MARK ALLEN KWIKKEL (NPI# 1235747080) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235747080 |
| Entity Type | Individual |
| Full Name | MARK ALLEN KWIKKEL |
| Practice Address |
310 N 10th Blair NE 68008 |
| Mailing Address |
3000 Hutton Dr Decatur NE 68020-2205 |
| Practice Telephone | 4024272777 |
| Mailing Telephone | 4023495357 |
| Enumeration Date | 2020-07-17 |
| Last Update Date | 2020-07-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
11 | NE | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OFFICE | 4023495357 | 01 |
| Street Address |
310 N 10TH |
| City | BLAIR |
| State | NE |
| Zip Code | 68008 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750752432 | Mindy Logston | Speech-Language Pathologist | 1717 Adams Street, Blair, NE 68008 | 2015-10-07 |
| 1952545709 | Home Care Network, Inc | Nursing Care | 14700 State Highway 133, Blair, NE 68008 | 2009-04-23 |
| 1619114246 | Andrea L Ott | Physician Assistant | 812 N 22nd Street, Blair Clinic, Blair, NE 68008 | 2009-01-20 |
| 1730376047 | Assisted Living Concepts Inc | Assisted Living Facility | 1028 Joann Drive, Blair, NE 68008 | 2007-10-01 |
| 1497956478 | Charles Leroy Gleeson | Pharmacist | 9889 Cr 29, Blair, NE 68008 | 2007-05-29 |
| 1144322082 | Richard K Ward | Emergency Medicine | 810 N. 22nd Street, Mch & Health System, Blair, NE 68008 | 2006-09-01 |
| 1942319116 | Lisa A. Babcock | Audiologist | 11223 N. Lakeshore Dr., Blair, NE 68008 | 2006-08-30 |
| 1841637139 | Paula J. Thielen-kocharov | Family Medicine | 812 N 22nd St, Blair, NE 68008 | 2013-05-28 |
| 1588849848 | Vision Care Clinic PC | Optometrist | 1526 Washington St, Blair, NE 68008 | 2008-01-07 |
| 1679630941 | Michael W. Suing | Nurse Anesthetist, Certified Registered | 810 N 22nd St, Blair, NE 68008 | 2007-01-03 |
| Find all providers in zip 68008 | ||||
| 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 |
|---|---|---|---|---|
| 1851843304 | Walter Leonard Wright II | Specialist/Technologist | 15417 S Cr 211, Blair, OK 73526 | 2016-11-01 |
| 1215269584 | Kari Louise Schoenfish | Specialist/Technologist | 440 N 10th St, Blair, NE 68008-1722 | 2010-02-11 |
| 1871685016 | Jeffrey Ryan Hume | Specialist/Technologist | 2848 College Dr, Blair, NE 68008-1041 | 2006-09-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972101616 | Muriel Kuhl | Specialist/Technologist | 19905 Chicago St, Elkhorn, NE 68022-4903 | 2020-10-14 |
| 1760099014 | Rebecca Ann Ohlson | Specialist/Technologist | 1235 Sw Kelsey Cir, Lincoln, NE 68522-4446 | 2020-09-29 |
| 1033723291 | Donald J Gehr | Specialist/Technologist | 122 Heroes Blvd, Boys Town, NE 68010-7537 | 2020-09-04 |
| 1699388108 | Jennifer Hewitt | Specialist/Technologist | 21015 Cumberland Dr, Elkhorn, NE 68022-4110 | 2020-08-25 |
| 1679184675 | Chris Pavlik Jr. | Specialist/Technologist | 56591 892 Rd # Ne, Fordyce, NE 68736-5011 | 2020-08-12 |
| 1184235673 | Cheyenne Janicek | Specialist/Technologist | 7630 Ontario St, Omaha, NE 68124-4035 | 2020-08-10 |
| 1962012575 | Vanessa Derner | Specialist/Technologist | 710 Eagle View Dr, Papillion, NE 68133-2482 | 2020-08-07 |
| 1780293209 | Kyle Younkin | Specialist/Technologist | 1100 N 56th St, Lincoln, NE 68504-3251 | 2020-07-30 |
| 1922633882 | Amber Menard | Specialist/Technologist | 1013 Day Dr, Bellevue, NE 68005-4425 | 2020-03-10 |
| 1841822475 | Jaycee Fleming | Specialist/Technologist | 6820 N 16th St, Lincoln, NE 68521-9072 | 2020-02-11 |
| Find all providers with the same taxonomy | ||||
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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.