DESTRI WAYNE MILLSAP (NPI# 1396108155) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396108155 |
| Entity Type | Individual |
| Full Name | DESTRI WAYNE MILLSAP |
| Practice Address |
18934 W Kelley Ave Hershey NE 69143-4375 |
| Practice Telephone | 3088701978 |
| Mailing Telephone | 3088701978 |
| Enumeration Date | 2016-03-30 |
| Last Update Date | 2016-03-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
708 | NE | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
18934 W KELLEY AVE |
| City | HERSHEY |
| State | NE |
| Zip Code | 69143-4375 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306405345 | Lana Jean Farrier | Physical Therapy Assistant | 232 N Paxton St, Hershey, NE 69143-4548 | 2019-06-12 |
| 1982255287 | Julie L Fletcher | Registered Nurse | 301 S Lincoln Ave, Hershey, NE 69143-4582 | 2019-09-27 |
| 1568003713 | Debby Jean Linse | Licensed Practical Nurse | 301 S Lincoln Ave, Hershey, NE 69143-4582 | 2019-09-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407465214 | Church Road Home LLC | Home Health Aide | 1669 Church Rd, Hershey, PA 17033-1812 | 2020-07-28 |
| 1659989630 | Kellie Jasmine Blank | Physician Assistant | 145 W Areba Ave, Hershey, PA 17033-1504 | 2020-07-16 |
| 1083232581 | Leslie Carol Lescallette-button | Counselor | 1335 E Chocolate Ave, Hershey, PA 17033-1117 | 2020-07-10 |
| 1174147698 | Kyra Braun | Physician Assistant | 728 Ferris Way, Hershey, PA 17033-3600 | 2020-06-01 |
| 1780206755 | Hershey Psychological Services | Psychologist | 431 E Chocolate Ave Ste 2, Hershey, PA 17033-1310 | 2020-05-13 |
| 1588286041 | Emily Brooke Sapen | Registered Nurse | 90 Hope Dr Ste 3101, Hershey, PA 17033-2036 | 2020-05-07 |
| 1669093050 | Health Connections Inc | Family Medicine | 475 W Governor Rd Ste 7, Hershey, PA 17033-2217 | 2020-04-27 |
| 1154958171 | Rui Wang | Student in an Organized Health Care Education/Training Program | Penn State Hershey Milton S Hershey Medical Center, 500 University Dr, Hershey, PA 17033-2360 | 2020-03-27 |
| 1740816255 | Sarah Kitts | Student in an Organized Health Care Education/Training Program | 1920 Grist Mill Cir, Hershey, PA 17033-8924 | 2020-03-16 |
| 1871130120 | Alexandria Gustin | Nurse Practitioner | 500 Universisity Drive, Hershey, PA 17033-0858 | 2019-12-05 |
| Find all providers in HERSHEY | ||||
| 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 |
|---|---|---|---|---|
| 1447751144 | Elizabeth Ashley Lohman | Specialist/Technologist | 665 Brook Drive, Hershey, PA 17033 | 2018-02-27 |
| 1235617192 | Alexis Morrison | Specialist/Technologist | 30 Hope Dr, Hershey, PA 17033-2036 | 2018-08-02 |
| 1154812345 | Kileigh Elizabeth Keller | Specialist/Technologist | 30 Hope Dr, Hershey, PA 17033-2036 | 2018-05-23 |
| 1518468578 | Tyler Lemmons | Specialist/Technologist | 3003 Elizabethtown Rd, Hershey, PA 17033-9323 | 2018-02-26 |
| 1336591908 | Anthony Turchetta | Specialist/Technologist | 308 Hockersville Rd, Hershey, PA 17033-2080 | 2016-07-07 |
| 1922438779 | Jerry Webber | Specialist/Technologist | 3003 Elizabethtown Rd, Hershey, PA 17033-9323 | 2013-11-14 |
| 1407985252 | Julie Ann Wetzel | Specialist/Technologist | 32 Northeast Dr, Suite 203, Hershey, PA 17033-2755 | 2007-03-05 |
| 1518901628 | Daniel Ray Thrush | Specialist/Technologist | 500 University Dr, Mc A410, Hershey, PA 17033-2360 | 2006-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972101616 | Muriel Kuhl | Specialist/Technologist | 19905 Chicago St, Elkhorn, NE 68022-4903 | 2020-10-14 |
| 1760099014 | Rebecca Ann Ohlson | Specialist/Technologist | 1235 Sw Kelsey Cir, Lincoln, NE 68522-4446 | 2020-09-29 |
| 1033723291 | Donald J Gehr | Specialist/Technologist | 122 Heroes Blvd, Boys Town, NE 68010-7537 | 2020-09-04 |
| 1699388108 | Jennifer Hewitt | Specialist/Technologist | 21015 Cumberland Dr, Elkhorn, NE 68022-4110 | 2020-08-25 |
| 1679184675 | Chris Pavlik Jr. | Specialist/Technologist | 56591 892 Rd # Ne, Fordyce, NE 68736-5011 | 2020-08-12 |
| 1184235673 | Cheyenne Janicek | Specialist/Technologist | 7630 Ontario St, Omaha, NE 68124-4035 | 2020-08-10 |
| 1962012575 | Vanessa Derner | Specialist/Technologist | 710 Eagle View Dr, Papillion, NE 68133-2482 | 2020-08-07 |
| 1780293209 | Kyle Younkin | Specialist/Technologist | 1100 N 56th St, Lincoln, NE 68504-3251 | 2020-07-30 |
| 1235747080 | Mark Allen Kwikkel | Specialist/Technologist | 310 N 10th, Blair, NE 68008 | 2020-07-17 |
| 1922633882 | Amber Menard | Specialist/Technologist | 1013 Day Dr, Bellevue, NE 68005-4425 | 2020-03-10 |
| Find all providers with the same taxonomy | ||||
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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.