DR. NOELLE SELKOW (NPI# 1124478714) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124478714 |
| Entity Type | Individual |
| Full Name | DR. NOELLE SELKOW |
| Credential | PHD, ATC |
| Practice Address |
251c Mcormick Hall Campus Box 5120 Normal IL 61790 |
| Mailing Address |
101 Ambrose Way Normal IL 61761-1821 |
| Practice Telephone | 7169401212 |
| Mailing Telephone | 7169401212 |
| Enumeration Date | 2016-06-15 |
| Last Update Date | 2016-06-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
096.003259 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
251C MCORMICK HALL CAMPUS BOX 5120 |
| City | NORMAL |
| State | IL |
| Zip Code | 61790 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679920375 | Yvette Renee Pigman | Nurse Practitioner | 201 North University, Illinois State Studnet Health Services, Normal, IL 61790 | 2016-05-23 |
| 1912263815 | Kelly Haley | Specialist/Technologist | 7130 Horton Fieldhouse, Normal, IL 61790 | 2012-04-04 |
| 1023391331 | Marie Rupert | Pharmacist | 201 N University Street, Normal, IL 61790 | 2011-09-22 |
| 1770615502 | Illinois State University | Psychologist | 408 Fairchild Hall, Campus Box 4625, Normal, IL 61790 | 2007-03-09 |
| 1578161865 | Abigail Hardesty | Nurse Practitioner | 201 Illinois State Univ, Normal, IL 61790-0001 | 2020-10-09 |
| 1245846989 | Susan M Carl | Nurse Practitioner | 201 North University Street, Normal, IL 61790-0001 | 2020-09-18 |
| 1891336277 | Rebecca Ludolph | Registered Nurse | 201 N University, Normal, IL 61790-0001 | 2019-10-07 |
| 1184188633 | Rachel Elizabeth Heinz | Specialist/Technologist | 347 Illinois State Univ, Normal, IL 61790-0001 | 2019-01-29 |
| 1487118063 | Jean Sawyer | Speech-Language Pathologist | Mail Code 4720, Normal, IL 61790-0001 | 2019-01-28 |
| 1063991792 | Emily Hallstein | Speech-Language Pathologist | 211 Rachel Cooper, Normal, IL 61790-0001 | 2018-08-13 |
| Find all providers in zip 61790 | ||||
| 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 |
|---|---|---|---|---|
| 1063978229 | Elizabeth Rose Geistlinger | Specialist/Technologist | 1241 Hovey Ave Apt 24, Normal, IL 61761-5127 | 2019-02-13 |
| 1184188633 | Rachel Elizabeth Heinz | Specialist/Technologist | 347 Illinois State Univ, Normal, IL 61790-0001 | 2019-01-29 |
| 1760946404 | Khadijah Andrea Williams | Specialist/Technologist | 104 W Cherry St Apt 4, Normal, IL 61761-4595 | 2019-01-28 |
| 1275097917 | Christopher F Johnson Jr. | Specialist/Technologist | 403 Greenbriar Dr Apt 214, Normal, IL 61761-6221 | 2019-01-28 |
| 1396239133 | Michael Aaron Ybarra | Specialist/Technologist | 601 Gregory St, Normal, IL 61790-0001 | 2018-06-15 |
| 1801389986 | Ashley Michelle James | Specialist/Technologist | 347 S. University St, Normal, IL 61761 | 2018-06-12 |
| 1801398607 | Juan Fabien Baez | Specialist/Technologist | 100 N University St, Normal, IL 61761-4402 | 2018-03-07 |
| 1205343878 | Karissa Diller | Specialist/Technologist | 1905 Crestmoor Cove Cc Ct, Normal, IL 61761-5352 | 2018-01-04 |
| 1184159576 | Padraic Harty | Specialist/Technologist | 1430 Trumbull Ave, Apt 2, Normal, IL 61761-9488 | 2017-04-24 |
| 1619412053 | Joel Thomas Lockhart | Specialist/Technologist | 9 Traders Cir, Apt 210, Normal, IL 61761-4133 | 2016-12-20 |
| Find all providers in NORMAL | ||||
Please comment or provide details below to improve the information on DR. NOELLE SELKOW.
| 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.