MISS NICOLE JUN SHIMOTAKE


Address: 1470 Sunset Loop, Lafayette, CA 94549-6045
Phone: (925) 817-7404

MISS NICOLE JUN SHIMOTAKE (NPI# 1073035200) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1073035200
Entity Type Individual
Full Name MISS NICOLE JUN SHIMOTAKE
Credential ATC
Practice Address 1470 Sunset Loop
Lafayette
CA 94549-6045
Practice Telephone (925) 817-7404
Mailing Telephone 9258177404
Enumeration Date 2017-07-10
Last Update Date 2017-07-10
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2255A2300X Specialist/Technologist
Specialization: Athletic Trainer
Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 1470 SUNSET LOOP
City LAFAYETTE
State CA
Zip Code 94549-6045

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1104427004 Veronica Adelaid Valera-averilla Behavior Technician 3650 Mt Diablo Blvd. Ste. 107, Lafayette Ca Contra, CA 94549 2020-11-06
1679128870 Zong Ning Zhou Behavior Technician 3650 Mt.diablo Blvd., Suite 107, Lafayette, CA 94549 2019-08-05
1912551227 Tamiesha Jackson Behavior Technician Ste Consultant, LLC, 3650 Mt. Diablo Blvd, Suite 107, Lafayette, CA 94549 2019-07-25
1528525375 Tiara Lajai Aubrey Behavior Technician 3560 Mt. Diablo Blvd, Suite 107, Layfatte, CA 94549 2019-02-28
1215409990 Marisa Della Marmolejo Case Manager/Care Coordinator Ste Consultants, LLC 3650 Mt Diablo Blvd., Suite 107, Lafayette, CA 94549 2018-12-19
1235608399 Andrew Thompson Behavior Technician 3650 Mt. Diablo Blvd, Suite 107, Lafayette, CA 94549 2018-11-19
1982172953 Amber Jackson Behavior Technician Ste, LLC, 3650 Mt. Diablo Blvd., Suite 107, Lafayette, CA 94549 2018-11-08
1104393396 Alexis Taper Behavior Technician Ste Consultants LLC, 3650 Mt. Diablo Blvd., Suite 107, Lafayette, CA 94549 2018-10-26
1023508793 Alyssa Savinovich Behavior Technician 3560 Mt. Diablo Blvd., Suite 107, Lafayette, CA 94549 2018-05-17
1831689140 Kannambra M Raja Behavior Technician Ste Consultants LLC, 3650 Mt. Diablo Blvd, Suite 107, Lafayette, CA 94549 2018-05-11
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Taxonomy Information

Taxonomy Code 2255A2300X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Specialist/Technologist
Specialization Athletic Trainer

Taxonomy 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.
Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1336755495 Kevin Keys Specialist/Technologist 106 Tomahawk Dr, Lafayette, LA 70503-6606 2020-09-23
1437767548 Logan Marks Specialist/Technologist 118 Barnett Ct, Lafayette, LA 70507-2764 2020-07-15
1407491491 Elizabeth Thomason Specialist/Technologist 1212 Jeanne St, Lafayette, LA 70506-2418 2019-11-13
1396203782 Curtis Teseo Park Specialist/Technologist 3310 Moraga Blvd, Lafayette, CA 94549-4614 2019-03-05
1720552730 Courtney Halsell Specialist/Technologist 103 Oak Hollow Dr, Lafayette, LA 70508-5189 2019-01-14
1124511290 Isaac Chang Specialist/Technologist 3074 Pheasant Run Dr Apt 1122, Lafayette, IN 47909-3335 2018-06-12
1497246201 Katelyn Brewer Rice Specialist/Technologist 201 W Gloria Switch Rd Ste H, Lafayette, LA 70507-2590 2018-05-29
1891286753 Terry R. Kimball Specialist/Technologist 110 Kimball Dr, Lafayette, LA 70508-7802 2018-05-25
1902397599 Daniel Delgado Specialist/Technologist 2101 S 18th St, Lafayette, IN 47905-2014 2018-05-20
1174047211 Chloe Christina Salway Specialist/Technologist 2410 S 9th St, Lafayette, IN 47909-2404 2017-07-31
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Competitor

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City LAFAYETTE
Zip Code 94549

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Dataset Information

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.

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