MR. MATTHEW JAMES EBERHARDT (NPI# 1083688543) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083688543 |
| Entity Type | Individual |
| Full Name | MR. MATTHEW JAMES EBERHARDT |
| Credential | MS, ATC, ATR, CSCS |
| Practice Address |
800 W College Ave Lund Center Saint Peter MN 56082-1485 |
| Practice Telephone | 6513073908 |
| Mailing Telephone | 6513073908 |
| Enumeration Date | 2006-02-13 |
| Last Update Date | 2012-06-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
1862 | MN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
800 W COLLEGE AVE LUND CENTER |
| City | SAINT PETER |
| State | MN |
| Zip Code | 56082-1485 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780211375 | Gabrielle Slykas | Student in an Organized Health Care Education/Training Program | 800 W College Ave, Saint Peter, MN 56082-1485 | 2020-03-24 |
| 1407482649 | Anna Karyn Nietz | Specialist/Technologist | 800 W College Ave, Saint Peter, MN 56082-1485 | 2020-03-19 |
| 1043845936 | Abigail Jo Schammel | Specialist/Technologist | 800 W College Ave, Saint Peter, MN 56082-1485 | 2020-03-11 |
| 1437784055 | Sierra Meyer | Specialist/Technologist | 800 W College Ave, Saint Peter, MN 56082-1485 | 2020-03-04 |
| 1619501343 | Chad Haugstad | Specialist/Technologist | 800 W College Ave, Saint Peter, MN 56082-1498 | 2020-03-03 |
| 1740814474 | Sydeny Leigh Swenson | Specialist/Technologist | 800 W College Ave, Saint Peter, MN 56082-1485 | 2020-03-03 |
| 1659905388 | David Skylee Peal | Specialist/Technologist | 800 W College Ave, Saint Peter, MN 56082-1485 | 2020-03-03 |
| 1568096295 | Ashley Nicole Tapio | Specialist/Technologist | 800 W College Ave, Saint Peter, MN 56082-1485 | 2020-03-03 |
| 1477187102 | Kenneth Nhac-phi Hoang | Specialist/Technologist | 800 W College Ave, Saint Peter, MN 56082-1485 | 2020-03-03 |
| 1003440736 | Haley Jean Reed | Specialist/Technologist | 800 W College Ave, Saint Peter, MN 56082-1485 | 2020-03-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295276079 | Ashley Jaspers | Nurse Practitioner | 1900 N. Sunrise Drive, Suite #200, St. Peter, MN 56082 | 2017-03-14 |
| 1841730876 | Go Therapy Inc | Speech-Language Pathologist | 830 Sunrise Dr Ste B, Saint Peter, MN 56082 | 2017-02-23 |
| 1487063210 | Ashley Krug | Specialist/Technologist | 800 West College Ave, Saint Peter, MN 56082 | 2014-08-06 |
| 1235578519 | Mikkel Dean Haugen | Dentist | 402 Sunrise Drive, St Peter, MN 56082 | 2013-06-19 |
| 1104163849 | House of Hope, Inc. | Community/Behavioral Health | 201 West Park Row, Suite B, Saint Peter, MN 56082 | 2013-01-15 |
| 1851579700 | Laura J. Hulsebus | Chiropractor | 206 West Walnut St, St Peter, MN 56082 | 2008-02-02 |
| 1588857072 | Michael Joseph Lange | Psychologist | 1703 Csah 15, St. Peter, MN 56082 | 2007-08-20 |
| 1235290420 | Andrew D. Lundquist | Podiatrist | 1901 Oid Minnesota Ave, Mankato Clinic @ Daniel's Health Center, St. Peter, MN 56082 | 2006-12-12 |
| 1962517037 | Mary A Snyder | Dentist | 202 W Walnut, St Peter, MN 56082 | 2006-08-20 |
| 1124041504 | Diane Ruth Bruder | Nurse Practitioner | 2000 Klein Street, St. Peter, MN 56082 | 2006-07-25 |
| Find all providers in zip 56082 | ||||
| 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 |
|---|---|---|---|---|
| 1568024081 | Leah E Rutz | Specialist/Technologist | 2121 Broadway Ave, Saint Peter, MN 56082-2258 | 2019-07-04 |
| 1144681693 | Allison Kana Man | Specialist/Technologist | 1005 S Washington Ave, Apt 105, Saint Peter, MN 56082-1483 | 2016-03-11 |
| 1487063210 | Ashley Krug | Specialist/Technologist | 800 West College Ave, Saint Peter, MN 56082 | 2014-08-06 |
| 1407482649 | Anna Karyn Nietz | Specialist/Technologist | 800 W College Ave, Saint Peter, MN 56082-1485 | 2020-03-19 |
| 1043845936 | Abigail Jo Schammel | Specialist/Technologist | 800 W College Ave, Saint Peter, MN 56082-1485 | 2020-03-11 |
| 1437784055 | Sierra Meyer | Specialist/Technologist | 800 W College Ave, Saint Peter, MN 56082-1485 | 2020-03-04 |
| 1619501343 | Chad Haugstad | Specialist/Technologist | 800 W College Ave, Saint Peter, MN 56082-1498 | 2020-03-03 |
| 1740814474 | Sydeny Leigh Swenson | Specialist/Technologist | 800 W College Ave, Saint Peter, MN 56082-1485 | 2020-03-03 |
| 1659905388 | David Skylee Peal | Specialist/Technologist | 800 W College Ave, Saint Peter, MN 56082-1485 | 2020-03-03 |
| 1568096295 | Ashley Nicole Tapio | Specialist/Technologist | 800 W College Ave, Saint Peter, MN 56082-1485 | 2020-03-03 |
| Find all providers in SAINT PETER | ||||
| City | SAINT PETER |
| Zip Code | 56082 |
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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.