WILLIAM JACOB DECKER (NPI# 1093368318) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093368318 |
| Entity Type | Individual |
| Full Name | WILLIAM JACOB DECKER |
| Practice Address |
400 E University Way Ellensburg WA 98926-7502 |
| Mailing Address |
2239 N Airport Rd # 1 Ellensburg WA 98926-9341 |
| Practice Telephone | 5099633238 |
| Mailing Telephone | 5092702317 |
| Enumeration Date | 2019-07-17 |
| Last Update Date | 2019-07-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093915969 | William Hal Decker | Occupational Therapist | 5501 Ne 5th St, Ocala, FL 34470-1661 | 2007-07-19 |
| 1023046844 | William Robert Decker | Podiatrist | 1195 Wilson Nw, Grand Rapids, MI 49534-6404 | 2006-06-29 |
| 1457349755 | William E Decker | Radiology | 601 E 14th St, Sedalia, MO 65301-5972 | 2005-10-11 |
| 1942205208 | William Clark Decker | Internal Medicine | 777 Kimole Ln Ste 100, Adrian, MI 49221-1400 | 2005-06-14 |
| 1518594464 | William Wheeler Decker | Student in an Organized Health Care Education/Training Program | 234 Goodman St, Cincinnati, OH 45219-2364 | 2020-03-23 |
| 1417432568 | William Wyatt Decker | Pharmacist | 14625 Sw Allen Blvd, Beaverton, OR 97007-3697 | 2018-09-25 |
| 1689829707 | William Scott Decker | Occupational Therapy Assistant | 600 Highland Ave, Compliance Mc 2433, Madison, WI 53792-0001 | 2008-11-18 |
| 1174707681 | William Glen Decker | Pharmacist | 3674 E Country Field Cir, Medset, Wasilla, AK 99654-5101 | 2007-12-19 |
| 1568411056 | William Louis Decker | Ophthalmology | 7710 Beechnut St, Suite 100, Houston, TX 77074-3100 | 2006-05-10 |
| Street Address |
400 E UNIVERSITY WAY |
| City | ELLENSBURG |
| State | WA |
| Zip Code | 98926-7502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316086085 | Arthur E Depalma | Family Medicine | 400 E University Way, Student Health Center, Ellensburg, WA 98926-7502 | 2007-02-06 |
| 1558857201 | Bryce Andrew Ensor | Specialist/Technologist | 400 E University Way, Ellensburg, WA 98926-7500 | 2018-07-05 |
| 1154792133 | Emily M Shaw | Dietitian, Registered | 400 E University Way, Ellensburg, WA 98926-7502 | 2015-10-15 |
| 1972971554 | Bianca Mendez | Specialist/Technologist | 400 E University Way, Ellensburg, WA 98926-7500 | 2015-09-13 |
| 1912380692 | Carolyn Sims Cleveland | Psychologist | 400 E University Way, Student Medical and Counseling Clinic, Ellensburg, WA 98926-7502 | 2015-06-30 |
| 1316345218 | Daniel M Nambo | Technician, Pathology | 400 E University Way, Ellensburg, WA 98926-7502 | 2014-12-09 |
| 1457787293 | David John Beauchene Jr. | Community Health Worker | 400 E University Way, Ellensburg, WA 98926-7502 | 2013-09-25 |
| 1548460025 | Central Washington University Student Health Counseling and Wellness | Clinic/Center | 400 E University Way, Ellensburg, WA 98926-7502 | 2007-07-23 |
| 1639390032 | Kari Aynn Gage | Specialist/Technologist | 400 E University Way, Ellensburg, WA 98926-7502 | 2007-05-01 |
| 1407982994 | Cynthia Anne Fox | Physician Assistant | 400 E University Way, Ellensburg, WA 98926-7502 | 2007-02-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407286214 | Sarah Rae | Occupational Therapist | 1050 E Mountian View Ave, Ellensburg, WA 98926 | 2013-11-14 |
