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).
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 |
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 |
1470 SUNSET LOOP |
City | LAFAYETTE |
State | CA |
Zip Code | 94549-6045 |
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 |
Find all providers in zip 94549 |
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 |
---|---|---|---|---|
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 |
Find all providers in LAFAYETTE |
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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.