KELLY SOEDER (NPI# 1942755889) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942755889 |
| Entity Type | Individual |
| Full Name | KELLY SOEDER |
| Credential | B.S., ATC, LAT |
| Practice Address |
10440 Sw 64th St Miami FL 33173-2811 |
| Practice Telephone | 3057261043 |
| Mailing Telephone | 3057261043 |
| Enumeration Date | 2016-08-21 |
| Last Update Date | 2016-08-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AL4596 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
10440 SW 64TH ST |
| City | MIAMI |
| State | FL |
| Zip Code | 33173-2811 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598374613 | Derrick George Dyer | Behavioral Analyst | 11025 Sw 84t St. Cottage 8, Miami, FL 33173 | 2020-07-24 |
| 1306405477 | Erich Soto Del Valle | Dentist | 7125 Sw 111th Ct, Miami, FL 33173 | 2019-06-11 |
| 1356819247 | Berenice E De La Mota | Dietitian, Registered | 7500 Sw 87 Avenue # 200, Miami, FL 33173 | 2018-11-08 |
| 1386146850 | Yordanka Arango | Assistant Behavior Analyst | 11415 Sw 59 Terr, Miami, FL 33173 | 2018-03-01 |
| 1851806632 | Juliana Orozco | Acupuncturist | 9240 Sunset Dr Ste 229, Miami, FL 33173 | 2017-12-03 |
| 1447760749 | Irfan Saeed | Nurse Practitioner | 8401 Sw 107 Avenue, Apt 335e, Miami, FL 33173 | 2017-10-02 |
| 1619491339 | Malciel Bonilla | Assisted Living Facility | 9830 Sw 80 Dr, Miami, FL 33173 | 2017-08-03 |
| 1144744467 | Yoislan Daniel Daniel | Behavioral Analyst | 10261 Sw 72 St Suite C104, Miami, FL 33173 | 2017-07-28 |
| 1083137061 | Berkis Serrat Esnobol | Behavior Technician | 8961 Sw 72nd St Apt 121, Miami, FL 33173 | 2017-07-20 |
| 1215478276 | Leonel Diaz Rapado | Behavior Technician | 8015 Sw 107 Ave, Apt 315, Miami, FL 33173 | 2017-03-10 |
| Find all providers in zip 33173 | ||||
| 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 |
|---|---|---|---|---|
| 1780292813 | Wilder Xavier Quezada | Specialist/Technologist | 1412 Nw 31st Ave, Miami, FL 33125-1939 | 2020-07-15 |
| 1740808997 | Felipe Montila | Specialist/Technologist | 8187 Nw 8th St Apt 203, Miami, FL 33126-2895 | 2020-07-13 |
| 1457979981 | Amelie Anne Sophie Saint Dizier | Specialist/Technologist | 10851 Nw 7th St, Miami, FL 33172-3753 | 2020-07-10 |
| 1447878137 | Gabriel Jose Guzman | Specialist/Technologist | 9037 Sw 23rd Ln, Miami, FL 33165-2062 | 2020-07-08 |
| 1154941599 | Maxime Ramioulle | Specialist/Technologist | 14353 Sw 101st Ln, Miami, FL 33186-6948 | 2020-04-24 |
| 1083251813 | Daniella Cristina Eiroa | Specialist/Technologist | 12477 Sw 123rd St, Miami, FL 33186-9001 | 2019-11-27 |
| 1508412107 | Alex Witter | Specialist/Technologist | 2421 Nw 11th St Apt 18, Miami, FL 33125-3163 | 2019-08-11 |
| 1720640881 | Farley Andres Beltran | Specialist/Technologist | 12906 Sw 150th Ter, Miami, FL 33186-7600 | 2019-06-28 |
| 1245891449 | Debbie-ann Garricks | Specialist/Technologist | 11001 Sw 88th St Apt 204, Miami, FL 33176-1247 | 2019-06-27 |
| 1841851813 | Andre Rolando Figueroa | Specialist/Technologist | 10063 Sw 164th Pl, Miami, FL 33196-4888 | 2019-06-21 |
| Find all providers in MIAMI | ||||
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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.