PROF. YONG WOO AN (NPI# 1154849412) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154849412 |
| Entity Type | Individual |
| Full Name | PROF. YONG WOO AN |
| Credential | ATC |
| Practice Address |
1652 Stewart St Las Cruces NM 88003 |
| Mailing Address |
Msc 3fac P. O. Box 30001 Room219 Las Cruces NM 88003-8001 |
| Practice Telephone | 5756461636 |
| Mailing Telephone | 5756461636 |
| Mailing Fax Number | 5756463564 |
| Enumeration Date | 2017-09-06 |
| Last Update Date | 2017-09-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
NM | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1652 STEWART ST |
| City | LAS CRUCES |
| State | NM |
| Zip Code | 88003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245851369 | Amanda Jean Esquibel | Dietitian, Registered | 1780 East University Ave, Las Cruces, NM 88003 | 2020-04-29 |
| 1104455286 | New Mexico State University | Health Educator | 940 College Drive, Las Cruces, NM 88003 | 2020-04-02 |
| 1942847462 | Lucinda Banegas-carreon | Health Educator | 940 College Dr., Corner of Knox and College, Las Cruces, NM 88003 | 2019-12-03 |
| 1093105033 | New Mexico State University | Counselor | 3080 Breland, Ms, Las Cruces, NM 88003 | 2015-01-29 |
| 1225460421 | Marcel Montanez | Counselor | 1220 Stewart Street, O'donnell Hall, Rm 047, Las Cruces, NM 88003 | 2013-07-30 |
| 1417394628 | Eve M Adams | Psychologist | 1220 Stewart St, O'donnell Hall, Rm 205, Las Cruces, NM 88003 | 2013-05-29 |
| 1538276142 | Benjamin G Diven | General Practice | Corner of Stewart and Breland, Student Health Center, Box 30001 Msc 3529, Las Cruces, NM 88003 | 2006-08-23 |
| 1093337586 | Vangaurd Genetics, LLC | Clinical Medical Laboratory | 3655 Research Drive, Msc3arp, Genesis-b, Las Cruces, NM 88003 | 2020-05-07 |
| 1982225017 | Bare Nutrition LLC | Clinic/Center | 1780 E University Ave, Las Cruces, NM 88003 | 2020-04-29 |
| 1265066385 | Autism Diagnostic Center | Social Worker | 1405 International Mall, Las Cruces, NM 88003 | 2020-02-27 |
| Find all providers in zip 88003 | ||||
| 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 |
|---|---|---|---|---|
| 1770136459 | Yangmi Kang | Specialist/Technologist | 825 S Telshor Blvd Apt 59, Las Cruces, NM 88011-4645 | 2019-07-22 |
| 1467917997 | Austin Frazier | Specialist/Technologist | 1181 Mall Dr Ste C, Las Cruces, NM 88011-8105 | 2019-02-08 |
| 1699249037 | Isabel Christina Morales | Specialist/Technologist | 9448 Orion St, Las Cruces, NM 88012-6427 | 2019-01-18 |
| 1962976308 | Victoria Marie Perea | Specialist/Technologist | 4598 Rock Canyon Loop, Las Cruces, NM 88011-0957 | 2019-01-18 |
| 1932673373 | Derrick Merkey | Specialist/Technologist | 320 E Union Ave Apt 611, Las Cruces, NM 88001-7459 | 2019-01-18 |
| 1841764289 | Michael Cayman Greene | Specialist/Technologist | 1125 Monte Vista Ave Apt 4, Las Cruces, NM 88001-5693 | 2019-01-18 |
| 1346725801 | Andrew C Flores | Specialist/Technologist | 2863 Lake Valley Ave, Las Cruces, NM 88007-1908 | 2018-10-01 |
| 1548656051 | Megan Vetter | Specialist/Technologist | 61 Foster Canyon Rd, Las Cruces, NM 88007-6195 | 2015-04-10 |
| 1194114827 | Vincent Andrew Minjarez | Specialist/Technologist | 1780 E University Ave, Las Cruces, NM 88003-1229 | 2015-01-19 |
| 1164842746 | Omar Fercha | Specialist/Technologist | 5400 Mesa Grande Ave, Las Cruces, NM 88011 | 2014-04-22 |
| Find all providers in LAS CRUCES | ||||
| City | LAS CRUCES |
| Zip Code | 88003 |
Please comment or provide details below to improve the information on PROF. YONG WOO AN.
| 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.