JEREMY CLAUSEN (NPI# 1124414842) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124414842 |
| Entity Type | Individual |
| Full Name | JEREMY CLAUSEN |
| Credential | ATC, CSCS |
| Practice Address |
6626 N Meridian Rd Rockford IL 61101-7879 |
| Practice Telephone | 8159888808 |
| Mailing Telephone | 8159888808 |
| Enumeration Date | 2015-04-09 |
| Last Update Date | 2015-05-17 |
| 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 |
6626 N MERIDIAN RD |
| City | ROCKFORD |
| State | IL |
| Zip Code | 61101-7879 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417338799 | Latavia Shantaye Agada | Social Worker | 2823 Glenwood Ave., Rockford, IL 61101 | 2015-06-12 |
| 1013397561 | Charlene Donahoe | Student in an Organized Health Care Education/Training Program | 235 Wyman St, Rockford, IL 61101 | 2015-05-30 |
| 1205238623 | Crusaders Central Clinic Association | Clinic/Center | 1002 N Pierpont Ave, Rockford, IL 61101 | 2014-09-17 |
| 1780717454 | Hearing Pros Inc | Audiologist | 3902 West Riverside Blvd, In Wal Mart, Rockford, IL 61101 | 2007-03-13 |
| 1821156951 | Neurological Clinic of Rockford Sc | Neurological Surgery | 2825 Glenwood Avenue, Rockford, IL 61101 | 2006-12-04 |
| 1265470496 | Daniel Sommer | Social Worker | 2823 Glenwood Avenue, Rockford, IL 61101 | 2006-06-02 |
| 1508093253 | Patricia Kroll | Social Worker | 526 W State Street, Rockford, IL 61101 | 2009-06-19 |
| 1346462330 | Carol J O'haron | Social Worker | 526 W State Street, Rockford, IL 61101 | 2007-05-02 |
| 1356563332 | Lynn E Cadmus | Social Worker | 526 W State Street, Rockford, IL 61101 | 2007-05-02 |
| 1083836928 | Carol L Craig | Psychiatry & Neurology | 526 W State Street, Rockford, IL 61101 | 2007-05-02 |
| Find all providers in zip 61101 | ||||
| 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 |
|---|---|---|---|---|
| 1730746116 | Kelsey Payge Edwards | Specialist/Technologist | 5125 20th St, Rockford, IL 61109-3803 | 2019-05-21 |
| 1649738709 | Amanda Carlen | Specialist/Technologist | 7600 County Road 50, Rockford, MN 55373-8100 | 2019-03-07 |
| 1861964736 | Britteny Weisensel | Specialist/Technologist | 5797 Kirkwood Dr, Rockford, IL 61109-3762 | 2018-12-17 |
| 1164947933 | Scarlett Waite | Specialist/Technologist | 9040 Courtland Dr Ne, Rockford, MI 49341-7200 | 2017-08-14 |
| 1912429473 | Courtney Leanne Gray | Specialist/Technologist | 319 Brown Ave, Rockford, IL 61103-4102 | 2017-07-16 |
| 1043677099 | Megan Blackburn | Specialist/Technologist | 5022 Arbutus Rd, Rockford, IL 61107-2402 | 2016-01-21 |
| 1861899692 | Erik John Smith | Specialist/Technologist | 321 W Jefferson St, Apt #2, Rockford, IL 61101-1024 | 2014-11-21 |
| 1063853794 | Ashley R Rogers | Specialist/Technologist | 714 Lundvall Ave, Rockford, IL 61107-3321 | 2013-07-10 |
| 1770787509 | Michael P Rose | Specialist/Technologist | 735 Highgrove Pl, Rockford, IL 61108-2520 | 2007-06-14 |
| 1396880183 | Michael Mcfarlane York | Specialist/Technologist | 4100 Kroes Rd., Rockford, MI 49341-0000 | 2007-02-20 |
| Find all providers in ROCKFORD | ||||
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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.