JORDAN CHASE ELLIOTT


Address: 1800 University Dr N, Fargo, ND 58102-2241
Phone: 7017306243

JORDAN CHASE ELLIOTT (NPI# 1225640170) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1225640170
Entity Type Individual
Full Name JORDAN CHASE ELLIOTT
Credential ATC
Practice Address 1800 University Dr N
Fargo
ND 58102-2241
Mailing Address 818 10th Ave N
Fargo
ND 58102-3638
Practice Telephone 7017306243
Mailing Telephone 7349723960
Enumeration Date 2020-08-21
Last Update Date 2020-08-21
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2255A2300X Specialist/Technologist
Specialization: Athletic Trainer
883-20 ND Respiratory, Developmental, Rehabilitative and Restorative Service Providers

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Office Location

Street Address 1800 UNIVERSITY DR N
City FARGO
State ND
Zip Code 58102-2241

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1780285924 Shelley Dene Townsend-hansen Dentist 1017 Broadway N, Fargo, ND 58102 2020-11-04
1275190779 Anthony Joseph Duncan Student in an Organized Health Care Education/Training Program 1919 Elm Streent North, Fargo, ND 58102 2019-05-21
1003472317 Sadie Marie Nelson Nurse Practitioner Sanford Broadway Clinic, 801 North Broadway, Fargo, ND 58102 2019-05-13
1124523576 Christopher Peroutka Specialist/Technologist 1300 17th Ave N, Fargo, ND 58102 2018-03-28
1205331873 Nathan Koens Specialist/Technologist 1300 17th Avenue North, Fargo, ND 58102 2018-03-27
1376063370 Abby Nicole Fredrickson Student in an Organized Health Care Education/Training Program 1919 Elm Street North, Fargo, ND 58102 2017-06-21
1780118331 Stephanie Melquist Internal Medicine Internal Medicine Resident Clinic, 801 N Broadway, Fargo, ND 58102 2017-04-19
1104215623 Justin Lervik Social Worker 211 Elm St. N, 122, Fargo, ND 58102 2015-01-21
1770919441 Courtney Ann Simanski Speech-Language Pathologist 415 4th St. N., Fargo, ND 58102 2013-09-25
1821431206 Lanell Staroba Pharmacist 706 D 38th St, Fargo, ND 58102 2013-04-16
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Taxonomy Information

Taxonomy Code 2255A2300X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Specialist/Technologist
Specialization Athletic Trainer

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1235769712 Kathleen Freebern Specialist/Technologist 4780 Timber Pkwy S Apt 103, Fargo, ND 58104-4837 2020-01-23
1245793330 Mara Jungels Specialist/Technologist 1837 University Dr N, Fargo, ND 58105-2504 2019-04-07
1215493374 Kayla Marie Hennum Specialist/Technologist 1225 2nd St N, Fargo, ND 58102-2722 2019-02-13
1740745405 Anna Marie St Catherine Specialist/Technologist 1709 35th St S Apt 416, Fargo, ND 58103-4883 2019-02-07
1417411380 Tara Dawn Gebur Specialist/Technologist 3200 22nd St S Apt C42, Fargo, ND 58104-6570 2019-01-24
1427522754 Dana Vander Wal Specialist/Technologist 315 30th Ave N Apt 16, Fargo, ND 58102-1567 2019-01-21
1912471210 Kaitlyn Dorsher Specialist/Technologist 1113 18th St N Apt C, Fargo, ND 58102-3306 2019-01-20
1124523576 Christopher Peroutka Specialist/Technologist 1300 17th Ave N, Fargo, ND 58102 2018-03-28
1205331873 Nathan Koens Specialist/Technologist 1300 17th Avenue North, Fargo, ND 58102 2018-03-27
1013425149 Mason Ankenbauer Specialist/Technologist 1301 Centennial Blvd, Fargo, ND 58108 2018-01-10
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Competitor

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City FARGO
Zip Code 58102

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Dataset Information

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.

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