JOHANNA ROSE POOLE (NPI# 1487110987) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487110987 |
| Entity Type | Individual |
| Full Name | JOHANNA ROSE POOLE |
| Practice Address |
2050 4th Ave Stevens Point WI 54481-1910 |
| Practice Telephone | 2626890073 |
| Mailing Telephone | 2626890073 |
| Enumeration Date | 2019-02-20 |
| Last Update Date | 2019-02-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| 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 |
2050 4TH AVE |
| City | STEVENS POINT |
| State | WI |
| Zip Code | 54481-1910 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295722585 | Nathan Richard Weiler | Specialist/Technologist | 2050 4th Ave, Stevens Point, WI 54481-1910 | 2005-09-30 |
| 1346887825 | Mitchell Fromm | Student in an Organized Health Care Education/Training Program | 2050 4th Ave, Stevens Point, WI 54481-1910 | 2019-12-04 |
| 1760941033 | Jacqueline Christine Landry | Student in an Organized Health Care Education/Training Program | 2050 4th Ave, Stevens Point, WI 54481-1910 | 2019-03-17 |
| 1154888444 | Emily Miller | Specialist/Technologist | 2050 4th Ave, Stevens Point, WI 54481-1910 | 2019-02-22 |
| 1861966061 | Casandra Klubertanz | Specialist/Technologist | 2050 4th Ave, Stevens Point, WI 54481-1910 | 2019-01-22 |
| 1275006082 | Abigail M Goenner | Specialist/Technologist | 2050 4th Ave, Stevens Point, WI 54481-1910 | 2019-01-03 |
| 1174904320 | Sarah Rose Vitale | Specialist/Technologist | 2050 4th Ave, Stevens Point, WI 54481-1910 | 2015-06-13 |
| 1558748780 | Jamie Destache | Specialist/Technologist | 2050 4th Ave, Stevens Point, WI 54481-1910 | 2015-04-27 |
| 1255739140 | Aaron S Alford | Specialist/Technologist | 2050 4th Ave, Hec 134, Stevens Point, WI 54481-1910 | 2014-12-09 |
| 1174922306 | Christine Mealiff | Specialist/Technologist | 2050 4th Ave, Athletic Training Room, Stevens Point, WI 54481-1910 | 2014-08-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790309649 | County of Portage | Clinic/Center | 1519 Water Street, Stevens Point, WI 54481 | 2020-06-05 |
| 1700400736 | Sarai Sophia Holbrook | Speech-Language Pathologist | Room 038 Cps, 1901 Fourth Ave., Uw-stevens Point, Stevens Point, WI 54481 | 2020-06-05 |
| 1164994117 | Copperleaf Home Health Inc | Homemaker | 1077 Wilshire Blvd, Stevens Point, WI 54481 | 2018-12-31 |
| 1568980274 | Melissa Jean Gutierrez | Dental Hygienist | 941 Michigan Ave, Stevens Point, WI 54481 | 2017-09-01 |
| 1164946026 | Brittany Rose Larocque | Chiropractor | 3908 Green Ct, Stevens Point, WI 54481 | 2017-08-01 |
| 1245750009 | Alyssa Kate Koth | Speech-Language Pathologist | Rm 038 Cps 1901 Fourth Ave, Unviersity of Wisconsin-stevens Point, Stevens Point, WI 54481 | 2017-06-22 |
| 1881133734 | Teri Jean Edlebeck | Specialist/Technologist | 1017 Williams Street, Stevens Point, WI 54481 | 2017-02-13 |
| 1215475892 | Valerie Lynn Fons | Dental Hygienist | 941 Michigan Avenue, Stevens Point, WI 54481 | 2017-02-03 |
| 1427509439 | Tanner Ozanne | Chiropractor | 2212 Division St, Stevens Point, WI 54481 | 2016-10-14 |
| 1134594765 | Dana Fredrickson | Registered Nurse | 616 Franklin St, Stevens Point, WI 54481 | 2015-12-08 |
| Find all providers in zip 54481 | ||||
| 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 |
|---|---|---|---|---|
| 1215562038 | Kara Catherine Battaglia | Specialist/Technologist | 1899 Frontage Ln, Stevens Point, WI 54481-9539 | 2020-03-12 |
| 1821562026 | Ziyad Abdel-fattah Elewa | Specialist/Technologist | 2724 4th Ave Apt 5, Stevens Point, WI 54481-2073 | 2019-01-22 |
| 1881133734 | Teri Jean Edlebeck | Specialist/Technologist | 1017 Williams Street, Stevens Point, WI 54481 | 2017-02-13 |
| 1356740468 | Benjamin Rockwell | Specialist/Technologist | 3825 Robert Street, Apt 2, Stevens Point, WI 54481 | 2014-08-14 |
| 1215344114 | Danelle Smith | Specialist/Technologist | 570 W River Dr W, Stevens Point, WI 54481-9068 | 2014-07-13 |
| 1295792786 | Jonathan David Ekhoff | Specialist/Technologist | 5412 Us Highway 10 E, Stevens Point, WI 54482-8559 | 2006-04-27 |
| 1295722585 | Nathan Richard Weiler | Specialist/Technologist | 2050 4th Ave, Stevens Point, WI 54481-1910 | 2005-09-30 |
| 1316406994 | Kassandra Irene Yeazel | Specialist/Technologist | 2100 Main St, Stevens Point, WI 54481-3871 | 2019-03-13 |
| 1154888444 | Emily Miller | Specialist/Technologist | 2050 4th Ave, Stevens Point, WI 54481-1910 | 2019-02-22 |
| 1912461021 | Alexandra Schanck | Specialist/Technologist | 2100 Main St, Stevens Point, WI 54481-3871 | 2019-01-23 |
| Find all providers in STEVENS POINT | ||||
| City | STEVENS POINT |
| Zip Code | 54481 |
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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.