KYLE NISWONGER (NPI# 1215329826) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215329826 |
| Entity Type | Individual |
| Full Name | KYLE NISWONGER |
| Practice Address |
141 E 12th St Holland MI 49423-3607 |
| Mailing Address |
2385 Millbrook Ct Rochester Hills MI 48306-3144 |
| Practice Telephone | 2488047447 |
| Mailing Telephone | 2488047447 |
| Enumeration Date | 2015-02-19 |
| Last Update Date | 2017-05-25 |
| 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 |
141 E 12TH ST |
| City | HOLLAND |
| State | MI |
| Zip Code | 49423-3607 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609246123 | Kjersten Lydia Mckinniss | Specialist/Technologist | 141 E 12th St, Holland, MI 49423-3607 | 2015-09-26 |
| 1053705400 | Griffin Weigl | Specialist/Technologist | 141 E 12th St, Holland, MI 49423-3607 | 2015-03-24 |
| 1386037778 | Madison Roskuszka | Specialist/Technologist | 141 E 12th St, Devos Fieldhouse, Holland, MI 49423-3607 | 2015-03-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356996714 | Ella Rose Marx | Social Worker | 412 Century Lane, Holland, MI 49423 | 2019-08-02 |
| 1245720424 | Amanda Ann Allen | Behavior Technician | 165 Sorrento Drive, Holland, MI 49423 | 2018-05-14 |
| 1588194237 | Emily Amila Geurink | Physical Therapy Assistant | 4037 43rd St, Holland, MI 49423 | 2017-06-15 |
| 1285081737 | Kara Draayer | Nurse Anesthetist, Certified Registered | 25 W 8th St Ste 200, Holland, MI 49423 | 2016-05-14 |
| 1851776413 | Sara Ty | Occupational Therapist | 789 South Meadow Court, Holland, MI 49423 | 2015-07-24 |
| 1508243056 | Andrew Peasley | Chiropractor | 436 Century Ln., Holland, MI 49423 | 2015-05-05 |
| 1437536497 | Deborah Donnelly | Physical Therapy Assistant | 1221 16th Street, Holland, MI 49423 | 2015-04-29 |
| 1366846024 | John Nguyen | Pharmacist | 747 E 16th St, Holland, MI 49423 | 2014-10-09 |
| 1003257817 | Courtney Young | Social Worker | 96 W 15 Street Midtown Center- Arbor Circle, Holland, MI 49423 | 2013-07-09 |
| 1689014391 | Jason Pettet | Acupuncturist | 500 West 17th St., Holland, MI 49423 | 2013-06-26 |
| Find all providers in zip 49423 | ||||
| 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 |
|---|---|---|---|---|
| 1891209508 | Kyle Scott Hulst | Specialist/Technologist | 6096 146th Ave, Holland, MI 49423-8902 | 2017-11-17 |
| 1245740174 | Taryn Bushong | Specialist/Technologist | 16456 Oakleaf Ct, Holland, MI 49424-5622 | 2017-10-05 |
| 1043603186 | Sara Helder | Specialist/Technologist | 11554 Greenly St, Holland, MI 49424-9654 | 2015-03-13 |
| 1811389208 | Jamie Verduin | Specialist/Technologist | 1426 Stillwater Dr, Holland, MI 49424-6173 | 2015-02-23 |
| 1033501556 | Abbie Miedema | Specialist/Technologist | 109 E 23rd St, Holland, MI 49423-4816 | 2015-02-20 |
| 1811386543 | Sadie Morway | Specialist/Technologist | 950 Ottawa Ave, Holland, MI 49423-4628 | 2015-01-19 |
| 1750789103 | Bailey Danielle Shelters | Specialist/Technologist | 600 Van Raalte Ave, Holland, MI 49423-4063 | 2014-12-17 |
| 1558763938 | James Michael Scott | Specialist/Technologist | 2005 Old Planke Rd, Holland, OH 43528-9567 | 2014-09-17 |
| 1659414472 | Louis Anthony Perry II | Specialist/Technologist | 2002 Rock Way, Holland, PA 18966-2877 | 2007-02-14 |
| 1669520045 | Gary Michael Howe | Specialist/Technologist | 3685 Butternut Dr, Holland, MI 49424-5439 | 2007-01-08 |
| Find all providers in HOLLAND | ||||
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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.