REBECCA LYN WARDLAW (NPI# 1457590846) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457590846 |
| Entity Type | Individual |
| Full Name | REBECCA LYN WARDLAW |
| Credential | ATC, MA, LAT |
| Practice Address |
12809 W Dodge Rd Omaha NE 68154-2155 |
| Mailing Address |
13312 Jaynes Plz Apt 305 Omaha NE 68164-1059 |
| Practice Telephone | 4022061945 |
| Mailing Telephone | 4024995260 |
| Enumeration Date | 2009-02-09 |
| Last Update Date | 2009-02-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
441 | NE | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
12809 W DODGE RD |
| City | OMAHA |
| State | NE |
| Zip Code | 68154-2155 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982773776 | Alegent Health Bergan Mercy Health System | Dietitian, Registered | 12809 W Dodge Rd, Omaha, NE 68154-2155 | 2006-11-07 |
| 1699035931 | Alegent Creighton Clinic | Family Medicine | 12809 W Dodge Rd, Omaha, NE 68154-2155 | 2012-05-21 |
| 1912267238 | Alegent Creighton Clinic | Clinical Medical Laboratory | 12809 W Dodge Rd, Omaha, NE 68154-2155 | 2012-05-21 |
| 1770854663 | Alegent Health Bergan Mercy Health System | Internal Medicine | 12809 W Dodge Rd, Omaha, NE 68154-2155 | 2012-01-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275149262 | Vervech | Counselor | 11422 Miracle Hills Drive, Suite 401, Omaha, NE 68154 | 2020-09-16 |
| 1891318150 | Pure Massage, LLC | Massage Therapist | Pure Massage, LLC, 11316 Davenport St, Omaha, NE 68154 | 2020-05-21 |
| 1326682592 | Andrea Dawn Degner | Counselor | 11580 W. Dodge Frontage Rd, Omaha, NE 68154 | 2019-10-31 |
| 1669035150 | Gerard Thomas IIi | Physical Therapist | Triage LLC, 12020 Pacific Street, Omaha, NE 68154 | 2019-04-19 |
| 1306311352 | Sakrx, LLC | Pharmacy | 624 N 114th St, Omaha, NE 68154 | 2018-10-05 |
| 1033622782 | Raquelle G. Rowe | Registered Nurse | 11840 Nicholas Street Suite 215, Med Staff, Omaha, NE 68154 | 2017-11-15 |
| 1336680396 | Kristi Bose | Nurse Practitioner | 11422 Miracle Hills Dr Ste 401, Omaha, NE 68154 | 2017-03-10 |
| 1326442781 | Heather Andsager | Pharmacy Technician | 13360 California Street, Omaha, NE 68154 | 2014-10-14 |
| 1073917605 | Ann Leever | Pharmacist | 505 N 155th Plaza, Omaha, NE 68154 | 2014-10-10 |
| 1689078222 | Melissa Svec | Emergency Medical Technician, Basic | 1705 N 121st St #203, Omaha, NE 68154 | 2014-10-10 |
| Find all providers in zip 68154 | ||||
| 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 |
|---|---|---|---|---|
| 1184235673 | Cheyenne Janicek | Specialist/Technologist | 7630 Ontario St, Omaha, NE 68124-4035 | 2020-08-10 |
| 1508405598 | David H Edwards | Specialist/Technologist | 11230 Y St, Omaha, NE 68137-4671 | 2019-12-23 |
| 1851939409 | Isabelle Kathleen Kane | Specialist/Technologist | 5061 S 135th St Apt 5208, Omaha, NE 68137-1786 | 2019-12-13 |
| 1689211633 | Makeda Russ | Specialist/Technologist | 2927 S 148th St, Omaha, NE 68144-3257 | 2019-12-09 |
| 1215493721 | Alyssa Cohen | Specialist/Technologist | 17088 Weir St, Omaha, NE 68135-1432 | 2019-02-20 |
| 1881158475 | Addison Kathleen Thonen | Specialist/Technologist | 2506 N 157th St, Omaha, NE 68116-2026 | 2019-01-28 |
| 1437629631 | Andrew Thomas | Specialist/Technologist | 9405 Burt St Apt 1, Omaha, NE 68114-2500 | 2018-11-29 |
| 1669942264 | Sthephanie Alexandra Sanchez-padron | Specialist/Technologist | 3320 N 58th St, Omaha, NE 68104-3433 | 2018-11-27 |
| 1740750389 | Brett Skof | Specialist/Technologist | 6607 South 108th Court #210, Omaha, NE 68137 | 2018-11-27 |
| 1790254894 | Jacy Jenae Sparano | Specialist/Technologist | 5314 Holmes St, Omaha, NE 68117-1835 | 2018-11-19 |
| Find all providers in OMAHA | ||||
Please comment or provide details below to improve the information on REBECCA LYN WARDLAW.
| 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.