STEFANIE CARROLL (NPI# 1487037214) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487037214 |
| Entity Type | Individual |
| Full Name | STEFANIE CARROLL |
| Practice Address |
2503 Woodlake Rd Sw Apt 4 Wyoming MI 49519-4710 |
| Practice Telephone | 3303476272 |
| Mailing Telephone | 3303476272 |
| Enumeration Date | 2015-06-29 |
| Last Update Date | 2015-06-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
2601001341 | MI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | MICHIGAN LICENSE | 2601001341 | 01 |
| Street Address |
2503 WOODLAKE RD SW APT 4 |
| City | WYOMING |
| State | MI |
| Zip Code | 49519-4710 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609364009 | Alexandra K Hylen | Dentist | 4489 Byron Center Ave Sw Ste A, Wyoming, MI 49519 | 2018-05-01 |
| 1962925685 | Nicole Lee Kolasa | Rehabilitation Counselor | 2038 Melvin St. Sw, Wyoming, MI 49519 | 2017-07-25 |
| 1720534472 | Michael Ash | Rehabilitation Practitioner | 1870 36th Street, Wyoming, MI 49519 | 2016-08-31 |
| 1891248993 | Kayleigh Saucier | Family Medicine | 5900 Byron Center Avenue Se, Wyoming, MI 49519 | 2016-07-26 |
| 1093112799 | Wmro LLC | Radiology | 5950 Metro Way, Wyoming, MI 49519 | 2014-11-24 |
| 1033547658 | Maranda Catherine Gary | Nurse Practitioner | 2122 Health Drive, Wyoming, MI 49519 | 2013-10-16 |
| 1144657800 | Diana Ro | Psychologist | 4211 Parkway Place Sw, #100, Wyoming, MI 49519 | 2013-09-26 |
| 1386077873 | Lindsey Elizabeth Chorney | Nurse Practitioner | 2122 Health Drive Sw, Suite 133, Wyoming, MI 49519 | 2013-08-20 |
| 1124377163 | Vision and Sensory Center of Michigan LLC | Optometrist | 4467 Byron Center Ave., Wyoming, MI 49519 | 2012-09-06 |
| 1881940203 | Judah | Durable Medical Equipment & Medical Supplies | 2975 Waterchase Way Sw Suite 307, Wyoming, MI 49519 | 2012-08-03 |
| Find all providers in zip 49519 | ||||
| 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 |
|---|---|---|---|---|
| 1700350279 | Morgan Brown | Specialist/Technologist | 7 Dove Pl, Wyoming, DE 19934-9539 | 2019-01-17 |
| 1760966964 | Laura Elizabeth Thomas | Specialist/Technologist | 5722 Metro Way Sw Ste B, Wyoming, MI 49519-9524 | 2018-09-24 |
| 1962911107 | Lauren Anne Stachura | Specialist/Technologist | 2441 Ancient Dr Sw, Wyoming, MI 49519-4504 | 2017-09-20 |
| 1881132827 | Laura Elizabeth Ramaker | Specialist/Technologist | 2787 Pine Dunes Ct Sw, Wyoming, MI 49418 | 2017-02-10 |
| 1629488549 | Caitlin Wright | Specialist/Technologist | 2765 Woodlake Rd Sw Apt 6, Wyoming, MI 49519-4649 | 2014-04-30 |
| 1760730840 | Amanda Marie Smits | Specialist/Technologist | 716 Marcia St Sw, Wyoming, MI 49509-4017 | 2012-08-21 |
| 1861623258 | Angela Kleback | Specialist/Technologist | 40 W 7th St, Wyoming, PA 18644-1617 | 2009-08-03 |
| 1043231871 | Mark Mckamey | Specialist/Technologist | 23 Jean St Sw, Wyoming, MI 49548-4248 | 2006-07-21 |
| 1194207712 | Melissa Mazzitelli | Specialist/Technologist | 29 E 6th St, Wyoming, PA 18644-2027 | 2018-08-30 |
| 1346493723 | Deanna J Nelson | Specialist/Technologist | 5200 Fairview Boulevard, Fairview Sports and Orthopedic Care, Wyoming, MN 55092 | 2008-10-29 |
| Find all providers in WYOMING | ||||
Please comment or provide details below to improve the information on STEFANIE CARROLL.
| 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.