MICHELLE RAE WARNER (NPI# 1356617328) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356617328 |
| Entity Type | Individual |
| Full Name | MICHELLE RAE WARNER |
| Credential | ATC |
| Practice Address |
2800 W Gore Blvd Lawton OK 73505-6320 |
| Practice Telephone | 5805812402 |
| Enumeration Date | 2012-03-23 |
| Last Update Date | 2012-03-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
421 | OK | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 225700000X | Massage Therapist | OK | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396221826 | Michelle Yvonne Warner | Occupational Therapist | 984 N Meridian Pl # A, Wasilla, AK 99654-7215 | 2018-07-18 |
| 1801304431 | Michelle Warner | Nurse Practitioner | 205 Lilly Rd Ne Ste A1, Olympia, WA 98506 | 2018-01-17 |
| 1295117133 | Michelle Angela Warner | Nurse Practitioner | 4405 Regalwood Ter, Burtonsville, MD 20866-2224 | 2015-06-27 |
| 1346525185 | Michelle Warner | Behavioral Analyst | 71 Road 4903, Bloomfield, NM 87413-9614 | 2011-10-12 |
| 1073149076 | Michelle Warner | Registered Nurse | 325 9th Ave, Seattle, WA 98104-2420 | 2020-03-21 |
| 1215569363 | Michelle Lynn Warner | Marriage & Family Therapist | 620 Erie Blvd W, Syracuse, NY 13204-2445 | 2020-02-06 |
| 1942790456 | Michelle Warner | Behavior Technician | 701 Hill Rd N, Pickerington, OH 43147-8592 | 2018-05-10 |
| 1003218454 | Michelle Lynn Warner | Massage Therapist | 325 N Wiget Ln, Suite 130, Walnut Creek, CA 94598-2435 | 2014-09-17 |
| 1699020412 | Michelle Warner | Registered Nurse | 760 Broadway, Brooklyn, NY 11206-5317 | 2012-07-18 |
| 1760547822 | Michelle T Warner | Counselor | 670 Woodbourne Rd, Cornerstone Executive Suites 4 Cornerstone Drive, Langhorne, PA 19047-1847 | 2006-12-27 |
| Street Address |
2800 W GORE BLVD |
| City | LAWTON |
| State | OK |
| Zip Code | 73505-6320 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457455909 | Joel J. Dering | Specialist/Technologist | 2800 W Gore Blvd, Lawton, OK 73505-6320 | 2006-09-12 |
| 1245849215 | Kevin Line | Specialist/Technologist | 2800 W Gore Blvd, Lawton, OK 73505-6320 | 2020-07-27 |
| 1205445343 | Elijah Hansen | Specialist/Technologist | 2800 W Gore Blvd, Lawton, OK 73505-6320 | 2020-07-24 |
| 1164903761 | Tonya Freeze | Specialist/Technologist | 2800 W Gore Blvd, Lawton, OK 73505-6320 | 2018-08-22 |
| 1700365558 | Cameron University | Orthopaedic Surgery | 2800 W Gore Blvd, Lawton, OK 73505-6320 | 2018-08-13 |
| 1891201307 | Amanda Watkins | Specialist/Technologist | 2800 W Gore Blvd, Lawton, OK 73505-6320 | 2017-12-19 |
| 1346786738 | Ashley Cody | Specialist/Technologist | 2800 W Gore Blvd, Lawton, OK 73505-6320 | 2017-01-10 |
| 1033569017 | Javier Espinoza | Specialist/Technologist | 2800 W Gore Blvd, Lawton, OK 73505-6320 | 2016-06-21 |
| 1861846222 | Taren Ray | Case Manager/Care Coordinator | 2800 W Gore Blvd, Lawton, OK 73505-6320 | 2016-04-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134744006 | Angela Janell Smith | Case Manager/Care Coordinator | 4904 Nw Smith Ave, Lawton, OK 73505 | 2020-06-16 |
| 1295383990 | Akeemia Lorene Holder | Case Manager/Care Coordinator | Youth Care of Oklahoma, 713 Sw C Avenue, OK 73505 | 2019-08-27 |
| 1225685480 | Healthstat Onsite Clinic Goodyear Vision Center | Preventive Medicine | 1 Goodyear Blvd, Lawton, OK 73505 | 2019-08-22 |
| 1891285300 | Michael Anthony Gray | Case Manager/Care Coordinator | 2218 Nw 36th St, Lawton, OK 73505 | 2018-05-10 |
| 1841797362 | Adeshola T Fatuyi | Case Manager/Care Coordinator | 7301 Sw Lee 635, Lawton, OK 73505 | 2018-04-11 |
| 1912425539 | Heather Shea Morefield | Case Manager/Care Coordinator | 2712 Sw H Ave, Lawton, OK 73505 | 2017-09-04 |
| 1972031367 | Burke Hendricks | Emergency Medicine | 3401 West Gore Boulevard, Lawton, OH 73505 | 2017-05-30 |
| 1932642279 | Helery Vance | Peer Specialist | 1420 Nw Hunter Rd Apt C7, Lawton, OK 73505 | 2016-11-18 |
| 1629523436 | Sebrina Sheppard | Case Manager/Care Coordinator | 3907 Sw Parkridge Blvd., Lawton, OK 73505 | 2016-08-22 |
| 1376913590 | David Lee Atauvich | Registered Nurse | 1515 Lawrie Rd, Lawton, OK 73505 | 2015-09-30 |
| Find all providers in zip 73505 | ||||
| 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 |
|---|---|---|---|---|
| 1366937401 | Dominique Lamar Pratt | Specialist/Technologist | 4617 Sw I Ave, Lawton, OK 73505-7829 | 2018-06-29 |
| 1346785185 | Wayne Perryman | Specialist/Technologist | 1316 Nw Sheridan Rd, Lawton, OK 73505-5212 | 2017-01-04 |
| 1194125047 | Michael Dreisbach | Specialist/Technologist | 402 Nw Sheridan Rd, Apt 213, Lawton, OK 73505-6503 | 2014-08-28 |
| 1770857476 | David W. Stanley | Specialist/Technologist | 601 Nw Fort Sill Blvd, Lawton, OK 73507-6601 | 2012-02-28 |
| 1427238096 | Scott T Buehre | Specialist/Technologist | 5202 W Gore Blvd, Lawton, OK 73505-5840 | 2007-11-12 |
| 1457455909 | Joel J. Dering | Specialist/Technologist | 2800 W Gore Blvd, Lawton, OK 73505-6320 | 2006-09-12 |
| 1245849215 | Kevin Line | Specialist/Technologist | 2800 W Gore Blvd, Lawton, OK 73505-6320 | 2020-07-27 |
| 1205445343 | Elijah Hansen | Specialist/Technologist | 2800 W Gore Blvd, Lawton, OK 73505-6320 | 2020-07-24 |
| 1164903761 | Tonya Freeze | Specialist/Technologist | 2800 W Gore Blvd, Lawton, OK 73505-6320 | 2018-08-22 |
| 1891201307 | Amanda Watkins | Specialist/Technologist | 2800 W Gore Blvd, Lawton, OK 73505-6320 | 2017-12-19 |
| Find all providers in LAWTON | ||||
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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.