BRIDGET LEA PROVALENKO (NPI# 1053568691) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053568691 |
| Entity Type | Individual |
| Full Name | BRIDGET LEA PROVALENKO |
| Credential | ATC |
| Practice Address |
805 W Orchard Dr Ste 2 Bellingham WA 98225-1759 |
| Mailing Address |
1610 Grover St Ste B2 Lynden WA 98264-1539 |
| Practice Telephone | 3607521575 |
| Practice Fax Number | 3607560691 |
| Mailing Telephone | 3603545245 |
| Mailing Fax Number | 3603547796 |
| Enumeration Date | 2008-08-26 |
| Last Update Date | 2008-08-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
805 W ORCHARD DR STE 2 |
| City | BELLINGHAM |
| State | WA |
| Zip Code | 98225-1759 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164501268 | Alex G. Bartl | Occupational Therapist | 805 W Orchard Dr Ste 2, Bellingham, WA 98225-1759 | 2006-11-02 |
| 1225117278 | Amanda P. Ho | Occupational Therapist | 805 W Orchard Dr Ste 2, Bellingham, WA 98225-1759 | 2006-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578183729 | Family Care Network Pllc | Clinic/Center | 3548 Meridian St, Suite #101-b, Bellingham, WA 98225 | 2020-04-17 |
| 1770129264 | Ariella K Ross | Massage Therapist | 2701 Northwest Avenue, Bellingham, WA 98225 | 2019-11-20 |
| 1467006205 | Family Care Network, Pllc | Family Medicine | 805 W. Orchard Drive, Suite 6, Bellingham, WA 98225 | 2019-07-30 |
| 1487110375 | Rhonda Beth Steel | Massage Therapist | Fairhaven Harbor, 1310 9th Street Penthouse No. 504, Fairhaven/bellingham, WA 98225 | 2019-02-15 |
| 1366915316 | Alexander Knight Acupuncture Inc | Acupuncturist | 12 Bellwether Way, Suite 201, Bellingham, WA 98225 | 2019-01-02 |
| 1902372998 | Northwest Telepsychiatry, Pllc | Psychiatry & Neurology | 114 W. Magnolia St., Suite 505, Bellingham, WA 98225 | 2018-10-17 |
| 1639650336 | Jennifer Sue Cogen | Massage Therapist | 2701 Northwest Ave. (ohana Pacific, Inc.), Bellingham, WA 98225 | 2018-08-22 |
| 1013414036 | Tamara C Dee | Social Worker | 1313 E Maple St Ste 229, Bellingham, WA 98225 | 2018-04-06 |
| 1417468596 | Samantha Grace Smith | Counselor | 920 Harris Avenue, 202-e, Bellingham, WA 98225 | 2017-10-17 |
| 1710406731 | Shalom Maria Shreve | Counselor | 1133 Railroad Ave., Suite 100, Bellingham, WA 98225 | 2017-09-11 |
| Find all providers in zip 98225 | ||||
| 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 |
|---|---|---|---|---|
| 1801428115 | Kyler Boyes | Specialist/Technologist | 1904 Rainier Ave, Bellingham, WA 98229-9377 | 2020-02-05 |
| 1356858914 | Mekaela Shimone Byker | Specialist/Technologist | 400 Sequoia Dr Ste 130, Bellingham, WA 98226-7634 | 2018-01-04 |
| 1871014282 | Cody Armstrong | Specialist/Technologist | 136 Polo Park Dr, Bellingham, WA 98229-7774 | 2017-07-06 |
| 1699221044 | Chandler Batiste | Specialist/Technologist | 833 Chuckanut Dr, Bellingham, WA 98229-8984 | 2016-08-26 |
| 1952425050 | Masayoshi Migita | Specialist/Technologist | 516 High St., Carver Gym 100, Bellingham, WA 98225-9066 | 2007-03-16 |
| 1336278969 | Kerry N. Gustafson | Specialist/Technologist | 1433 N State St, Bellingham, WA 98225-4512 | 2007-03-02 |
| 1316075773 | Lori Dekubber | Specialist/Technologist | Western Washington University, 516 High Street, Bellingham, WA 98225-9066 | 2007-02-28 |
| 1952399719 | Michael F Obergottsberger | Specialist/Technologist | 4029 Northwest Ave, Suite 302, Bellingham, WA 98226-9077 | 2005-10-06 |
| 1861023004 | Personalized Health Solutions, LLC | Specialist/Technologist | 1704 N State St, Bellingham, WA 98225-4605 | 2020-01-27 |
| 1417451881 | Anthony Keeler | Specialist/Technologist | 48 North St, Bellingham, MA 02019-1713 | 2018-03-21 |
| Find all providers in BELLINGHAM | ||||
| City | BELLINGHAM |
| Zip Code | 98225 |
Please comment or provide details below to improve the information on BRIDGET LEA PROVALENKO.
| 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.