| 1366885691 | Leslie-ann Fox I | Pharmacist | 521 East Mountain View Ave, Ellensburg, WA 98926 | 2013-04-17 |
| 1972877330 | Terri Lee Hughes | Pharmacist | 608 E Mountainview, Ellensburg, WA 98926 | 2012-03-02 |
| 1366716789 | Eiko Hama | Pharmacist | 608 E Mountain View, Ellensburg, WA 98926 | 2012-03-02 |
| 1689971228 | Carolyn Jeannette Brunk | Massage Therapist | 814 East 5th Avenue, Ellensburg, WA 98926 | 2011-02-17 |
| 1275862468 | Creekside Dental Ellensburg Pllc | Dentist | 2601 Triple L Loop, Ellensburg, WA 98926 | 2009-12-17 |
| 1659605038 | Michael Alan Patin | Pharmacist | 700 S. Main St., Ellensburg, WA 98926 | 2009-10-01 |
| 1538391040 | Brenden J Davis | Dentist | 1206 N Dolarway Rd Ste 208, Ellensburg, WA 98926 | 2009-08-17 |
| 1821206186 | Peggy Elaine Erickson | Massage Therapist | 314 E 4th, Ellensburg, WA 98926 | 2007-05-18 |
| 1295951259 | Kenneth Francis Kladnik | Specialist/Technologist | 1711 E. Canterbury, Ellesnburg, WA 98926 | 2007-04-18 |
| Find all providers in zip 98926 | ||||
| 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 |
|---|---|---|---|---|
| 1891349973 | Annie Stickney | Specialist/Technologist | 171 Stone Tree Ln, Ellensburg, WA 98926-9082 | 2019-07-28 |
| 1114343894 | Tyler Patterson | Specialist/Technologist | 1203 E Capitol Ave, Ellensburg, WA 98926-9452 | 2014-03-05 |
| 1558857201 | Bryce Andrew Ensor | Specialist/Technologist | 400 E University Way, Ellensburg, WA 98926-7500 | 2018-07-05 |
| 1972971554 | Bianca Mendez | Specialist/Technologist | 400 E University Way, Ellensburg, WA 98926-7500 | 2015-09-13 |
| 1639390032 | Kari Aynn Gage | Specialist/Technologist | 400 E University Way, Ellensburg, WA 98926-7502 | 2007-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851990329 | Tina Daniels | Specialist/Technologist | 5104 W Nob Hill Blvd Apt 8, Yakima, WA 98908-5814 | 2020-10-25 |
| 1902405079 | Sara Danielle Holey | Specialist/Technologist | 24048 Se 111th St, Issaquah, WA 98027-8320 | 2020-10-20 |
| 1265049902 | Erin L Rose | Specialist/Technologist | 510 Nw Larry St, Pullman, WA 99163-3584 | 2020-09-27 |
| 1790392629 | William Bratton | Specialist/Technologist | 26222 119th Dr Se, Kent, WA 98030-7882 | 2020-09-24 |
| 1790392611 | Carli Grace Robins | Specialist/Technologist | 3654 Nw Cascade Ave, East Wenatchee, WA 98802-9570 | 2020-09-24 |
| 1164039079 | Jalyn Rutledge | Specialist/Technologist | Bohler Athletic Complex Cougar Way - Wsu, Pullman, WA 99164-0001 | 2020-09-24 |
| 1356957054 | Alex Vincent Pham | Specialist/Technologist | 3523 Se 176th Ave, Vancouver, WA 98683-3591 | 2020-09-17 |
| 1063030583 | Elizabeth Kakos | Specialist/Technologist | 528 Pontius Ave N Unit 431, Seattle, WA 98109-5821 | 2020-07-10 |
| 1396369708 | Kristin Marie Mikolajewski | Specialist/Technologist | 116 247th Ave Se, Sammamish, WA 98074-3444 | 2020-06-01 |
| 1437773033 | Mckaleb Pool | Specialist/Technologist | 10777 Grafton Pl Nw, Silverdale, WA 98383-8941 | 2020-05-31 |
| Find all providers with the same taxonomy | ||||
| City | ELLENSBURG |
| Zip Code | 98926 |
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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.