SAMANTHA BOURCY


Address: 111 17th Ave E, Suite 101, Alexandria, MN 56308-5273
Phone: 3207621144

SAMANTHA BOURCY (NPI# 1558767483) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1558767483
Entity Type Individual
Full Name SAMANTHA BOURCY
Credential MATRG, ATC
Practice Address 111 17th Ave E
Suite 101
Alexandria
MN 56308-5273
Practice Telephone 3207621144
Practice Fax Number 3207621935
Mailing Telephone 3207621144
Mailing Fax Number 3207621935
Enumeration Date 2014-11-04
Last Update Date 2015-03-23
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2255A2300X Specialist/Technologist
Specialization: Athletic Trainer
2634 MN Respiratory, Developmental, Rehabilitative and Restorative Service Providers
N 2255A2300X Specialist/Technologist
Specialization: Athletic Trainer
503-13 ND Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 111 17TH AVE E
SUITE 101
City ALEXANDRIA
State MN
Zip Code 56308-5273

Providers in the same location

NPI Name Taxonomy Address Enumeration
1164424305 Douglas County Hospital General Acute Care Hospital 111 17th Ave E, Alexandria, MN 56308-3703 2005-06-01
1679047013 Kayla Hughes Nurse Anesthetist, Certified Registered 111 17th Ave E, Alexandria, MN 56308-5273 2019-01-18
1750776530 Benjamin Andrew Kitt Emergency Medicine 111 17th Ave E, Alexandria, MN 56308-5273 2015-03-30
1760873491 Amanda Kristine Nefstead Specialist/Technologist 111 17th Ave E, Suite 101, Alexandria, MN 56308-5273 2015-02-17
1083029490 Amanda Leigh Knettel Physical Therapist 111 17th Ave E, Alexandria, MN 56308-5273 2014-06-24
1538573613 Dane Jason Mitteness Emergency Medicine 111 17th Ave E, Alexandria, MN 56308-5273 2014-06-17
1013334572 Meghan Ruhr Registered Nurse 111 17th Ave E, Alexandria, MN 56308-5273 2014-03-23
1598196149 Heidi Stark Specialist/Technologist 111 17th Ave E, Suite 101, Alexandria, MN 56308-5273 2013-12-09
1396174330 Michael James Kunstle Physician Assistant 111 17th Ave E, Suite 101, Alexandria, MN 56308-3734 2013-11-08
1992147797 Keri Ann Anderson Emergency Medicine 111 17th Ave E, Alexandria, MN 56308-5273 2013-07-22
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1871104836 Center for Pain Management Ambulatory Surgery, Ltd Pain Medicine 804 23rd Street South, Sartell, MN 56308 2020-08-13
1548815590 Ritajo Ellenberger Licensed Practical Nurse 220 Oak Street North, Alexandria, MN 56308 2019-08-06
1346808714 Vance Thompson Vision Surgery Center Alexandria, Prof LLC Clinic/Center 2600 Jefferson St, Alexandria, MN 56308 2019-05-31
1811452048 Little Falls Eye Care Center Pa Optometrist 2306 S. Broadway Str. Suite 12, Alexandria, MN 56308 2019-02-01
1184167199 Jennifer Lynn Craig Technician 2307 East Golf Course Rd, Alexandria, MN 56308 2016-11-22
1548712219 Shelby Elisha Johnsrud Chiropractor 303 West 22nd Ave, Ste 100, Alexandria, MN 56308 2016-10-28
1811347867 Dustin Matthew Ditch Dentist 510 22nd Ave E Ste 702, Alexandria, MN 56308 2016-06-20
1639538051 West Central Chiropractic & Wellness, LLC Chiropractor 123 3rd Ave. E, Suite 100, Alexandria, MN 56308 2016-02-12
1659736221 Amanda Jean Dahlseng Registered Nurse 809 Elm Street, Suite 1200, Alexandria, MN 56308 2015-12-23
1518358886 Benjamin G Wenzel Marriage & Family Therapist 512 30th Ave S, Ste 100, Alexandria, MN 56308 2015-02-09
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Taxonomy Information

Taxonomy Code 2255A2300X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Specialist/Technologist
Specialization Athletic Trainer

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1225650492 Donald Cederlund IIi Specialist/Technologist 302 N Jordan St Apt 101, Alexandria, VA 22304-5528 2020-05-11
1982224366 Adam Scott I Specialist/Technologist 8515 Old Mount Vernon Rd, Alexandria, VA 22309-2009 2020-04-25
1316571813 Heather Murphy Specialist/Technologist 6560 Braddock Rd, Alexandria, VA 22312-2206 2020-02-24
1851864342 Sean Martin Specialist/Technologist 4447 Pembrook Village Dr, Alexandria, VA 22309-1865 2019-01-07
1679084552 Mary Katherine Orr Specialist/Technologist 8100 Highway 71 S, Alexandria, LA 71302-9119 2017-10-18
1437685484 Virginia Lintot Specialist/Technologist 8505 Gila Ct, Alexandria, VA 22309-1634 2017-05-11
1265968820 Everett Fandrich Specialist/Technologist 6118 County Road 82 Nw, Alexandria, MN 56308-8213 2017-05-02
1003267949 Heidi Krueger Specialist/Technologist 4320 Christopherson Rd Nw, Alexandria, MN 56308-9755 2016-06-22
1538530407 Mitchel Yeagy Specialist/Technologist 305 N Edgeway Dr, Alexandria, IN 46001-1603 2015-10-16
1760866511 Allison Conner Specialist/Technologist 3777 Lisa Ln, Alexandria, KY 41001-9511 2015-07-10
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Competitor

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City ALEXANDRIA
Zip Code 56308

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Dataset Information

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.

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