JESSE ANDERSON (NPI# 1538661186) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538661186 |
| Entity Type | Individual |
| Full Name | JESSE ANDERSON |
| Credential | ATC |
| Practice Address |
102 Iverson St W Saint Joseph MN 56374-4650 |
| Practice Telephone | 3202265380 |
| Mailing Telephone | 3202265380 |
| Enumeration Date | 2018-02-28 |
| Last Update Date | 2018-02-28 |
| Gender Code | M |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609403112 | Jesse Anderson | Social Worker | 1303c Nicholas St, Easton, PA 18045 | 2020-03-25 |
| 1518368836 | Jesse Anderson | Chiropractor | 982 N Taylor St, Green Bay, WI 54303-1202 | 2014-09-05 |
| 1164710349 | Jesse Lee Anderson | Physical Therapist | 30 Lawrence Rd Ste 900, Broomall, PA 19008-3301 | 2011-07-21 |
| 1770583080 | Jesse Anderson IIi | Podiatrist | 2401 Godwin Blvd Ste 1, Suffolk, VA 23434-8178 | 2005-07-28 |
| 1750916763 | Jesse Michael Anderson | Physician Assistant | 35 State Ave Ste 1, Faribault, MN 55021-6369 | 2020-03-10 |
| 1578069340 | Jesse Paul Anderson | Behavioral Analyst | 102 Westlake Dr, West Lake Hills, TX 78746-5394 | 2018-04-02 |
| 1629580436 | Jesse Anderson | Orthopaedic Surgery | 18444 N 25th Ave Ste 210, Phoenix, AZ 85023 | 2017-11-02 |
| 1104378215 | Jesse Ward Anderson | Physician Assistant | 207 Foote Ave, Jamestown, NY 14701-7077 | 2016-10-25 |
| 1720333628 | Jesse Willis Anderson | Registered Nurse | 2789 Ortiz Ave, Fort Myers, FL 33905-7806 | 2012-07-17 |
| 1497835474 | Jesse Anderson | Pharmacy Technician | 1001 N Country Club Rd, Ada, OK 74820-2847 | 2006-10-16 |
| Street Address |
102 IVERSON ST W |
| City | SAINT JOSEPH |
| State | MN |
| Zip Code | 56374-4650 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083130488 | Bettin Counseling | Social Worker | 1151 Minnesota St E. #6, St Joseph, MN 56374 | 2017-08-17 |
| 1063949998 | Brian S Koltes | Chiropractor | 103 College Ave N, Saint Joseph, MN 56374 | 2017-05-23 |
| 1588102917 | Premier Healthcare Management of St Joseph LLC | Assisted Living Facility | 329 7th Ave Se, St. Joseph, MN 56374 | 2017-02-06 |
| 1720349608 | Laura Jayne Sherr | Counselor | 37 South College Avenue, C/o Csb Health Center, Lottie Hall Lower Level, St. Joseph, MN 56374 | 2012-06-06 |
| 1194084293 | Jamie Lane Vogt | Social Worker | 215 N. Benton Drive, Independent Lifestyles, Inc, Sauk Rapids, MN 56374 | 2012-05-09 |
| 1598979346 | Patricia Ann Martini | Psychologist | 100 West Minnesota St, St Joseph, MN 56374 | 2007-05-10 |
| 1982742144 | Phyllis Ann Owens | Psychologist | 211151 John Milless Drive, Rogers, MN 56374 | 2007-02-01 |
| 1043287527 | Carol L Holton | Nurse Practitioner | 37 College Ave South, Saint Joseph, MN 56374 | 2006-03-03 |
| 1265429542 | Gerard L Bobeldyk | Internal Medicine | 16472 Laurel Rd, St Joseph, MN 56374 | 2005-10-03 |
| 1780176602 | Jennifer Margaret Chirhart | Nurse Practitioner | 1360 Elm St E, Saint Joseph, MN 56374 | 2018-06-06 |
| Find all providers in zip 56374 | ||||
| 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 |
|---|---|---|---|---|
| 1225592421 | Andrea Canas | Specialist/Technologist | 508 Sherwood Dr, Saint Joseph, IL 61873-9468 | 2019-01-22 |
| 1437504594 | Jenna Beth Zettel | Specialist/Technologist | 5655 S 4th St, Saint Joseph, MO 64504-1708 | 2016-04-26 |
| 1861856403 | Hannah E Warnert | Specialist/Technologist | 33674 83rd Ave, Saint Joseph, MN 56374-9786 | 2016-04-10 |
| 1982074175 | Timothy Clair Mcnair | Specialist/Technologist | 1446 Deerfield St, Saint Joseph, MI 49085-9763 | 2015-09-30 |
| 1033586466 | Cara Conrad | Specialist/Technologist | 4367 Hart Dr, Saint Joseph, MI 49085-9310 | 2015-09-02 |
| 1861873952 | Edison Derr II | Specialist/Technologist | 2214 Maple St, Saint Joseph, MO 64507-1413 | 2015-06-15 |
| 1992198014 | Madeline Svec | Specialist/Technologist | 3170 Estates Dr N, Saint Joseph, MI 49085-3435 | 2015-03-13 |
| 1174860944 | Blaise D. Kriley | Specialist/Technologist | 4525 Downs Dr, Saint Joseph, MO 64507-2246 | 2013-01-13 |
| 1306867049 | Mark Duane Russell | Specialist/Technologist | 3950 Hollywood Rd Ste 140, Saint Joseph, MI 49085-9151 | 2006-07-21 |
| 1588693311 | Kate Lee Esely | Specialist/Technologist | 5110 Mockingbird Ln, Saint Joseph, MO 64506-3331 | 2006-07-02 |
| Find all providers in SAINT JOSEPH | ||||
| City | SAINT JOSEPH |
| Zip Code | 56374 |
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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.