MOLLY LYNN ANDERSON (NPI# 1407079429) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407079429 |
| Entity Type | Individual |
| Full Name | MOLLY LYNN ANDERSON |
| Practice Address |
1 University Cir Western Illinois University Macomb IL 61455-1367 |
| Mailing Address |
630 S Johnson St Macomb IL 61455-2843 |
| Practice Telephone | 3092982135 |
| Mailing Telephone | 2173166794 |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538792874 | Molly Anderson | Student in an Organized Health Care Education/Training Program | 5035 Maple Grove Rd, Hermantown, MN 55811-1443 | 2020-02-14 |
| 1669762084 | Molly Bea Anderson | Developmental Therapist | 119a N Parkway Dr, Pekin, IL 61554-3932 | 2011-04-19 |
| 1982908968 | Molly Margaret Anderson | Physical Therapist | 4033 Valley West Dr, Rapid City, SD 57702-3158 | 2011-01-05 |
| 1639146145 | Molly Anderson | Family Medicine | 101 N Taylor Ln, Patagonia, AZ 85624-9600 | 2006-03-02 |
| 1013563543 | Molly Mckenzie Anderson | Nurse Practitioner | 565 Manhattan Ave, New York, NY 10027-5250 | 2019-08-12 |
| 1326508276 | Molly Elizabeth Anderson | Behavior Technician | 17595 Almahurst St Ste 100a, City of Industry, CA 91748-1792 | 2019-03-25 |
| 1003388851 | Molly Anderson | Physician Assistant | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 | 2018-12-18 |
| 1811485568 | Molly Anderson | Pharmacist | 1680 Fort Campbell Blvd, Clarksville, TN 37042-3537 | 2018-04-27 |
| 1417468430 | Molly Anderson | Registered Nurse | 1909 Hampshire Pike, Columbia, TN 38401-5650 | 2017-10-17 |
| 1841728623 | Molly A Anderson | Otolaryngology | 5055 A St Ste 300, Lincoln, NE 68510-4970 | 2017-05-24 |
| Street Address |
1 UNIVERSITY CIR WESTERN ILLINOIS UNIVERSITY |
| City | MACOMB |
| State | IL |
| Zip Code | 61455-1367 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134193691 | Renee L Polubinsky | Specialist/Technologist | 1 University Cir, Macomb, IL 61455-1367 | 2006-02-13 |
| 1174143408 | Sabrina Kleparski | Specialist/Technologist | 1 University Cir, Macomb, IL 61455-1367 | 2020-04-16 |
| 1376193672 | Provider Connections | Clinic/Center | 1 University Cir, Macomb, IL 61455-1367 | 2019-09-18 |
| 1497212864 | Charnelle Nicole Brinker | Speech-Language Pathologist | 1 University Cir, Macomb, IL 61455-1367 | 2019-02-21 |
| 1790268647 | Thomas Alan Adams | Specialist/Technologist | 1 University Cir, Macomb, IL 61455-1367 | 2018-09-06 |
| 1679091631 | Rowan Paige Haverkamp | Specialist/Technologist | 1 University Cir, Macomb, IL 61455-1367 | 2017-08-30 |
| 1407370729 | Philip Ray Nickols | Specialist/Technologist | 1 University Cir, Macomb, IL 61455 | 2017-07-28 |
| 1457807414 | Tanner Maksymicz | Specialist/Technologist | 1 University Cir, Macomb, IL 61455-1367 | 2016-08-30 |
| 1073964086 | Sabreen Dassa | Developmental Therapist | 1 University Cir, Macomb, IL 61455-1367 | 2016-06-30 |
| 1578953725 | Omaha Vamc | Clinic/Center | 1 University Cir, Macomb, IL 61455-1367 | 2015-01-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043869944 | Wesley Village, Inc | Speech-Language Pathologist | 1200 East Grant Street, Macomb, IL 61455 | 2019-09-04 |
| 1780154013 | Hannah Lauren Bengtson | Optometrist | 820 E. Jackson St., Macomb, IL 61455 | 2018-11-29 |
| 1255832564 | Lifeguard Ambulance Service of Illinois Inc. | Ambulance | 219 W Jackson St, Macomb, IL 61455 | 2018-02-22 |
| 1821516816 | Michelle Deann Sargeant | Speech-Language Pathologist | 315 N. Bonham, Macomb, IL 61455 | 2017-08-30 |
| 1972020360 | Kara Marie Wright | Speech-Language Pathologist | 315 N. Bonham St., Macomb, IL 61455 | 2017-08-25 |
| 1720356504 | Dawn M. Kedzior | Social Worker | 103 South Johnson Street, Macomb, IL 61455 | 2011-12-07 |
| 1255632642 | Michael Kurt Sharp | Audiologist | Memorial Hall, Second Floor, W Murray St, Macomb, IL 61455 | 2010-11-16 |
| 1952538704 | Mary L. Smith | Developmental Therapist | 1 University Circle, Western Il Univ, Cntr for Best Practices In Early Childhood Education, Macomb, IL 61455 | 2009-06-19 |
| 1982857827 | Macomb Oncology Institute Ltd | Radiology | 401 East Grant Street, Macomb, IL 61455 | 2008-10-23 |
| 1245488345 | Sonja E Schmidt | Social Worker | 119 Wetzel Hall, Western Illinois University, Macomb, IL 61455 | 2008-09-03 |
| Find all providers in zip 61455 | ||||
| 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 |
|---|---|---|---|---|
| 1891263653 | Skylar Marie Beard | Specialist/Technologist | 330 Wigwam Hollow Rd Apt 5, Macomb, IL 61455-1290 | 2018-11-08 |
| 1457842056 | Laurie Moro | Specialist/Technologist | 48758 Chestnut Dr, Macomb, MI 48044-2091 | 2018-05-20 |
| 1215486527 | Kodjo Amegan | Specialist/Technologist | 305 E Carroll St, Macomb, IL 61455-2351 | 2016-09-27 |
| 1831541499 | Marc Kessler | Specialist/Technologist | 1214 N Lafayette St, Macomb, IL 61455-1151 | 2016-07-07 |
| 1497116966 | Taylor Wolf | Specialist/Technologist | 14440 E 2000th St, Macomb, IL 61455-8621 | 2016-03-11 |
| 1902267404 | Jamal Robinson | Specialist/Technologist | 519 N Randolph St, Macomb, IL 61455-1560 | 2016-03-10 |
| 1235513334 | Shannon Burke | Specialist/Technologist | 1515 W Jackson St, Apt 3, Macomb, IL 61455-3634 | 2015-07-17 |
| 1952495673 | Melissa Vincke | Specialist/Technologist | 21051 21 Mile Rd, Macomb, MI 48044-2909 | 2006-10-03 |
| 1730116591 | Amy Beckman | Specialist/Technologist | 1 University Circle, Western Illinois University Athletics, Macomb, IL 61455 | 2006-06-27 |
| 1275598161 | Michael Patrick Pendergast Sr. | Specialist/Technologist | Western Illinos University Athletic Dept., One Univ. Circle, Macomb, IL 61455 | 2006-04-20 |
| Find all providers in MACOMB | ||||
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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.