Ryan Louis Zink | Specialist/Technologist | 1160 N Peachtree-room # 114, Cookeville, TN 38505-0001 | 2007-05-22 |
| 1548486764 | Cynthia Tompkins | Registered Nurse | 90 W8 St, Cookeville, TN 38505-0001 | 2007-04-17 |
| 1871719096 | Randy A Tompkins | Nurse Practitioner | 90 W 8th St, Cookeville, TN 38505-0001 | 2007-04-17 |
| 1366487951 | Jennifer Marie Winningham | Specialist/Technologist | Tennessee Tech University Sports Medicine, 1600 Peachtree Ave, Cookeville, TN 38505-0001 | 2006-06-18 |
| 1144282062 | Christopher M Clifford | Specialist/Technologist | 1160 N. Peachtree Rm 114, Cookeville, TN 38505-0001 | 2006-04-05 |
| 1386860005 | David Scott Bilbrey | Registered Nurse | 90 W8 St, Cookeville, TN 38505-0001 | 2007-04-18 |
| 1356567069 | Phyllis Tucker Kilgore | Licensed Practical Nurse | 90 W 8th St, Cookeville, TN 38505-0001 | 2007-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477154342 | Emily Reynolds | Behavior Technician | 75 E Veterans Dr Apt Q209, Cookeville, TN 38501-5248 | 2020-11-05 |
| 1164039459 | Ben Johnson | Chiropractor | 1265 Interstate Dr Ste 201b, Cookeville, TN 38501-5227 | 2020-09-30 |
| 1710598685 | Ashley Nicole Huddleston | Nurse Practitioner | 1123 West Gate Rd, Cookeville, TN 38501-9410 | 2020-08-13 |
| 1669090163 | Leanne Rice | Behavioral Analyst | 612 Rockwell Dr, Cookeville, TN 38506-4986 | 2020-07-10 |
| 1679190532 | Jaime Phillips | Nurse Practitioner | 1225 Skyline Dr, Cookeville, TN 38506-4336 | 2020-06-26 |
| 1710502851 | Stepping Stones Therapy LLC | Occupational Therapist | 728 S Jefferson Ave Ste 14, Cookeville, TN 38501-4279 | 2020-06-15 |
| 1356966097 | Joelle Marlin | Social Worker | 442 Neal St, Cookeville, TN 38501-4027 | 2020-06-09 |
| 1841815636 | Ravi Ashokkumar Patel | Counselor | 1819 Summerhaven Ave Apt 1, Cookeville, TN 38501-4919 | 2020-06-08 |
| 1932723426 | Lexa Mclauchlin | Specialist/Technologist | 2980 W Haven Dr, Cookeville, TN 38501-5622 | 2020-06-01 |
| 1376167080 | Melinda Jane Jetter | Registered Nurse | 320 North Willow Avenue, Cookeville, TN 38501 | 2020-05-29 |
| Find all providers in COOKEVILLE | ||||
| 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 |
|---|---|---|---|---|
| 1932723426 | Lexa Mclauchlin | Specialist/Technologist | 2980 W Haven Dr, Cookeville, TN 38501-5622 | 2020-06-01 |
| 1396366191 | Renee Candace Mickey | Specialist/Technologist | 89 Messenger Rd Apt C2, Cookeville, TN 38506-5781 | 2020-05-03 |
| 1053728535 | Adam Graham | Specialist/Technologist | 1160 N Peachtree Rd Es Rm 114, Box 5102, Cookeville, TN 38505-0001 | 2014-07-17 |
| 1477743896 | Russell David Darley | Specialist/Technologist | Box 5102, 1160 N Peachtree Rm 114, Cookeville, TN 38505-0001 | 2007-08-01 |
| 1174732507 | Ryan Louis Zink | Specialist/Technologist | 1160 N Peachtree-room # 114, Cookeville, TN 38505-0001 | 2007-05-22 |
| 1487776977 | Charles Wheeler | Specialist/Technologist | 2728 Preakness Dr, Cookeville, TN 38506-5614 | 2007-04-04 |
| 1619905759 | Vernita Reena Young | Specialist/Technologist | Mid-state Sports Medicine, 221 N. Oak Ave, Cookeville, TN 38501 | 2006-06-29 |
| 1366487951 | Jennifer Marie Winningham | Specialist/Technologist | Tennessee Tech University Sports Medicine, 1600 Peachtree Ave, Cookeville, TN 38505-0001 | 2006-06-18 |
| 1144282062 | Christopher M Clifford | Specialist/Technologist | 1160 N. Peachtree Rm 114, Cookeville, TN 38505-0001 | 2006-04-05 |
| 1801858998 | Brent Rogers Ryan | Specialist/Technologist | 2335 N Washington Ave, Cookeville, TN 38501-4889 | 2006-04-04 |
| Find all providers in COOKEVILLE | ||||
| City | COOKEVILLE |
| Zip Code | 38505 |
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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.