JENNIFER DETLEFSEN (NPI# 1053825067) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053825067 |
| Entity Type | Individual |
| Full Name | JENNIFER DETLEFSEN |
| Credential | ATC, MHA |
| Practice Address |
57 Long Meadow Rd Bethlehem CT 06751-1116 |
| Practice Telephone | 2034053369 |
| Mailing Telephone | 2034053369 |
| Enumeration Date | 2017-11-29 |
| Last Update Date | 2017-11-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
764 | CT | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
57 LONG MEADOW RD |
| City | BETHLEHEM |
| State | CT |
| Zip Code | 06751-1116 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578123436 | Towne Apothecary LLC | Pharmacy | 95 Main St South, Bethlehem, CT 06751 | 2019-06-13 |
| 1780031476 | Margaret Biggart | Counselor | 98 Todd Hill Rd, Bethlehem, CT 06751 | 2016-05-23 |
| 1538590922 | Holly Andrea Leever | Acupuncturist | 381 Guilds Hollow Rd, Bethlehem, CT 06751 | 2013-12-10 |
| 1932105293 | Bethlehem Ambulance Association Inc | Ambulance | Main St South, Bethlehem, CT 06751 | 2005-06-22 |
| 1922351667 | Catherine Nagle | Counselor | 21 Arch Bridge Rd, Bethlehem, CT 06751 | 2012-10-18 |
| 1508195959 | Monroe Operations, LLC | Psychiatric Residential Treatment Facility | 64 Double Hill Rd, Bethlehem, CT 06751 | 2009-12-14 |
| 1154475184 | The Wellspring Foundation, Inc. | Clinic/Center | 21 Arch Bridge Rd., Bethlehem, CT 06751-0370 | 2007-01-23 |
| 1962575407 | Andrew C. Wells | Family Medicine | 22east St, Bethlehem, CT 06751-0490 | 2006-11-15 |
| 1407417124 | Monroe Operations, LLC | Substance Abuse Rehabilitation Facility | 98 Todd Hill Rd, Bethlehem, CT 06751-1018 | 2019-06-24 |
| 1952600595 | James M. Lee | Dentist | 366 Munger Lane, Bethlehem, CT 06751-1100 | 2011-03-22 |
| Find all providers in zip 06751 | ||||
| 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 |
|---|---|---|---|---|
| 1306454517 | Scott Chris Freitag | Specialist/Technologist | 2535 North Ct, Bethlehem, PA 18017-3929 | 2020-07-14 |
| 1487286399 | Emma Marie Krentler | Specialist/Technologist | 1315 Farmersville Rd, Bethlehem, PA 18020-9738 | 2020-02-08 |
| 1043842941 | Nicole Schroeder | Specialist/Technologist | 542 Thomas St, Bethlehem, PA 18015-3432 | 2020-02-07 |
| 1649800970 | Nathan Burk | Specialist/Technologist | 447 Timothy Dr, Bethlehem, PA 18017-2460 | 2020-01-26 |
| 1205498037 | Kaitlyn Lazicky | Specialist/Technologist | 5005 Allen Dr, Bethlehem, PA 18017-8223 | 2019-07-02 |
| 1093373292 | Jade Madison Hennessy | Specialist/Technologist | Moravian College, 1200 Main Street, Bethlehem, PA 18018 | 2019-06-03 |
| 1346708336 | Sarah M Soska | Specialist/Technologist | 3715 Trythall St, Bethlehem, PA 18020-2932 | 2019-03-08 |
| 1265997068 | Travis David Skinner | Specialist/Technologist | 1475 Stoke Park Rd, Bethlehem, PA 18017-2232 | 2019-02-05 |
| 1801351929 | Kazuhiro Yamamoto | Specialist/Technologist | 424 W 4th St, Bethlehem, PA 18015-1402 | 2019-02-02 |
| 1447729785 | Daulton Warshel | Specialist/Technologist | 521 Brighton St, Bethlehem, PA 18015-1219 | 2018-11-15 |
| Find all providers in BETHLEHEM | ||||
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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.