DUSTIN HOLLEY (NPI# 1447536537) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447536537 |
| Entity Type | Individual |
| Full Name | DUSTIN HOLLEY |
| Credential | MS, ATC |
| Practice Address |
1501 W Bradley Ave Peoria IL 61625-0001 |
| Practice Telephone | 3096773072 |
| Mailing Telephone | 3096773072 |
| Enumeration Date | 2011-11-02 |
| Last Update Date | 2011-11-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1501 W BRADLEY AVE |
| City | PEORIA |
| State | IL |
| Zip Code | 61625-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013982487 | Eric T Redman | Specialist/Technologist | 1501 W Bradley Ave, Peoria, IL 61625-0001 | 2006-02-21 |
| 1265908776 | Eric Polomis | Specialist/Technologist | 1501 W Bradley Ave, Peoria, IL 61625-0001 | 2018-10-23 |
| 1518412725 | Rebecca Elschlager | Specialist/Technologist | 1501 W Bradley Ave, Peoria, IL 61625-0001 | 2016-08-17 |
| 1518122902 | Andrew J Strubhar | Physical Therapist | 1501 W Bradley Ave, Bradley University, Peoria, IL 61625-0001 | 2008-07-24 |
| 1043496664 | Megan Nixon | Specialist/Technologist | 1501 W Bradley Ave, Peoria, IL 61625-0001 | 2008-01-14 |
| 1215990189 | Marcus Ohnemus | Specialist/Technologist | 1501 W Bradley Ave, Peoria, IL 61625-0001 | 2006-04-10 |
| 1629045067 | Megan Stevenart | Specialist/Technologist | 1501 W Bradley Ave, Peoria, IL 61625-0001 | 2006-03-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114142643 | Christina B Nulty | Internal Medicine | 912 N Elmwood Ave, Peoria, IL 61625-0001 | 2007-04-17 |
| 1770709719 | Janine E. Donahue | Psychiatry & Neurology | 912 N Elmwood Ave, Peoria, IL 61625-0001 | 2007-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881295541 | Britney Julia Durst | Nurse Practitioner | 5905 N Prospect Rd, Peoria, IL 61614-4311 | 2020-11-07 |
| 1538760525 | Ayomikun Ajulo | Technician | 7426 W Cheryl Dr, Peoria, AZ 85345-6723 | 2020-11-05 |
| 1932700929 | True Wellness Support Services | Community/Behavioral Health | 8936 W Villa Rita Dr, Peoria, AZ 85382-3021 | 2020-11-05 |
| 1386245397 | Lynsey Perera | Pharmacist | 7610 N Orange Prairie Rd, Peoria, IL 61615-9324 | 2020-11-05 |
| 1942801071 | Kathrine Sunstedt | Nurse Practitioner | 420 Ne Glen Oak Ave Ste 201, Peoria, IL 61603-3112 | 2020-11-04 |
| 1235730508 | Gheorghe Patrutescu | Assisted Living Facility | 16134 N 72nd Ln, Peoria, AZ 85382-4937 | 2020-11-03 |
| 1366042988 | Nicole Elizabeth Steen | Registered Nurse | 21751 N 86th Ln, Peoria, AZ 85382-2497 | 2020-11-01 |
| 1699375683 | Christopher Wayne Sharp | Pharmacist | 8062 W Eva St, Peoria, AZ 85345-7197 | 2020-10-28 |
| 1487254629 | Bernadette Bruha | Counselor | 10028 W Redbird Rd, Peoria, AZ 85383-3368 | 2020-10-27 |
| 1124627906 | Lance Jay Bucher | Occupational Therapist | 8600 Il-91, Peoria, IL 61615 | 2020-10-22 |
| Find all providers in PEORIA | ||||
| 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 |
|---|---|---|---|---|
| 1912513367 | Kathryn Spicer | Specialist/Technologist | 7525 W Mary Jane Ln, Peoria, AZ 85382-4819 | 2020-09-21 |
| 1558847350 | Abel Eulogio Fernandez | Specialist/Technologist | 7733 W Crocus Dr, Peoria, AZ 85381-8522 | 2018-07-14 |
| 1770085995 | Gregory Lee Gaa | Specialist/Technologist | 7800 N Sommer St Ste 608, Peoria, IL 61615-1968 | 2018-03-03 |
| 1770096877 | Michelle Therese Novak | Specialist/Technologist | 2338 W Van Winkle Way Ste 3300, Peoria, IL 61615-7485 | 2017-11-10 |
| 1174058291 | Brooke Willette | Specialist/Technologist | 18210 N 92nd Ln, Peoria, AZ 85382-7707 | 2017-04-26 |
| 1528591351 | Michael R Utter | Specialist/Technologist | 8940 W Kathleen Rd, Peoria, AZ 85382-3727 | 2017-04-08 |
| 1164967394 | Bryan Anthony Thompson | Specialist/Technologist | 8819 W Echo Ln, Peoria, AZ 85345-7834 | 2016-12-26 |
| 1003279340 | Joseph Tarantino | Specialist/Technologist | 8131 W Paradise Ln, Peoria, AZ 85382-3826 | 2016-04-04 |
| 1689049256 | Taylor Coltrin | Specialist/Technologist | 6032 N Teal Wood Cir, Peoria, IL 61615-2231 | 2015-12-08 |
| 1598184988 | Hiroki Sato | Specialist/Technologist | 7631 W Comet Ave, Peoria, AZ 85345-6666 | 2014-04-14 |
| Find all providers in PEORIA | ||||
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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.