SHONNY H VANDER VLIET (NPI# 1225531825) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225531825 |
| Entity Type | Individual |
| Full Name | SHONNY H VANDER VLIET |
| Other Name | SHONNY ROLSTON-LUECK |
| Credential | ATC |
| Practice Address |
7332 Matheson Dr Fort Collins CO 80525-8239 |
| Practice Telephone | 9706903551 |
| Mailing Telephone | 9706903551 |
| Enumeration Date | 2018-03-10 |
| Last Update Date | 2018-03-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AT.0000574 | CO | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
7332 MATHESON DR |
| City | FORT COLLINS |
| State | CO |
| Zip Code | 80525-8239 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356950299 | Kelly Westbrook Schmalstich | Clinical Nurse Specialist | 2020 Blue Yonder Way, Fort Collins, CO 80525 | 2020-07-27 |
| 1912522376 | Tender Gifts Midwifery and Birth Center | Clinical Nurse Specialist | 1817 Jessup Dr Farms, Fort Collins, CO 80525 | 2020-06-11 |
| 1114566015 | Andrea Nicole Brogdon | Acupuncturist | 2501 S. College Ave, Fort Collins, CO 80525 | 2019-12-26 |
| 1013553593 | Kids Overcoming, LLC | Home Health | 1330 Oakridge Drive Suite 105, Fort Collins, CO 80525 | 2019-11-20 |
| 1568019966 | Julia Heithoff | Behavioral Analyst | 1100 Haxton Dr #115, Fort Collins, CO 80525 | 2019-08-20 |
| 1144875246 | Harmony Smiles Dentistry, LLP | Dentist | 356 E Harmony Rd., #6-a, Fort Collins, CO 80525 | 2019-08-06 |
| 1841774502 | Shannon L Harris | Social Worker | 305 Carpenter Road, Fort Collins, CO 80525 | 2018-09-19 |
| 1306332101 | Joshua Evans Brooks | Optometrist | 375 E Horsetooth Rd Bldg 5 Ste 201, Fort Collins, CO 80525 | 2018-07-03 |
| 1285120212 | Danae Fuqua | Physical Medicine & Rehabilitation | Covell Care & Rehabilitation, 2350 Limon Dr., Fort Collins, CO 80525 | 2018-07-02 |
| 1528552890 | Megan E Locke | Audiologist | 724 Whalers Way Bdg I, Suite 101, Fort Collins, CO 80525 | 2018-06-19 |
| Find all providers in zip 80525 | ||||
| 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 |
|---|---|---|---|---|
| 1467052761 | Andrea J Stutz | Specialist/Technologist | 316 E County Road 30, Fort Collins, CO 80525-9303 | 2020-10-27 |
| 1881108637 | Emerald Damge | Specialist/Technologist | 2542 Orchard Pl, Fort Collins, CO 80521-3117 | 2017-11-30 |
| 1205366820 | Victoria Marie Sechser | Specialist/Technologist | 1102 Peterson St, Fort Collins, MN 80524 | 2017-06-15 |
| 1699228833 | Sarah Whitney Weatherford | Specialist/Technologist | 951 W Plum St, Fort Collins, CO 80523-0001 | 2016-07-24 |
| 1760857551 | Cameron Aris | Specialist/Technologist | 5227 Cornerstone Dr, Fort Collins, CO 80528-3076 | 2015-12-06 |
| 1215308861 | Brittany Koehler | Specialist/Technologist | 3002 W. Elizabeth 24f, Fort Collins, CO 80521 | 2015-10-08 |
| 1336328970 | Ryan Thomas Ostapovich | Specialist/Technologist | 3650 Big Dipper Dr, Fort Collins, CO 80528-4454 | 2007-10-31 |
| 1598870602 | Mackenzie Luke Mcdonald | Specialist/Technologist | Colorado State University Dept 0120, Moby 141, Fort Collins, CO 80523-0001 | 2006-08-20 |
| 1114995503 | Tao Lee Land | Specialist/Technologist | 141 Moby Arena, Csu Athletics, Fort Collins, CO 80523-0120 | 2006-03-10 |
| 1053963835 | Devante Lorenzo Frazier | Specialist/Technologist | 141 Moby Arena, Fort Collins, CO 80523-0001 | 2019-07-12 |
| Find all providers in FORT COLLINS | ||||
| City | FORT COLLINS |
| Zip Code | 80525 |
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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.