MR. NATHAN DELOVELY (NPI# 1295196848) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1295196848 |
Entity Type | Individual |
Full Name | MR. NATHAN DELOVELY |
Credential | ATC |
Practice Address |
2600 65th Ave Osceola WI 54020-4370 |
Mailing Address |
129 Cottage Dr Osceola WI 54020-4357 |
Practice Telephone | 7152944538 |
Mailing Telephone | 2182065619 |
Enumeration Date | 2016-03-10 |
Last Update Date | 2020-07-31 |
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 |
---|---|---|
3908 Hoffman Road, Apt 3b, White Bear Lake, MN 551101218 | 2182065619 |
Street Address |
2600 65TH AVE |
City | OSCEOLA |
State | WI |
Zip Code | 54020-4370 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124071865 | Kamil N. Sayegh | Internal Medicine | 2600 65th Ave, Osceola, WI 54020 | 2006-05-17 |
1609437607 | Robert Seiberlich | Physical Therapist | 2600 65th Ave, Osceola, WI 54020-4370 | 2019-06-21 |
1891259743 | William James Ryan | Physician Assistant | 2600 65th Ave, Osceola, WI 54020-4370 | 2019-01-24 |
1376029017 | Justin Himes | Pharmacist | 2600 65th Ave, Osceola, WI 54020-4370 | 2018-07-16 |
1336634377 | Mary Elizabeth Gustafson | Pharmacist | 2600 65th Ave, Osceola, WI 54020-4370 | 2018-06-22 |
1801394549 | Ladd Memorial Hospital | Clinic/Center | 2600 65th Ave, Osceola, WI 54020-4370 | 2018-01-29 |
1811429566 | Heather Kaye Ross | Occupational Therapy Assistant | 2600 65th Ave, Osceola, WI 54020-4370 | 2017-03-31 |
1477905362 | Rochelle Manik Catherine Samarasekera | Family Medicine | 2600 65th Ave, Osceola, WI 54020-4370 | 2016-07-05 |
1578917316 | Tony Huy Tien Nguyen | Family Medicine | 2600 65th Ave, Osceola, WI 54020-4370 | 2016-04-18 |
1043675614 | Chelsea O'brien | Dietitian, Registered | 2600 65th Ave, Osceola, WI 54020-4370 | 2015-12-23 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568063907 | Osceola Family Dental, Ltd | Clinic/Center | 215 N Cascade St, Osceola, WI 54020 | 2020-11-03 |
1780177840 | Joseph John Clymer | Social Worker | 405 Delmar Ave, Osceola, WI 54020 | 2018-06-12 |
1811401763 | Tiffany Morris | Acupuncturist | 207 N Cascade St, Osceola, WI 54020 | 2017-11-29 |
1255842779 | Olson Cc Wellness LLC | Chiropractor | 307 N Cascade Street, Osceola, WI 54020 | 2017-10-24 |
1396266599 | Danelle Mortenson | Counselor | 204 3rd Ave., Suite 100, Osceola, WI 54020 | 2017-06-28 |
1306200076 | Wendy Field | Registered Nurse | 2789 Cloutier Ct, Osceola, WI 54020 | 2016-04-08 |
1023391877 | Christian Community Home of Osceola, Inc. | Skilled Nursing Facility | 2650 65th Ave, Osceola, WI 54020 | 2011-09-27 |
1073768602 | Jamie J Mason | Marriage & Family Therapist | 204 3rd Ave W, Suite 100, Osceola, WI 54020 | 2008-11-24 |
1710137963 | Michelle Lynn Thoen | Counselor | 307 N Cascade St, Third Floor, Osceola, WI 54020 | 2008-09-24 |
1457533903 | School District of Osceola | Local Education Agency (LEA) | 331 Middle School Dr, Osceola, WI 54020 | 2007-11-27 |
Find all providers in zip 54020 |
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] |
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1427657329 | Tyler John Friis | Specialist/Technologist | 1514 E Keystone Ln, Appleton, WI 54913-7162 | 2020-10-21 |
1184222085 | Ryan James Mcnamara | Specialist/Technologist | 28914 Golden Cir, Waterford, WI 53185-1197 | 2020-10-13 |
1770198699 | Tanner Sterling | Specialist/Technologist | 2538 E Garrison Rd, Foxboro, WI 54836-9507 | 2020-09-09 |
1922626670 | Eric William Brostrom | Specialist/Technologist | 3305 Lilly Rd, Brookfield, WI 53005-7608 | 2020-07-09 |
1174146690 | Brycen Valiga | Specialist/Technologist | 4477 S 113th St, Greenfield, WI 53228-2566 | 2020-05-19 |
1104448307 | Xeing Randy Yang | Specialist/Technologist | 2207 Namekagon St, Hudson, WI 54016-9426 | 2020-05-11 |
1073134615 | Brian Wood | Specialist/Technologist | 1950 Washington St, Grafton, WI 53024-2103 | 2020-05-06 |
1124649751 | Cody Scott Tesch | Specialist/Technologist | 6680 N Teutonia Ave, Milwaukee, WI 53209-3117 | 2020-05-05 |
1659992642 | Kelley Potila | Specialist/Technologist | 255 Maggilu Ct, Jefferson, WI 53549-2095 | 2020-04-30 |
1366070708 | Claire Duwell | Specialist/Technologist | 9111 W Bluemound Rd, Milwaukee, WI 53226-4506 | 2020-03-31 |
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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.