KATIE BOURBONNAIS (NPI# 1255736849) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255736849 |
| Entity Type | Individual |
| Full Name | KATIE BOURBONNAIS |
| Credential | M.S, ATC, LAT, CSCS |
| Practice Address |
Saint Mary's College Angela Athletic Facility Notre Dame IN 46556 |
| Mailing Address |
815 E Park Dr Niles MI 49120-5031 |
| Practice Telephone | 5742844006 |
| Mailing Telephone | 2693620897 |
| Enumeration Date | 2014-10-26 |
| Last Update Date | 2015-12-04 |
| Gender Code | F |
| 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 |
SAINT MARY'S COLLEGE ANGELA ATHLETIC FACILITY |
| City | NOTRE DAME |
| State | IN |
| Zip Code | 46556 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265995500 | Jamie Garvey | Psychologist | Saint Liam Hall, 220 Main Buildig, Notre Dame, IN 46556 | 2019-04-12 |
| 1871882951 | April Lynn Henry | Nurse Practitioner | 19074 Douglas Road, Holy Cross House Clinic, Notre Dame, IN 46556 | 2011-03-29 |
| 1275787418 | Kathryn L Wojcik | Nurse Practitioner | 159 Angela Athletic and Wellness Complex, Notre Dame, IN 46556 | 2008-11-14 |
| 1316072366 | James Michael Moriarity | Neuromusculoskeletal Medicine, Sports Medicine | 1842 Moreau Drive, Notre Dame, IN 46556 | 2007-02-22 |
| 1174550677 | Alicia Marie Roane | Specialist/Technologist | University of Notre Dame, C113 Joyce Center - Sports Medicine, Notre Dame, IN 46556 | 2006-06-28 |
| 1760425391 | Holy Cross Village At Notre Dame, Inc. | Skilled Nursing Facility | 54515 State Road 933, Notre Dame, IN 46556 | 2006-06-13 |
| 1649243817 | Scott Robert Stansbury | Specialist/Technologist, Other | University of Notre Dame Athletics, Sports Medicine Room C113 Joyce Center, Notre Dame, IN 46556 | 2006-02-09 |
| 1497743892 | Anthony Farmer Sutton | Specialist/Technologist | C113 Joyce Center, Sports Medicine, Notre Dame, IN 46556 | 2005-10-10 |
| 1689662496 | Kathryn Marie Cox Cohoon | Family Medicine | St Liam Hall, University Health Services, University of Notre Dame, Notre Dame, IN 46556 | 2005-10-06 |
| 1598232043 | Nicole Gatti | Pharmacist | 100 Wellness Center, Notre Dame, IN 46556 | 2018-11-01 |
| Find all providers in zip 46556 | ||||
| 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 |
|---|---|---|---|---|
| 1922456383 | Victoria Hommel | Specialist/Technologist | 112 Joyce Ctr, Notre Dame, IN 46556-5678 | 2016-05-26 |
| 1174550677 | Alicia Marie Roane | Specialist/Technologist | University of Notre Dame, C113 Joyce Center - Sports Medicine, Notre Dame, IN 46556 | 2006-06-28 |
| 1295703098 | Jim Russ | Specialist/Technologist | 113 Joyce Ctr, Notre Dame, IN 46556-5678 | 2006-03-09 |
| 1497743892 | Anthony Farmer Sutton | Specialist/Technologist | C113 Joyce Center, Sports Medicine, Notre Dame, IN 46556 | 2005-10-10 |
| 1508231564 | Courtney Mcnamara | Specialist/Technologist | 113 Joyce Ctr, Notre Dame, IN 46556-5678 | 2015-12-02 |
| 1659639615 | Anne M Marquez | Specialist/Technologist | C113 Joyce Center, Notre Dame, IN 46556 | 2012-04-27 |
| 1013142538 | Willard Agnew IIi | Specialist/Technologist | 113 Joyce Ctr, Notre Dame, IN 46556-5678 | 2009-05-28 |
| 1932237468 | Nicholas Keith Richey | Specialist/Technologist | University of Notre Dame, C113 Joyce Center, Notre Dame, IN 46556 | 2007-02-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295342988 | Sarah Elizabeth Schiller | Specialist/Technologist | 3499 W 800 S, Fort Branch, IN 47648-8174 | 2020-09-26 |
| 1093321374 | Claire Elizabeth Sayre | Specialist/Technologist | 7764 W County Road 625 N, Middletown, IN 47356-9725 | 2020-09-22 |
| 1386256071 | Dylan A Wirick | Specialist/Technologist | 3547 Mechanicsburg Dr, Indianapolis, IN 46227-9626 | 2020-08-23 |
| 1750993267 | Kathryn Ruark | Specialist/Technologist | 625 Canal View Dr Apt G, Indianapolis, IN 46202-6121 | 2020-08-18 |
| 1679184477 | Zachry Skinner | Specialist/Technologist | 1683 E Hanna Ave, Indianapolis, IN 46227 | 2020-08-14 |
| 1538778139 | Tyralee Frye | Specialist/Technologist | 731 Lincoln Dr, Bloomfield, IN 47424-1023 | 2020-07-29 |
| 1902415508 | Kaitlyn Kendrick | Specialist/Technologist | 2909 Tindall St, Indianapolis, IN 46203-5449 | 2020-07-29 |
| 1063037166 | Ronald Lee Ennis Jr. | Specialist/Technologist | 307 Henley Rd, Richmond, IN 47374-5946 | 2020-06-15 |
| 1235753278 | Lauren Schnell | Specialist/Technologist | 3196 Lakeside Dr, Jasper, IN 47546-9517 | 2020-06-05 |
| 1942824552 | Deni Nicole Roller | Specialist/Technologist | 544 Royalton Dr, New Haven, IN 46774-2658 | 2020-05-31 |
| Find all providers with the same taxonomy | ||||
| City | NOTRE DAME |
| Zip Code | 46556 |
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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.