AMANDA MARIE BOUCHEY I (NPI# 1487213898) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487213898 |
| Entity Type | Individual |
| Full Name | AMANDA MARIE BOUCHEY I |
| Practice Address |
901 S National Ave Springfield MO 65897-0001 |
| Mailing Address |
1005 Hampton Dr Centralia MO 65240-1081 |
| Practice Telephone | 4178365000 |
| Mailing Telephone | 3092658167 |
| Enumeration Date | 2019-06-10 |
| Last Update Date | 2019-06-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
2019017599 | MO | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
901 S NATIONAL AVE |
| City | SPRINGFIELD |
| State | MO |
| Zip Code | 65897-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841291747 | Ivan Eugene Milton | Specialist/Technologist | 901 S National Ave, Springfield, MO 65804-0027 | 2005-08-02 |
| 1285245613 | Bailee Nicole Mcafee | Specialist/Technologist | 901 S National Ave, Springfield, MO 65897-0027 | 2020-08-10 |
| 1942828256 | Abigail Bjerken | Specialist/Technologist | 901 S National Ave, Springfield, MO 65897-0027 | 2020-07-13 |
| 1316561152 | Alexandra Marie Woody | Specialist/Technologist | 901 S National Ave, Springfield, MO 65897-0027 | 2020-06-07 |
| 1003436585 | Makenzie Lynn Abbott | Physician Assistant | 901 S National Ave, Springfield, MO 65897-0027 | 2020-04-24 |
| 1720610256 | Jill Ashley Trotman | Dietitian, Registered | 901 S National Ave, Springfield, MO 65897-0027 | 2020-02-12 |
| 1114586567 | Malik Riley | Specialist/Technologist | 901 S National Ave, Springfield, MO 65897-0027 | 2019-06-10 |
| 1083273445 | Kelli Michele Jones | Specialist/Technologist | 901 S National Ave, Springfield, MO 65897-0027 | 2019-06-10 |
| 1417412883 | Madison Marie Cronin-burroughs | Specialist/Technologist | 901 S National Ave, Springfield, MO 65897-0027 | 2019-02-09 |
| 1497210124 | Bayli Lenn Galeassi | Specialist/Technologist | 901 S National Ave, Springfield, MO 65897-0027 | 2019-02-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467051516 | Kangjun Lee | Specialist/Technologist | 901 S. National Ave., Springfield, MO 65897 | 2020-10-20 |
| 1134743073 | Jared Saylor | Student in an Organized Health Care Education/Training Program | 901 S National Ave, Prof 160, Springfield, MO 65897 | 2020-06-06 |
| 1215597208 | Jangsoo Kim | Student in an Organized Health Care Education/Training Program | 901 S National Ave., Springfield, MO 65897 | 2019-06-20 |
| 1104912542 | Filip John Garrett | Family Medicine | 901 S Nationa Ave, Springfield, MO 65897 | 2006-10-05 |
| 1043306483 | Lawrence Sylvester Shields | Family Medicine | 901 South National Ave, Springfield, MO 65897 | 2006-10-05 |
| 1750469102 | Susan Wilson Essman | Family Medicine | 901 South National Avenue, Springfield, MO 65897 | 2006-11-02 |
| 1073600334 | Missouri State University | Psychologist | 715 S Florence, Springfield, MO 65897 | 2006-10-06 |
| 1033763271 | Ariana Nicole Hetland-purna | Specialist/Technologist | 1045 Grand St (art Annex Building), Springfield, MO 65897-0001 | 2019-07-25 |
| 1508321092 | Jacob Hawkins | Specialist/Technologist | 901 S National Prof 160 Department of Sports Medicine, Springfield, MO 65897-0001 | 2019-02-08 |
| 1942764311 | Tameka Stennis | Specialist/Technologist | 901 South National Professional Building, Springfield, MO 65897-0001 | 2019-01-29 |
| Find all providers in zip 65897 | ||||
| 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 |
|---|---|---|---|---|
| 1467051516 | Kangjun Lee | Specialist/Technologist | 901 S. National Ave., Springfield, MO 65897 | 2020-10-20 |
| 1740806413 | Megan Herter | Specialist/Technologist | 1513 Old Ivy Dr, Springfield, IL 62711-8156 | 2020-06-18 |
| 1124649702 | Bridget Fenger | Specialist/Technologist | 521 W Central St, Springfield, MN 56087-1213 | 2020-05-05 |
| 1598302846 | Tamanna Kazi | Specialist/Technologist | 6746 Metropolitan Center Dr Apt 204, Springfield, VA 22150-4582 | 2019-12-05 |
| 1861035172 | Kory Matthew Kasper | Specialist/Technologist | 117 N Pittsburg Lndg, Springfield, IL 62711-8208 | 2019-10-21 |
| 1760037691 | Lauren Potter | Specialist/Technologist | 607 Highland Rd, Springfield, VT 05156-8844 | 2019-08-07 |
| 1033763271 | Ariana Nicole Hetland-purna | Specialist/Technologist | 1045 Grand St (art Annex Building), Springfield, MO 65897-0001 | 2019-07-25 |
| 1962968867 | Chad Michael Linck | Specialist/Technologist | 2125 N Glenstone Ave, Springfield, MO 65802 | 2019-02-15 |
| 1669938080 | Corey Michael Ratsch | Specialist/Technologist | 1116 E Cherry St Rm 300, Springfield, MO 65807-1517 | 2019-02-11 |
| 1164987640 | Emilee Pierce | Specialist/Technologist | 2015 W University St Apt E212, Springfield, MO 65807-7890 | 2019-02-08 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 65897 |
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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.