MR. FRED ALBERT BURNETT IV ATC
NPI 1396021739
Specialist/Technologist - Athletic Trainer in Jacksonville, FL

NPI Status: Active since October 31, 2011

Contact Information

1 UNF DR
JACKSONVILLE, FL
ZIP 32224
Phone: (904) 620-1500

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  • Individual
  • Male
  • Specialist/Technologist
  • Athletic Trainer

About FRED BURNETT

This page provides the complete NPI Profile along with additional information for Fred Burnett, a provider established in Jacksonville, Florida with a medical specialization in Specialist/technologist, focusing in athletic trainer . The healthcare provider is registered in the NPI registry with number 1396021739 assigned on October 2011. The practitioner's primary taxonomy code is 2255A2300X with license number AL2718 (FL). The provider is registered as an individual and his NPI record was last updated 14 years ago.

NPI
1396021739
Provider Name
MR. FRED ALBERT BURNETT IV ATC
Gender
Male
Entity Type
Individual
Location Address
1 UNF DR JACKSONVILLE, FL 32224
Location Phone
(904) 620-1500
Mailing Address
5929 ORCHARD POND DR FLEMING ISLAND, FL 32003
Mailing Phone
(904) 278-3057
Is Sole Proprietor?
Yes
Enumeration Date
10-31-2011
Last Update Date
10-31-2011
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Specialist/Technologist Athletic Trainer

Taxonomy Code
2255A2300X
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
License No.
AL2718
License State
FL
Taxonomy Description
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.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1396021739
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2318602276
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 1 + 8 + 6 + 0 + 2 + 2 + 7 + 6 + 24 = 61
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 61 = 99

The NPI number 1396021739 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 14 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1750695888MRS. DIANE CLAIRE JOYCE ARNP
Individual
Nurse Practitioner (Family)1 UNF DR STUDENT MEDICAL SERVICE
JACKSONVILLE, FL 32224
(904) 620-2900
1295082501 LILLIA M LORIZ ARNP
Individual
Nurse Practitioner (Gerontology)1 UNF DR
JACKSONVILLE, FL 32224
(904) 620-2684
1245463090DR. LAUREN BROOKE YERKES PSY.D.
Individual
Psychologist1 UNF DR COUNSELING CENTER, BUILDING 2, ROOM 2300
JACKSONVILLE, FL 32224
(904) 620-2602
1245703487 ISABELLA ANCHETA
Individual
Specialist/Technologist (Athletic Trainer)1 UNF DR
JACKSONVILLE, FL 32224
(305) 496-6875
1922658244MR. CHRISTOPHER JOHN JOYCE ATC, CSCS, CCRA
Individual
Specialist/Technologist (Athletic Trainer)1 UNF DR
JACKSONVILLE, FL 32224
(904) 620-1425
1952995847 ANNIE L GIBBS
Individual
Student in an Organized Health Care Education/Training Program1 UNF DR
JACKSONVILLE, FL 32224
(902) 620-2841
1003561747 GINA A. KELLY-VASQUEZ DNP
Individual
Nurse Practitioner (Family)1 UNF DR
JACKSONVILLE, FL 32224
(904) 620-1000
1063167252 CRISTIAN ANDRES BENNER
Individual
Specialist/Technologist (Athletic Trainer)1 UNF DR
JACKSONVILLE, FL 32224
(904) 620-1000
1811597560 HANNAH OGLE MS, LAT, ATC
Individual
Specialist/Technologist (Athletic Trainer)1 UNF DR
JACKSONVILLE, FL 32224
(386) 983-3965
1962982124 EMILY HARTLEY GABRIEL PHD, ATC
Individual
Specialist/Technologist (Athletic Trainer)1 UNF DR
JACKSONVILLE, FL 32224
(904) 620-1290
1649005455 ALYSSA EIDSON
Individual
Specialist/Technologist (Athletic Trainer)1 UNF DR
JACKSONVILLE, FL 32224
(904) 620-1000
1164240537 ALLISON M STARK
Individual
Counselor (Mental Health)1 UNF DR
JACKSONVILLE, FL 32224
(904) 620-2602
1932917093 CAITLIN MARIE FRED
Individual
Student in an Organized Health Care Education/Training Program1 UNF DR
JACKSONVILLE, FL 32224
(904) 620-2999
1083590343 ROXANA ARIAS
Individual
Nurse Practitioner1 UNF DR
JACKSONVILLE, FL 32224
(904) 620-1000

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1396021739, enumerated in the NPI registry as an "individual" on October 31, 2011

The provider is located at 1 Unf Dr Jacksonville, Fl 32224 and the phone number is (904) 620-1500

The provider's speciality is Specialist/Technologist with taxonomy code 2255A2300X with a focus in Athletic Trainer

This NPI record was last updated on October 31, 2011. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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