TRACI GIBB (NPI# 1265830806) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265830806 |
| Entity Type | Individual |
| Full Name | TRACI GIBB |
| Credential | ATC, LAT |
| Practice Address |
W197n16960 Stonewall Dr Jackson WI 53037-8617 |
| Practice Telephone | 4147509393 |
| Mailing Telephone | 4147509393 |
| Enumeration Date | 2014-12-14 |
| Last Update Date | 2020-07-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
1475-39 | WI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
W197N16960 STONEWALL DR |
| City | JACKSON |
| State | WI |
| Zip Code | 53037-8617 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598377905 | Nohc Jackson Senior Living LLC | Assisted Living Facility | N16744 Eagle Drive, Jackson, WI 53037 | 2020-08-18 |
| 1467996991 | Children's Medical Group | Pediatrics | N168w22730 Prairie View Lane, Jackson, WI 53037 | 2016-12-19 |
| 1700176682 | Lincoln Healthcare, Inc | Home Health | W227n16841 Tillie Lake Court, Jackson, WI 53037 | 2011-04-13 |
| 1023211380 | Laura Jean Steinmetz | Licensed Practical Nurse | N170 W20309 Hunters Rd, Jackson, WI 53037 | 2007-06-06 |
| 1073722724 | Peter Christian Labudde | Dentist | N168 W20566 Main St, Jackson, WI 53037 | 2007-05-21 |
| 1104952597 | Judith Barbara Miller | Registered Nurse | 3114 Sherman Parc Circle, Jackson, WI 53037 | 2007-02-27 |
| 1548395684 | Joan Alice Heath | Registered Nurse | N168w21700 Main St Lot 122, Jackson, WI 53037 | 2007-02-22 |
| 1578511739 | Carol Lynn Radovich | Nurse Practitioner | W197n17054 Stonewall Dr, Jackson, WI 53037 | 2006-05-04 |
| 1699752907 | Zhaleh Barari | Optometrist | W194 N 16747 Eagle Dr., Suite N, Jackson, WI 53037 | 2005-12-28 |
| 1790399780 | Jackson Town & Country Dental LLC | Dentist | N168 W20566 Main St, Jackson, WI 53037 | 2020-09-07 |
| Find all providers in zip 53037 | ||||
| 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 |
|---|---|---|---|---|
| 1205471752 | Shelly Ann Botwinick | Specialist/Technologist | 104 Daisy Ct, Jackson, NJ 08527-2582 | 2019-11-07 |
| 1023668019 | Jonathan Wilson | Specialist/Technologist | 1050 Union University Dr # 1811, Jackson, TN 38305-3656 | 2019-09-12 |
| 1588132161 | John Thomas Raybon | Specialist/Technologist | 328 Portis Ave, Jackson, AL 36545-2650 | 2018-11-13 |
| 1265925044 | Caroline Marie Stevens | Specialist/Technologist | 715 S Grinnell St, Jackson, MI 49203-1685 | 2018-06-07 |
| 1447762067 | Sarah Elisabeth Wilhelm | Specialist/Technologist | 3483 Spring Arbor Rd, Jackson, MI 49203-3637 | 2017-11-05 |
| 1619410388 | Erin Nelson | Specialist/Technologist | 4174 Lancashire Dr, Jackson, MI 49203-5137 | 2016-11-29 |
| 1235681685 | Latesha Fleming | Specialist/Technologist | 241 Glenside Dr, Jackson, MS 39211-4309 | 2016-11-02 |
| 1962855239 | David Miller | Specialist/Technologist | 917 Bellevue Pl, Jackson, MS 39202-2702 | 2016-07-21 |
| 1023488186 | Melanie J Weesies | Specialist/Technologist | 3417 Mayapple Ln Apt 32, Jackson, MI 49201-7199 | 2015-10-01 |
| 1255712048 | Edward Jonathan Breight | Specialist/Technologist | 1325 East Fortication Street, Jackson, MS 39202 | 2015-06-17 |
| Find all providers in JACKSON | ||||
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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.