DEREK ANDERSON (NPI# 1023558434) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023558434 |
| Entity Type | Individual |
| Full Name | DEREK ANDERSON |
| Practice Address |
1227 E Hillcourt Williston ND 58801-4454 |
| Practice Telephone | 7017708141 |
| Mailing Telephone | 7017708141 |
| Enumeration Date | 2017-03-03 |
| Last Update Date | 2017-03-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326659798 | Derek Miles Anderson | Nurse Practitioner | 545 Woodward Dr, Fayetteville, GA 30215-7641 | 2020-08-11 |
| 1619476314 | Derek Joshua Anderson | Physical Therapist | 3515 Fannin St Ste 101, Beaumont, TX 77701-3810 | 2018-02-08 |
| 1770884546 | Derek Steven Anderson | Chiropractor | 14413 Excelsior Blvd, Minnetonka, MN 55345-5821 | 2010-11-10 |
| 1821069485 | Derek W Anderson | Anesthesiology | 617 E 3900 S, Salt Lake City, UT 84107-1901 | 2006-01-31 |
| 1477181006 | Derek Anderson | Community Health Worker | 120 W Main St, Mesquite, TX 75149-4264 | 2020-03-30 |
| 1497297634 | Derek Anderson | Nutritionist | 6600 Van Aalst Blvd, Building 9250, Fort Benning, GA 31905 | 2016-11-04 |
| 1003364928 | Derek Ryan Anderson | Psychologist | 9600 Veterans Dr Sw, Rehabilitation Care Service (a-117-rcs), Tacoma, WA 98493-0003 | 2016-09-20 |
| 1972976959 | Derek Anderson | Case Manager/Care Coordinator | 111 North St, Rapid City, SD 57701-1163 | 2015-11-12 |
| 1255491635 | Derek Nathan Anderson | Family Medicine | 1105 Portland Ave, Suite 2, Gladstone, OR 97027-2170 | 2006-12-08 |
| 1568468171 | Derek James Anderson | Family Medicine | 9001 Summa Ave, Baton Rouge, LA 70809-3726 | 2005-06-28 |
| Street Address |
1227 E HILLCOURT |
| City | WILLISTON |
| State | ND |
| Zip Code | 58801-4454 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952868556 | Purpose Driven Interventions | Counselor | 1502 13th Ave West, Williston, ND 58801 | 2019-03-01 |
| 1437637501 | Camille Ann Settelmeyer | Nurse Practitioner | 1213 15th Avenue West, Williston, ND 58801 | 2018-08-01 |
| 1801317417 | Shelby Laine Carlson | Physical Therapist | 1502 13th Ave W Suite 101, Williston, ND 58801 | 2017-07-05 |
| 1710418579 | Catrina Louise Lindvig | Chiropractor | 1135 2nd Ave W Ste 203, Williston, ND 58801 | 2017-03-23 |
| 1801337415 | Selah Counseling | Clinic/Center | 125 Main St, Suite #220, Williston, ND 58801 | 2017-03-15 |
| 1316485634 | Theresa E Scully | Social Worker | 125 Main St; Unit 220, Williston, ND 58801 | 2017-02-07 |
| 1346792256 | Donna Peterson | Social Worker | 1500 14th St Sw, Suite 250, Williston, ND 58801 | 2016-10-26 |
| 1730509084 | Lacey Thompson | Case Manager/Care Coordinator | 110 West Broadway, Suite 202, Williston, ND 58801 | 2014-04-24 |
| 1770904708 | Kayla Jo Rossland | Physical Therapist | 221 University Ave Ste 203, Williston, ND 58801 | 2013-12-17 |
| 1285072710 | Susan Mae Bradford | Counselor | 612 4th St. E., Williston, ND 58801 | 2013-06-06 |
| Find all providers in zip 58801 | ||||
| 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 |
|---|---|---|---|---|
| 1689923864 | Megan Marie Quiet | Specialist/Technologist | 115 Wellness Drive, Williston, VT 05495 | 2012-09-05 |
| 1972868123 | Tasha Michelle Bowman | Specialist/Technologist | 82 Baxter St, Williston, SC 29853-2008 | 2012-07-12 |
| 1750421772 | The Rehabgym Inc | Specialist/Technologist | 373 Blair Park Rd Unit 100, Williston, VT 05495-8077 | 2007-02-07 |
| 1902891708 | Michael L Landsberg | Specialist/Technologist | 30 Hawthorne St, Williston, VT 05495-8212 | 2005-09-19 |
| 1366903288 | Shannon Bouvier | Specialist/Technologist | 115 Wellness Dr, Williston, VT 05495-2088 | 2019-03-26 |
| 1801350566 | Spencer E Perreault | Specialist/Technologist | 115 Wellness Dr, Williston, VT 05495-2088 | 2019-01-28 |
| 1114435443 | Emily Higgins | Specialist/Technologist | 426 Industrial Ave, Williston, VT 05495-4448 | 2018-01-22 |
| 1659801207 | Emily Stege | Specialist/Technologist | 1502 13th Ave W, Ste 101, Williston, ND 58801 | 2017-06-15 |
| 1679980510 | Carrie Eder | Specialist/Technologist | 1410 University Ave, Williston, ND 58801-4464 | 2014-07-11 |
| 1053723882 | Cody James Parker | Specialist/Technologist | 426 Industrial Ave, Suite 190, Williston, VT 05495-4448 | 2014-05-28 |
| Find all providers in WILLISTON | ||||
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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.