MR. TERRY L DEZEEUW (NPI# 1437176120) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437176120 |
| Entity Type | Individual |
| Full Name | MR. TERRY L DEZEEUW |
| Credential | ATC |
| Practice Address |
Colorado State University Mcgraw Athletic Center Fort Collins CO 80523-0001 |
| Practice Telephone | 9704916756 |
| Practice Fax Number | 9704916167 |
| Mailing Telephone | 9704916756 |
| Mailing Fax Number | 9704916167 |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
36000536A | IN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | STATE LICENSE | 36000536A | 01 |
| Street Address |
COLORADO STATE UNIVERSITY MCGRAW ATHLETIC CENTER |
| City | FORT COLLINS |
| State | CO |
| Zip Code | 80523-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932146446 | Susan Jean Wolfelt | Family Medicine | Colorado State University, Hartshorn Health Service, Fort Collins, CO 80523-0001 | 2006-06-01 |
| 1558816264 | Brea Banks Wimbley | Psychologist | Colorado State University, Fort Collins, CO 80523-0001 | 2016-08-23 |
| 1023419660 | Hanako Shishido | Student in an Organized Health Care Education/Training Program | Colorado State University, Aylesworth Hall, Ne Wing, Fort Collins, CO 80523-8010 | 2014-09-15 |
| 1154759181 | Liza Marcelo | Licensed Practical Nurse | Colorado State University, Hartshorn Health Service, Fort Collins, CO 80523-0001 | 2013-10-30 |
| 1639434178 | Samuel Thomas Narby | Social Worker | Colorado State University, Fort Collins, CO 80523-0001 | 2012-07-11 |
| 1841459591 | Michelle Renee Martino | Registered Nurse | Colorado State University, 8031 Hartshorn Health Services, Fort Collins, CO 80523-0001 | 2008-06-07 |
| 1942467063 | Luann Renee Zeller Schilling | Dental Hygienist | Colorado State University, Hartshorn Health Service, Fort Collins, CO 80523-0001 | 2008-05-16 |
| 1730395021 | Karen Hannon Lamoureux | Massage Therapist | Colorado State University, Hartshorn Health Service, Fort Collins, CO 80523-8031 | 2007-05-15 |
| 1952520223 | Teresa Alane Haas | Clinic/Center | Colorado State University, Hartshorn Health Service, Fort Collins, CO 80523-8031 | 2007-04-25 |
| 1659439552 | Ann Schofield | Physical Therapist | Colorado State University, Hartshorn Health Service, Fort Collins, CO 80523-8031 | 2006-12-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205383833 | Jessica Morse | Counselor | 123 Aylesworth Nw Csu Health Network, Colorado State University, Fort Collins, CO 80523 | 2016-09-01 |
| 1457764813 | Elizabeth Eli | Specialist | 1500 S Lemay Ave, Fort Collins, CO 80523 | 2014-06-03 |
| 1124365473 | Susan Taylor-johnson | Counselor | 800 Meridian Drive, Fort Collins, CO 80523 | 2013-01-07 |
| 1336440551 | Michelle Truex | Pharmacist | Csu Health Network Pharmacy Campus Delivery 8031, Fort Collins, CO 80523 | 2010-11-04 |
| 1942306329 | Allison Marie Rottini | Psychologist | 123 Nw Aylesworth, Csu Health Network, Fort Collins, CO 80523 | 2006-09-15 |
| 1124527593 | Adam-jon Aparicio | Counselor | 151 West Lake Street, Counseling Services, Fort Collins, CO 80523 | 2018-02-12 |
| 1639528102 | Gilda Olivia Rios | Counselor | 123 Aylesworth Hall Nw, Department 8010, Fort Collins, CO 80523 | 2016-06-06 |
| 1316360365 | Lori Stevens | Registered Nurse | 600 South Drive, Fort Collins, CO 80523 | 2014-01-28 |
| 1346532751 | Carol W Clark | Registered Nurse | 600 South Drive, Fort Collins, CO 80523 | 2011-05-04 |
| 1487850657 | Cheryl Ann Schiager | Registered Nurse | 600 South Drive, Colorado State University, Fort Collins, CO 80523 | 2007-06-25 |
| Find all providers in zip 80523 | ||||
| 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 |
|---|---|---|---|---|
| 1467052761 | Andrea J Stutz | Specialist/Technologist | 316 E County Road 30, Fort Collins, CO 80525-9303 | 2020-10-27 |
| 1225531825 | Shonny H Vander Vliet | Specialist/Technologist | 7332 Matheson Dr, Fort Collins, CO 80525-8239 | 2018-03-10 |
| 1881108637 | Emerald Damge | Specialist/Technologist | 2542 Orchard Pl, Fort Collins, CO 80521-3117 | 2017-11-30 |
| 1205366820 | Victoria Marie Sechser | Specialist/Technologist | 1102 Peterson St, Fort Collins, MN 80524 | 2017-06-15 |
| 1699228833 | Sarah Whitney Weatherford | Specialist/Technologist | 951 W Plum St, Fort Collins, CO 80523-0001 | 2016-07-24 |
| 1760857551 | Cameron Aris | Specialist/Technologist | 5227 Cornerstone Dr, Fort Collins, CO 80528-3076 | 2015-12-06 |
| 1215308861 | Brittany Koehler | Specialist/Technologist | 3002 W. Elizabeth 24f, Fort Collins, CO 80521 | 2015-10-08 |
| 1336328970 | Ryan Thomas Ostapovich | Specialist/Technologist | 3650 Big Dipper Dr, Fort Collins, CO 80528-4454 | 2007-10-31 |
| 1598870602 | Mackenzie Luke Mcdonald | Specialist/Technologist | Colorado State University Dept 0120, Moby 141, Fort Collins, CO 80523-0001 | 2006-08-20 |
| 1114995503 | Tao Lee Land | Specialist/Technologist | 141 Moby Arena, Csu Athletics, Fort Collins, CO 80523-0120 | 2006-03-10 |
| Find all providers in FORT COLLINS | ||||
| City | FORT COLLINS |
| Zip Code | 80523 |
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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.