DR. JENNIFER ERIN EARL-BOEHM (NPI# 1497140123) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497140123 |
| Entity Type | Individual |
| Full Name | DR. JENNIFER ERIN EARL-BOEHM |
| Credential | PHD, ATC |
| Practice Address |
3409 N Downer Ave Pavilion Suite 350 Milwaukee WI 53211 |
| Mailing Address |
Po Box 413 Pavilion Suite 350 Milwaukee WI 53201-0413 |
| Practice Telephone | 4142293227 |
| Practice Fax Number | 4142293366 |
| Mailing Telephone | 4142293227 |
| Mailing Fax Number | 4142293366 |
| Enumeration Date | 2015-03-31 |
| Last Update Date | 2015-03-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
515-039 | WI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
3409 N DOWNER AVE PAVILION SUITE 350 |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53211 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659673085 | John Ochsenwald | Specialist/Technologist | 3409 N Downer Ave, Pav 250, Sports Medicine, Milwaukee, WI 53211 | 2010-11-17 |
| 1649888066 | Rebecca Oszewski | Specialist/Technologist | 3409 N Downer Ave, Milwaukee, WI 53211-2934 | 2020-07-22 |
| 1265040034 | Claire Meyer | Specialist/Technologist | 3409 N Downer Ave, Milwaukee, WI 53211-2934 | 2020-07-17 |
| 1770100059 | Amber Mcnulty | Specialist/Technologist | 3409 N Downer Ave, Milwaukee, WI 53211-2934 | 2020-07-02 |
| 1932726510 | Shaylyn Fuerstenau | Student in an Organized Health Care Education/Training Program | 3409 N Downer Ave, Milwaukee, WI 53211-2934 | 2020-06-30 |
| 1053938548 | Mari C Mathers | Student in an Organized Health Care Education/Training Program | 3409 N Downer Ave, Milwaukee, WI 53211-2934 | 2020-06-30 |
| 1245857275 | Kensington Naze | Specialist/Technologist | 3409 N Downer Ave, Milwaukee, WI 53211-2934 | 2020-06-25 |
| 1194350009 | Jordan Anthony | Student in an Organized Health Care Education/Training Program | 3409 N Downer Ave, Milwaukee, WI 53211-2934 | 2020-03-11 |
| 1518597863 | James Joseph Andresen | Student in an Organized Health Care Education/Training Program | 3409 N Downer Ave, Milwaukee, WI 53211-2934 | 2020-01-24 |
| 1801390448 | Hayley Ericksen | Physical Medicine & Rehabilitation | 3409 N Downer Ave, Milwaukee, WI 53211 | 2018-03-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821602335 | Gabriella Caitrin Emanuele | Occupational Therapist | Harborchase of Shorewood, 1111 E Capitol Drive, Shorewood, WI 53211 | 2020-09-02 |
| 1710527783 | Sage Specialty Pharmacy Inc. | Pharmacy | 4001 N. Oakland Ave, Shorewood, WI 53211 | 2020-01-08 |
| 1861043952 | Rosina Bloomingdale Norton | Nurse Practitioner | 1921 E Harford Ave, Milwaukee, WI 53211 | 2019-09-20 |
| 1528556255 | Renee Reckelberg | Specialist/Technologist | 3409 North Downer Avenue, Pavilion, Suite 350, Milwaukee, WI 53211 | 2018-04-27 |
| 1700325602 | Wisconsin Vision, Inc. | Optometrist | 4163 N Oakland Ave, Shorewood, WI 53211 | 2017-02-13 |
| 1750827556 | Daniel Butz M.d., S.c. | Plastic Surgery | 2350 N Lake Dr Ste 304, Milwaukee, WI 53211 | 2017-01-17 |
| 1528517232 | Therese Simonis | Speech-Language Pathologist | 2390 N Lake Drive, Milwaukee, WI 53211 | 2016-09-23 |
| 1982075701 | Katie Michel | Specialist/Technologist | 3409 N. Downer Ave, Milwaukee, WI 53211 | 2015-10-20 |
| 1255776365 | Sarah Elizabeth Brill | Social Worker | 4433 N Oakland Ave Ste D, Shorewood, WI 53211 | 2013-05-02 |
| 1679814537 | Nicole Anne Parulski | Physical Therapist | 2301 North Lake Dr, Milwaukee, WI 53211 | 2013-03-01 |
| Find all providers in zip 53211 | ||||
| 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 |
|---|---|---|---|---|
| 1124649751 | Cody Scott Tesch | Specialist/Technologist | 6680 N Teutonia Ave, Milwaukee, WI 53209-3117 | 2020-05-05 |
| 1366070708 | Claire Duwell | Specialist/Technologist | 9111 W Bluemound Rd, Milwaukee, WI 53226-4506 | 2020-03-31 |
| 1851929491 | Frank Dore | Specialist/Technologist | 3265 N Oakland Ave, Milwaukee, WI 53211-3051 | 2020-03-30 |
| 1851923239 | Anna Barth | Specialist/Technologist | 1857 E Kenilworth Pl Apt 322, Milwaukee, WI 53202-4714 | 2020-02-04 |
| 1356903074 | Christian Garcia | Specialist/Technologist | 1930 W Grant St, Milwaukee, WI 53215-2614 | 2019-07-02 |
| 1801363403 | Jennifer A Merritt | Specialist/Technologist | 1245 N Broadway, Milwaukee, WI 53202-2507 | 2018-11-01 |
| 1528556255 | Renee Reckelberg | Specialist/Technologist | 3409 North Downer Avenue, Pavilion, Suite 350, Milwaukee, WI 53211 | 2018-04-27 |
| 1205344595 | Abigail Leisemann | Specialist/Technologist | 114 S 79th St, Milwaukee, WI 53214-1413 | 2018-01-20 |
| 1205299096 | Sarah Wenszell | Specialist/Technologist | 228 N 72nd St, Milwaukee, WI 53213-3752 | 2016-03-30 |
| 1396106993 | Ryan D Mccauley | Specialist/Technologist | 1732 N Prospect Ave Apt 408, Milwaukee, WI 53202-1937 | 2016-03-10 |
| Find all providers in MILWAUKEE | ||||
Please comment or provide details below to improve the information on DR. JENNIFER ERIN EARL-BOEHM.
| 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.