MRS. JACQUELINE KENNEDY MILLWARD (NPI# 1962789859) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962789859 |
| Entity Type | Individual |
| Full Name | MRS. JACQUELINE KENNEDY MILLWARD |
| Credential | MHS, LAT, ATC |
| Practice Address |
1991 Fordham Dr Ste 100 Fayetteville NC 28304-3774 |
| Practice Telephone | 9104843114 |
| Practice Fax Number | 9104848824 |
| Mailing Telephone | 9104843114 |
| Mailing Fax Number | 9104848824 |
| Enumeration Date | 2011-11-07 |
| Last Update Date | 2015-03-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
1717 | NC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1991 FORDHAM DR STE 100 |
| City | FAYETTEVILLE |
| State | NC |
| Zip Code | 28304-3774 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730738840 | Brooke Ashley Burns | Occupational Therapist | 1991 Fordham Dr Ste 100, Fayetteville, NC 28304-3774 | 2019-09-11 |
| 1013562370 | Connor Alexander Buck | Physical Therapist | 1991 Fordham Dr Ste 100, Fayetteville, NC 28304-3774 | 2019-08-05 |
| 1609337526 | Abigail Michelle Clymer | Physical Therapist | 1991 Fordham Dr Ste 100, Fayetteville, NC 28304-3774 | 2019-03-26 |
| 1992285290 | Cortney Elizabeth Webb | Physical Therapist | 1991 Fordham Dr Ste 100, Fayetteville, NC 28304 | 2018-08-16 |
| 1326582503 | Joshua Zachary Andrews | Physical Therapist | 1991 Fordham Dr Ste 100, Fayetteville, NC 28304-3774 | 2016-12-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598301061 | Coast To Coast Bilingual Counseling | Social Worker | 910 Hope Mills Road, Fayetteville, NC 28304 | 2019-11-20 |
| 1811530561 | Frances L. Hurst | Technician | 6732 Carloway Dr, Fayetteville, NC 28304 | 2019-10-25 |
| 1538717764 | Rose Mary A O'conner | Technician | 3530 Madison Ave, Fayetteville, NC 28304 | 2019-08-30 |
| 1932756087 | Sally Frances Jones | Technician | 2053 Mango Circle, Fayetteville, NC 28304 | 2019-08-23 |
| 1326528803 | Jeneen Yvette Townsend | Counselor | 2671 Adams Lake Dr Apt F, Fayetteville, NC 28304 | 2018-08-15 |
| 1780179580 | Ma Cornelia Villavicencio Leano | Nurse Practitioner | 3081 Stone Carriage Cir Apt Z, Fayetteville, NC 28304 | 2018-06-25 |
| 1861986267 | Pediatric After Hours Care of Fayetteville | Pediatrics | 556 Sandhurst Drive, Fayetteville, NC 28304 | 2018-06-19 |
| 1700386133 | Good Night Medical of Ohio, LLC | Durable Medical Equipment & Medical Supplies | 405 Owen Dr Ste 202, Fayetteville, NC 28304 | 2018-02-12 |
| 1003321365 | Valleygate Dental Surgery Center of Fayetteville, LLC | Dentist | 2038 Litho Place, Fayetteville, NC 28304 | 2017-12-08 |
| 1871004663 | The Salt Project | Marriage & Family Therapist | 1611-b Owen Dr., Fayetteville, NC 28304 | 2017-10-19 |
| Find all providers in zip 28304 | ||||
| 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 |
|---|---|---|---|---|
| 1124628979 | Casey Brooks | Specialist/Technologist | 1223 Huntsville Hwy, Fayetteville, TN 37334-3617 | 2020-10-30 |
| 1053971622 | Elizabeth Bacon Studdard | Specialist/Technologist | 1671 S Colonnade Dr Apt 203, Fayetteville, AR 72701-7819 | 2019-06-17 |
| 1457818486 | Kyle Cravey | Specialist/Technologist | 7 Sonoma Dr, Fayetteville, TN 37334-4837 | 2019-02-26 |
| 1023574654 | Katie Nichole Buria | Specialist/Technologist | 1247 W Mount Comfort Rd Apt 309, Fayetteville, AR 72703-1597 | 2019-02-19 |
| 1700341682 | Elli Dinkmeyer | Specialist/Technologist | 640 N Wordsworth Ln, Fayetteville, AR 72704-5127 | 2019-02-05 |
| 1225520828 | Jacoby Markie Clemons | Specialist/Technologist | 1201 West Leroy Pond Dr, Fayetteville, AR 72701 | 2018-05-31 |
| 1952892390 | Ambur Dryer | Specialist/Technologist | 994 W Mlk Jr. Blvd., Fayetteville, AR 72701 | 2018-05-22 |
| 1346745791 | Ruth Maria Pacheco | Specialist/Technologist | 2306 Bathgate Ct, Fayetteville, NC 28312-9614 | 2018-03-28 |
| 1306354469 | Nataya Nija Geddie | Specialist/Technologist | 720 Larkspur Dr, Fayetteville, NC 28311-6957 | 2018-01-11 |
| 1326588286 | Shelby Baez | Specialist/Technologist | 717 Brougham Rd, Fayetteville, NC 28311-0305 | 2017-02-26 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 28304 |
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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.