MR. RAYMOND J CHAMPAGNE II (NPI# 1083192496) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083192496 |
| Entity Type | Individual |
| Full Name | MR. RAYMOND J CHAMPAGNE II |
| Credential | M.ED., LAT, ATC |
| Practice Address |
Penn State Sports Medicine 109 Lasch Building University Park PA 16802 |
| Mailing Address |
183 Faith Circle Boalsburg PA 16827 |
| Practice Telephone | 9858602876 |
| Mailing Telephone | 9858602876 |
| Enumeration Date | 2018-07-30 |
| Last Update Date | 2018-07-30 |
| 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 |
| Street Address |
PENN STATE SPORTS MEDICINE 109 LASCH BUILDING |
| City | UNIVERSITY PARK |
| State | PA |
| Zip Code | 16802 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134733215 | Erin Marie Mosser | Licensed Practical Nurse | 1 Eisenhower Drive, Student Health Services, University Park, PA 16802 | 2020-09-04 |
| 1063034569 | Benjamin Reese | Specialist/Technologist | 201 Curtin Rd, University Park, PA 16802 | 2020-05-07 |
| 1740801240 | Selah Nicole Whisenant | Specialist/Technologist | Burrowes Rd, University Park, PA 16802 | 2020-05-06 |
| 1659992774 | Shane Jeffrey Angle | Specialist/Technologist | Rec Hall, Burrowes Road, University Park, PA 16802 | 2020-04-29 |
| 1497383962 | Valerie Ann Fulton | Registered Nurse | Penn State University University Health Services, Student Health Center, University Park, PA 16802 | 2020-03-31 |
| 1871155929 | Monica Rosensteel | Licensed Practical Nurse | 1 Eisenhower Dr, University Park, PA 16802 | 2019-06-28 |
| 1609430636 | Adriana Sladich | Specialist/Technologist | 201 Curtain Rd, University Parks, PA 16802 | 2019-04-25 |
| 1073177168 | Sara Bowman | Licensed Practical Nurse | 1 Eisenhower Road, University Park, PA 16802 | 2019-04-24 |
| 1538632468 | Amy Dyanna Marshall | Psychologist | 140 Moore Building, Department of Psychology, University Park, PA 16802 | 2019-01-03 |
| 1609352509 | Sandra T. Azar | Psychologist | Pennsylvania State University Psychology Dept., Moore Building Office 360, University Park, PA 16802 | 2018-07-13 |
| Find all providers in zip 16802 | ||||
| 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 |
|---|---|---|---|---|
| 1063034569 | Benjamin Reese | Specialist/Technologist | 201 Curtin Rd, University Park, PA 16802 | 2020-05-07 |
| 1740801240 | Selah Nicole Whisenant | Specialist/Technologist | Burrowes Rd, University Park, PA 16802 | 2020-05-06 |
| 1659992774 | Shane Jeffrey Angle | Specialist/Technologist | Rec Hall, Burrowes Road, University Park, PA 16802 | 2020-04-29 |
| 1265052740 | Max Anglea Zawel | Specialist/Technologist | 140 Recreation Bldg, University Park, PA 16802-5700 | 2020-04-24 |
| 1962908780 | Mikaela Ann Poorman | Specialist/Technologist | Rec Hall, Burrowes Rd, University Park, PA 16802 | 2018-04-02 |
| 1992208797 | Luciano Domenico Alonzi | Specialist/Technologist | 276 Recreation Bldg Bldg, University Park, PA 16802-5701 | 2018-03-17 |
| 1568975241 | Rebecca Barta | Specialist/Technologist | 102 East Area Locker Room Building, University Park, PA 16802 | 2017-11-16 |
| 1588190300 | Sarah Hurdish | Specialist/Technologist | 276 Recreating Building, State College Pa, University Park, PA 16802 | 2017-05-11 |
| 1922530005 | Scott Wood | Specialist/Technologist | 4414 E West Hwy, University Park, MD 20782-2129 | 2017-03-29 |
| 1427408160 | Cameron Daniel Patria | Specialist/Technologist | 201 East Area Locker Bldg, University Park, PA 16802 | 2016-06-14 |
| Find all providers in UNIVERSITY PARK | ||||
| City | UNIVERSITY PARK |
| Zip Code | 16802 |
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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.