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MCKENNA PETERSON
NPI 1013648500
Specialist/Technologist - Athletic Trainer in San Diego, CA

Active since June 23, 2022
5500 CAMPANILE DR, SAN DIEGO, CA 92182(619) 594-5200 Get Directions Write a Review

NPPES record last updated: June 23, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mckenna Peterson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MCKENNA PETERSON (NPI 1013648500) is an individual athletic trainer provider in San Diego, California and active in the NPI registry since June 2022.

NPPES Registry Identity

NPI1013648500
Entity TypeIndividualFemale
Primary Taxonomy2255A2300X
Provider Legal NameMCKENNA PETERSON
Location Address5500 CAMPANILE DRSan Diego, CA 92182-0001
Mailing Address3196 Boeing RdCameron Park, CA 95682-9207
Phone(619) 594-5200
Sole ProprietorNo
Enumeration DateJune 23, 2022
NPPES CertifiedJune 23, 2022
✔ NPI 1013648500 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist · Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2255A2300X
Definition
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.
5500 CAMPANILE DR, San Diego, CA 92182
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SAMANTHA QUEEN
Student in an Organized Health Care Education/Training Program
5500 CAMPANILE DR
SAN DIEGO, CA 92182
San Diego County (619) 594-5200
ERIC ESTRADA
Student in an Organized Health Care Education/Training Program
5500 CAMPANILE DR
SAN DIEGO, CA 92182
San Diego County (619) 753-8554
SHERRIE JACOBY NP
Clinic/Center (Health Service)
5500 CAMPANILE DR, STUDENT HEALTH CENTER
SAN DIEGO, CA 92182
San Diego County (619) 594-2866
DR. CHAUNDA CLARISHA CELENTANO DNP, FNP-C, CPNP-PC
Family Medicine
5500 CAMPANILE DR
SAN DIEGO, CA 92182
San Diego County (619) 594-4325
SAN DIEGO STATE UNIVERSITY STUDENT HEALTH SERVICES
Clinic/Center
5500 CAMPANILE DR
SAN DIEGO, CA 92182
San Diego County (619) 594-4325
GREG GASTALDO M.D.
Clinic/Center
5500 CAMPANILE DR
SAN DIEGO, CA 92182
San Diego County (619) 594-2866
JACKSON MILES MCCLAIN
Student in an Organized Health Care Education/Training Program
5500 CAMPANILE DR
SAN DIEGO, CA 92182
San Diego County (510) 833-4127
CRISTAL MORENO
Student in an Organized Health Care Education/Training Program
5500 CAMPANILE DR
SAN DIEGO, CA 92182
San Diego County (619) 594-5200

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mckenna Peterson's NPI number?

The NPI number for Mckenna Peterson is 1013648500. It was assigned to this individual provider in the NPPES registry on June 23, 2022.

Where is Mckenna Peterson located?

Mckenna Peterson practices at 5500 Campanile Dr, San Diego, CA 92182. The listed phone number is (619) 594-5200.

What is Mckenna Peterson's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.

When was this NPI record last updated?

The NPPES record for Mckenna Peterson was last updated on June 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.