MINNESOTA STATE COLLEGE AND UNIVERSITIES (NPI# 1366949141) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366949141 |
| Entity Type | Organization |
| Organization Name | MINNESOTA STATE COLLEGE AND UNIVERSITIES |
| Practice Address |
135 Myers Field House Mankato MN 56001 |
| Practice Telephone | 5073895461 |
| Practice Fax Number | 5073895352 |
| Mailing Telephone | 5073895461 |
| Mailing Fax Number | 5073895352 |
| Enumeration Date | 2018-04-09 |
| Last Update Date | 2018-04-09 |
| Authorized Official Name | MR. RICHARD JOHN STRAKA (VP FOR FINANCE & ADMIN) |
| Authorized Official Telephone | 5073896621 |
| Authorized Official Credential | MBA, CPA (EXECUT |
| Is Organization Subpart | Y |
| Parent Organization Name | MINNESOTA STATE COLLEGES AND UNIVERSITIES |
| 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 |
|---|---|---|
| 135 Myers Field House, Mankato, MN 56001 | 5073895461 | 5073895352 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013993401 | Minnesota State College and Universities | Clinic/Center | 720 4th Ave S, Saint Cloud, MN 56301-4442 | 2005-12-19 |
| Street Address |
135 MYERS FIELD HOUSE |
| City | MANKATO |
| State | MN |
| Zip Code | 56001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154935435 | Kelly Nicole Ricke | Physical Medicine & Rehabilitation | 1 Civic Center Plaza, Hockey Office Complex, Mankato, MN 56001 | 2020-09-03 |
| 1649816786 | Ashley Lynn Walters | Technician, Other | 501 Madison Ave., Mankato, MN 56001 | 2019-11-25 |
| 1720631716 | Dovetail Traslation LLC | Interpreter | 212 Dublin Ct, Same As Above, Mankato, MN 56001 | 2019-07-19 |
| 1093377871 | Lindsey Keithahn | Counselor | 2100 Bassett Drive, Mankato, MN 56001 | 2019-07-02 |
| 1255803813 | Amy Marie Williams | Acupuncturist | 709 S. Front Street, Suite 5, Mankato, MN 56001 | 2018-12-20 |
| 1518437573 | Ashley Blanchard | Acupuncturist | Vida Salon Suites 1351 Madison Avenue, Suite F/ Suite 206, Mankato, MN 56001 | 2018-12-03 |
| 1831687235 | Christian Goetz | Specialist/Technologist | 401-477 South Rd, Mankato, MN 56001 | 2018-05-01 |
| 1780191775 | Kevin David Nelson | Pharmacist | 111 Redtail Ct Apt 308, Mankato, MN 56001 | 2017-12-29 |
| 1972014231 | Rylee Wagner | Speech-Language Pathologist | Mankato Clinic Pediatric Therapy Services, 150 St. Andrews Court, Suite 310, Mankato, MN 56001 | 2017-10-13 |
| 1952810996 | Kato Physical Medicine, LLC | Registered Nurse | 800 South Front Street, Mankato, MN 56001 | 2017-09-21 |
| Find all providers in zip 56001 | ||||
| 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 |
|---|---|---|---|---|
| 1255945556 | Derek J Harder | Specialist/Technologist | 228 Wiecking Ctr, Mankato, MN 56001-6062 | 2020-09-03 |
| 1790399442 | Matthew Thomas Laclair | Specialist/Technologist | 230 Jaycee Ct Apt 205, Mankato, MN 56001-6949 | 2020-09-01 |
| 1366076614 | Miranda Carol Strelecki | Specialist/Technologist | 640 Timberwolf Dr Apt 211, Mankato, MN 56001-2657 | 2020-02-26 |
| 1528698412 | Rebecca Rose Falkiner | Specialist/Technologist | 1400 Warren St Apt H44, Mankato, MN 56001-6914 | 2020-01-20 |
| 1376017285 | Emily Ferrier | Specialist/Technologist | 730 Maywood Ave, Mankato, MN 56001-7018 | 2019-01-14 |
| 1831687235 | Christian Goetz | Specialist/Technologist | 401-477 South Rd, Mankato, MN 56001 | 2018-05-01 |
| 1659870863 | Binnan Yu | Specialist/Technologist | 1400 Warren St Apt C2, Mankato, MN 56001-4964 | 2018-02-03 |
| 1083145585 | Patricia Mary Fields | Specialist/Technologist | 240 Jaycee Ct Apt 109, Mankato, MN 56001-6943 | 2017-03-26 |
| 1215478797 | Alyssa O'neil Finke | Specialist/Technologist | 160 Fairway Dr, Mankato, MN 56001-3149 | 2017-03-16 |
| 1083064760 | Chad Brinkman | Specialist/Technologist | 331 E Roosevelt Cir Apt 112, Mankato, MN 56001-6961 | 2016-06-14 |
| Find all providers in MANKATO | ||||
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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.