SAMANTHA BOURCY (NPI# 1558767483) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
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 |
Street Address |
111 17TH AVE E SUITE 101 |
City | ALEXANDRIA |
State | MN |
Zip Code | 56308-5273 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 56308 |
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 |
---|---|---|---|---|
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 |
Find all providers in ALEXANDRIA |
City | ALEXANDRIA |
Zip Code | 56308 |
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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.