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Active NPI 1619910742 Individual Practitioner Male Practitioner

Jesse D Irwin , ATC

Specialist/Technologist - Athletic Trainer • Rolla, MO

Professional Overview & Biography Verified Profile Summary

Jesse Irwin, ATC is a registered healthcare professional specializing in Specialist/Technologist - Athletic Trainer in Rolla, MO. Practice services are available at 1000 W 10TH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1000 W 10th St

Rolla, MO 654012905

Telephone 5732306703
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist/Technologist - Athletic Trainer in Rolla, MO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 2.5 Yrs
Regional Practice Density
5 Specialists

Practicing in Rolla, MO (1041 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist/Technologist - Athletic Trainer Primary Specialty

NUCC Taxonomy Code: 2255A2300X

State License MO 2005012267

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Candy Sadler , AGNP

Nurse Practitioner - Adult Health

NPI 1043761521

Adult-Gerontology Nurse Practitioner

Kimberlee Richardson , RN-DIABETES EDUCATOR

Registered Nurse - Diabetes Educator

NPI 1063293447

RNDIABETESEDUCATOR

Blaine Goodman

Nurse Anesthetist, Certified Registered

NPI 1104483718
Dr. Frank Elders , DO

Emergency Medicine

NPI 1104869221

Doctor of Osteopathic Medicine (D.O.)

Lorie Bourne , MS, RD, LD

Dietitian, Registered

NPI 1114390390

Master of Science, Registered Dietitian, Licensed Dietitian

Angela Middleton , FNP-BC, CEN

Nurse Practitioner - Family

NPI 1124382593

Family Nurse Practitioner (Board Certified), CEN

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 1000 W 10TH ST, ROLLA, MO 654012905 (Tel: 5732306703)

📍
Updated Business Mailing Address July 08, 2007

Registered at 1701 ASHWOOD DR, APARTMENT 7, ROLLA, MO 654014691 (Tel: 5732306703)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as JESSE IRWIN, ATC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Specialist/Technologist (License #2005012267 in MO)

🟢
Initial NPI Registration & Enumeration June 14, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1619910742
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 14, 2006
Last Update: July 13, 2026
Sole Proprietor: No

Mailing Address

1701 Ashwood Dr, Apartment 7

Rolla, MO 654014691

Phone: 5732306703

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.