AUSTIN DEAN DIEDERICH (NPI# 1265917827) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265917827 |
| Entity Type | Individual |
| Full Name | AUSTIN DEAN DIEDERICH |
| Practice Address |
915 Claflin Rd Manhattan KS 66502-4610 |
| Mailing Address |
2026 4th Rd Greenleaf KS 66943-9410 |
| Practice Telephone | 7857478186 |
| Mailing Telephone | 7857478186 |
| Enumeration Date | 2018-09-30 |
| Last Update Date | 2018-09-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2026 4th Rd, Greenleaf, KS 669439410 | 7857478186 |
| Street Address |
915 CLAFLIN RD |
| City | MANHATTAN |
| State | KS |
| Zip Code | 66502-4610 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184232217 | Rebecca Anne Cherry | Marriage & Family Therapist | 1506 Browning Avenue, Suite 107, Manhattan, KS 66502 | 2020-07-15 |
| 1992334361 | Lorin C Kelly | Counselor | 201 South 4th Street, Suite C5, Manhattan, KS 66502 | 2020-04-07 |
| 1306487947 | Emily Trausch | Specialist/Technologist | 18 Ahearn Fieldhouse, Manhattan, KS 66502 | 2019-10-04 |
| 1730741018 | Jessica Caroline Kostroske | Speech-Language Pathologist | 2031 Poyntz Avenue, Manhattan, KS 66502 | 2019-07-08 |
| 1962968420 | Sarah C Siders | Social Worker | 1506 Browning Avenue #107, Manhattan, KS 66502 | 2019-02-20 |
| 1215408331 | Sara E Gotchey | Registered Nurse | 2100 Claflin Rd, Manhattan, KS 66502 | 2018-12-16 |
| 1306315601 | Gail Elizabeth Webster | Midwife, Lay | 2106 Timber Creek Dr, Manhattan, KS 66502 | 2018-11-15 |
| 1972021525 | Patience Ivy | Student in an Organized Health Care Education/Training Program | 1615 Denison Ave, Apt 211, Manhattan, KS 66502 | 2017-09-05 |
| 1578086252 | Alexa Jean Sharr | Physician Assistant | 1404 Beechwood Ter Ste C and D, Manhattan, KS 66502 | 2017-07-25 |
| 1790226702 | Mackenzie Getz | Student in an Organized Health Care Education/Training Program | 2465 Vaughn Dr, Manhattan, KS 66502 | 2017-03-10 |
| Find all providers in zip 66502 | ||||
| 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 |
|---|---|---|---|---|
| 1306487947 | Emily Trausch | Specialist/Technologist | 18 Ahearn Fieldhouse, Manhattan, KS 66502 | 2019-10-04 |
| 1952868473 | Sawyer Hunt | Specialist/Technologist | 1008 Ratone St, Manhattan, KS 66502-7016 | 2019-02-21 |
| 1649736489 | Lindsay Rae Augustine | Specialist/Technologist | 919 N 17th St, Manhattan, KS 66506-3446 | 2019-02-18 |
| 1841775400 | Emily Renee Puetz | Specialist/Technologist | 109 Brookstone Cir, Manhattan, KS 66502-8420 | 2018-09-30 |
| 1841775418 | Jordan Joseph | Specialist/Technologist | 516 N 14th St Apt 12, Manhattan, KS 66502-4172 | 2018-09-30 |
| 1427533082 | Brandon Patrick Sand | Specialist/Technologist | 1125 Laramie St Apt O, Manhattan, KS 66502-7925 | 2018-09-30 |
| 1285119842 | Paloma Roman | Specialist/Technologist | 1912 Hunting Ave Apt 5, Manhattan, KS 66502-3652 | 2018-09-30 |
| 1467937185 | Taylor Anne Smith | Specialist/Technologist | 1620 Mccain Ln Apt 12, Manhattan, KS 66502-4655 | 2018-09-27 |
| 1770068660 | Emma Ware | Specialist/Technologist | 428 Butterfield Rd, Manhattan, KS 66502-6644 | 2018-09-26 |
| 1164906277 | Paige Koblitz | Specialist/Technologist | 1220 N 8th St, Manhattan, KS 66502-5108 | 2018-09-24 |
| Find all providers in MANHATTAN | ||||
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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.