DEANNA J NELSON (NPI# 1346493723) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346493723 |
| Entity Type | Individual |
| Full Name | DEANNA J NELSON |
| Practice Address |
5200 Fairview Boulevard Fairview Sports and Orthopedic Care Wyoming MN 55092 |
| Practice Telephone | 6519827495 |
| Practice Fax Number | 6519827539 |
| Mailing Telephone | 6519827495 |
| Mailing Fax Number | 6519827539 |
| Enumeration Date | 2008-10-29 |
| Last Update Date | 2008-10-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
1533 | MN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487209623 | Deanna R Nelson | Dietitian, Registered | 2851 University Ave, Green Bay, WI 54311-5855 | 2019-08-05 |
| 1386816833 | Deanna L Nelson | Surgery | 6408 Papermill Dr, Knoxville, TN 37919-4858 | 2008-03-25 |
| 1285794396 | Deanna Lynn Nelson | Optometrist | 1400 S Limit Ave, Space 75 State Fair Shopping Center, Sedalia, MO 65301-5116 | 2006-12-11 |
| 1750335469 | Deanna M Nelson | Nurse Anesthetist, Certified Registered | 495 E Waterfront Drive, Homestead, PA 15120 | 2006-05-19 |
| Street Address |
5200 FAIRVIEW BOULEVARD FAIRVIEW SPORTS AND ORTHOPEDIC CARE |
| City | WYOMING |
| State | MN |
| Zip Code | 55092 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902851876 | Tamara Piroska Petrac-halatsis | Obstetrics & Gynecology | 5200 Fairview Boulevard, Ob/gyn Department, Wyoming, MN 55092 | 2006-05-22 |
| 1528152915 | Suzanne S Rusk | Nurse Practitioner | 5200 Fairview Boulevard, Fairview Lakes Pediatrics, Wyoming, MN 55092 | 2006-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821696022 | Wyoming Family Dental | Dentist | 5378 East Viking Blvd., Wyoming, MN 55092 | 2020-10-12 |
| 1851909436 | Matthew Rohlf | Dentist | 5378 E Viking Blvd, Wyoming, MN 55092 | 2020-07-20 |
| 1669013280 | Christina Marie Orde | Technician | 4855 261st Street, Wyoming, MN 55092 | 2019-10-04 |
| 1609425966 | Faith Bouttell | Technician | 25423 Heims Lake Circle, Wyoming, MN 55092 | 2019-09-10 |
| 1275875031 | Fairview Express Care | Clinic/Center | 5130 Fairview Blvd, Suite 101, Wyoming, MN 55092 | 2013-03-20 |
| 1023385242 | St. Croix Orthopaedics, P.a. | Durable Medical Equipment & Medical Supplies | 5200 Fairview Blvd., Wyoming, MN 55092 | 2011-11-17 |
| 1023502697 | Molly Levy | Nurse Practitioner | 5200 Fairview Blvd, Wyoming, MN 55092 | 2018-06-18 |
| 1588028955 | Kevin Anthony Brueske | Pediatrics | 5200 Fairview Blvd, Wyoming, MN 55092 | 2016-04-11 |
| 1376922070 | Carli Lynn Ceder | Physical Therapist | 5130 Fairview Blvd, Wyoming, MN 55092 | 2015-05-27 |
| 1497192066 | Matthew David Torgeson | Surgery | 5200 Fairview Blvd, Wyoming, MN 55092 | 2013-05-22 |
| Find all providers in zip 55092 | ||||
| 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 |
|---|---|---|---|---|
| 1700350279 | Morgan Brown | Specialist/Technologist | 7 Dove Pl, Wyoming, DE 19934-9539 | 2019-01-17 |
| 1760966964 | Laura Elizabeth Thomas | Specialist/Technologist | 5722 Metro Way Sw Ste B, Wyoming, MI 49519-9524 | 2018-09-24 |
| 1962911107 | Lauren Anne Stachura | Specialist/Technologist | 2441 Ancient Dr Sw, Wyoming, MI 49519-4504 | 2017-09-20 |
| 1881132827 | Laura Elizabeth Ramaker | Specialist/Technologist | 2787 Pine Dunes Ct Sw, Wyoming, MI 49418 | 2017-02-10 |
| 1487037214 | Stefanie Carroll | Specialist/Technologist | 2503 Woodlake Rd Sw, Apt 4, Wyoming, MI 49519-4710 | 2015-06-29 |
| 1629488549 | Caitlin Wright | Specialist/Technologist | 2765 Woodlake Rd Sw Apt 6, Wyoming, MI 49519-4649 | 2014-04-30 |
| 1760730840 | Amanda Marie Smits | Specialist/Technologist | 716 Marcia St Sw, Wyoming, MI 49509-4017 | 2012-08-21 |
| 1861623258 | Angela Kleback | Specialist/Technologist | 40 W 7th St, Wyoming, PA 18644-1617 | 2009-08-03 |
| 1043231871 | Mark Mckamey | Specialist/Technologist | 23 Jean St Sw, Wyoming, MI 49548-4248 | 2006-07-21 |
| 1194207712 | Melissa Mazzitelli | Specialist/Technologist | 29 E 6th St, Wyoming, PA 18644-2027 | 2018-08-30 |
| Find all providers in WYOMING | ||||
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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.