SHANNON BUSSE (NPI# 1467953836) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467953836 |
| Entity Type | Individual |
| Full Name | SHANNON BUSSE |
| Practice Address |
4908 E Los Coyotes Diagonal Apt 1 Long Beach CA 90815-2838 |
| Practice Telephone | 5302104554 |
| Practice Fax Number | 5302104554 |
| Mailing Telephone | 5302104554 |
| Enumeration Date | 2018-02-21 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| 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 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4908 E Los Coyotes Diagonal Apt 1, Long Beach, CA 908152838 | 5302104554 | 5302104554 |
| Street Address |
4908 E LOS COYOTES DIAGONAL APT 1 |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90815-2838 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316596745 | Fatima A. Hernandez | Technician | 2846 N Greenbrier Road, Long Beach, CA 90815 | 2019-09-09 |
| 1376027938 | Abigail Joy Dominguez | Social Worker | 2725 Hackett Ave, Long Beach, CA 90815 | 2018-09-19 |
| 1790271716 | The North Star Center for Marriage and Family Therapy, Inc. | Counselor | Faith Recovery, 2211 Suite C Palo Verde Ave, Long Beach, CA 90815 | 2018-07-02 |
| 1639600844 | Melissa Suzanne Fitzgerald | Nurse Practitioner | 6510 E. Spring Street, Spring Family Medical Group, Long Beach, CA 90815 | 2017-03-21 |
| 1588102818 | Jeff Clement | Registered Nurse | 1824 Stearnlee Avenue, Long Beach, CA 90815 | 2017-02-07 |
| 1376923524 | Edward Carl Woerz | Surgery | 5640 E. Las Lomas St., L.b., CA 90815 | 2015-06-03 |
| 1558765107 | Kendall Cheney Perez | Social Worker | 4142 E Mendez St Unit 433, Long Beach, CA 90815 | 2014-10-10 |
| 1689087769 | Nellie Grace Bell, Ma, Inc. | Marriage & Family Therapist | 6200 E. Spring St., Suite G, Long Beach, CA 90815 | 2014-06-06 |
| 1245652270 | Nguyen and Ghazal Dental Corporation | Dentist | 5533-a East Stearns Street, Long Beach, CA 90815 | 2014-01-10 |
| 1306267182 | Marcia Freeman | Licensed Practical Nurse | 2250 Grand Ave, Long Beach, CA 90815 | 2013-12-23 |
| Find all providers in zip 90815 | ||||
| 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 |
|---|---|---|---|---|
| 1619509734 | Albert Navarro | Specialist/Technologist | 2605 E Adams St, Long Beach, CA 90810-1504 | 2020-02-06 |
| 1902468408 | Adriana Raya | Specialist/Technologist | 2001 Santa Fe Ave, Long Beach, CA 90810-4068 | 2019-07-03 |
| 1861050478 | Cody Patrick Morris | Specialist/Technologist | 2225 Euclid Ave, Long Beach, CA 90815-2518 | 2019-05-30 |
| 1548750862 | Fumiya Nakata | Specialist/Technologist | 445 E 3rd St Apt 301, Long Beach, CA 90802-3195 | 2018-05-11 |
| 1023513165 | Phillip M Croak | Specialist/Technologist | 5025 E Pacific Coast Hwy Apt P231, Long Beach, CA 90804-3239 | 2018-03-29 |
| 1083117832 | Amos Hirsh | Specialist/Technologist | 3409 E 1st St., B, Long Beach, CA 90803 | 2018-03-16 |
| 1124521034 | Cindy Aboud | Specialist/Technologist | 533 Newport Ave Apt 4, Long Beach, CA 90814-4766 | 2018-03-16 |
| 1831692086 | Vivian Tanudjaja | Specialist/Technologist | 6481 Atlantic Ave Apt 135, Long Beach, CA 90805-2339 | 2018-03-14 |
| 1609376391 | Andy N Nguyen | Specialist/Technologist | 1880 W Burnett St, Long Beach, CA 90810-3222 | 2018-02-19 |
| 1134629975 | Tyler Augenfeld | Specialist/Technologist | 533 Newport Ave Apt 2, Long Beach, CA 90814-4764 | 2018-02-19 |
| Find all providers in LONG BEACH | ||||
| City | LONG BEACH |
| Zip Code | 90815 |
Please comment or provide details below to improve the information on SHANNON BUSSE.
| 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.