ENA-LYNNETTE BOLLING II (NPI# 1609408558) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609408558 |
| Entity Type | Individual |
| Full Name | ENA-LYNNETTE BOLLING II |
| Practice Address |
200 Prospect St East Stroudsburg PA 18301-2956 |
| Mailing Address |
83 W 7th St Burlington NJ 08016-3231 |
| Practice Telephone | 5704222862 |
| Enumeration Date | 2020-02-09 |
| Last Update Date | 2020-02-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
PA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
200 PROSPECT ST |
| City | EAST STROUDSBURG |
| State | PA |
| Zip Code | 18301-2956 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134141120 | Gerard D. Rozea | Specialist/Technologist | 200 Prospect St, 3 Kohler Fieldhouse University, East Stroudsburg, PA 18301 | 2006-07-25 |
| 1295349298 | Jennifer Ross | Specialist/Technologist | 200 Prospect St, East Stroudsburg, PA 18301-2956 | 2020-09-07 |
| 1497382915 | Jeremy Smith | Specialist/Technologist | 200 Prospect St, East Stroudsburg, PA 18301-2956 | 2020-03-25 |
| 1083246565 | Christian Bampton | Specialist/Technologist | 200 Prospect St, East Stroudsburg, PA 18301-2956 | 2020-02-12 |
| 1114559069 | Shannon Michelle Lee | Specialist/Technologist | 200 Prospect St, East Stroudsburg, PA 18301-2956 | 2020-02-09 |
| 1841822798 | Jordyn Wigglesworth | Specialist/Technologist | 200 Prospect St, East Stroudsburg, PA 18301-2956 | 2020-02-09 |
| 1578195491 | Sarah Kemp | Specialist/Technologist | 200 Prospect St, East Stroudsburg, PA 18301-2956 | 2020-02-08 |
| 1144852237 | Tyler Miller | Specialist/Technologist | 200 Prospect St, East Stroudsburg, PA 18301-2956 | 2020-02-07 |
| 1962034058 | Gina Marie Lobdell | Student in an Organized Health Care Education/Training Program | 200 Prospect St, East Stroudsburg, PA 18301-2956 | 2020-02-07 |
| 1598397689 | Christian A Cedeno | Specialist/Technologist | 200 Prospect St, East Stroudsburg, PA 18301-2956 | 2020-02-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801405030 | Gabrielle Nicole Hahn | Specialist/Technologist | 213 Smith Street, East Stroudsburg, PA 18301 | 2020-07-23 |
| 1730601246 | Eliezer Candelario | Case Manager/Care Coordinator | 255 Abeel Rd, East Stroudsburg, PA 18301 | 2017-07-17 |
| 1154843084 | Oludamilola Olatunde Oke | Homemaker | 170 North Courtland Street, East Stroudsburg, PA 18301 | 2017-07-12 |
| 1205369451 | My Lab Choice, Inc | Clinical Medical Laboratory | 391 East Brown Street, Lower Level, East Stroudsburg, PA 18301 | 2017-04-05 |
| 1538610498 | Northland Hearing Centers, Inc. | Hearing Aid Equipment | 400 Plaza Ct Ste B, East Stroudsburg, PA 18301 | 2016-10-17 |
| 1962863423 | Ryan Mackiewicz | Student in an Organized Health Care Education/Training Program | 68 Brown St, East Stroudsburg, PA 18301 | 2016-03-11 |
| 1437524139 | Derek Oliver | Massage Therapist | 146 Azalea Drive, East Stroudsburg, PA 18301 | 2015-12-07 |
| 1093182529 | Bathsheba Etheridge | Contractor | 128 Pasquin Drive, East Stroudsburg, PA 18301 | 2015-09-01 |
| 1538581533 | Care Plus Oxygen, Inc. | Durable Medical Equipment & Medical Supplies | 114 Columbia Dr Ste 10, East Stroudsburg, PA 18301 | 2014-01-09 |
| 1457789117 | Premier Pain Spine and Sports Medicine PC | Specialist | 391 East Brown Street, East Stroudsburg, PA 18301 | 2013-10-16 |
| Find all providers in zip 18301 | ||||
| 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 |
|---|---|---|---|---|
| 1801405030 | Gabrielle Nicole Hahn | Specialist/Technologist | 213 Smith Street, East Stroudsburg, PA 18301 | 2020-07-23 |
| 1972010098 | Armand Michael Martinelli | Specialist/Technologist | 279 N Courtland St, East Stroudsburg, PA 18301-2122 | 2018-01-10 |
| 1366979536 | Deryck Snyder | Specialist/Technologist | 5 Katydid Ln, East Stroudsburg, PA 18302-9189 | 2017-05-17 |
| 1730639733 | Anthony Robert Zrillo | Specialist/Technologist | 117 Lilac Dr, East Stroudsburg, PA 18301-8710 | 2016-10-13 |
| 1184084436 | Nicholas Giovanni Musa | Specialist/Technologist | 10 Adam Labar Rd, East Stroudsburg, PA 18302-8872 | 2016-02-29 |
| 1598170748 | Jaime Kalan | Specialist/Technologist | 2000 Milford Rd, East Stroudsburg, PA 18301-7800 | 2014-06-26 |
| 1144509027 | Andrew James Oxenreider | Specialist/Technologist | 140 Lackawanna Ave Apt 3, East Stroudsburg, PA 18301-2217 | 2011-08-10 |
| 1710112784 | John M Hauth | Specialist/Technologist | 6056 Franklin Hill Rd, East Stroudsburg, PA 18301-9268 | 2009-05-20 |
| 1174606982 | Scott Ryan Dietrich | Specialist/Technologist | 200 Prospect Street, Esu Athletic Training Educaition, East Stroudsburg, PA 18301 | 2006-10-23 |
| 1134141120 | Gerard D. Rozea | Specialist/Technologist | 200 Prospect St, 3 Kohler Fieldhouse University, East Stroudsburg, PA 18301 | 2006-07-25 |
| Find all providers in EAST STROUDSBURG | ||||
| City | EAST STROUDSBURG |
| Zip Code | 18301 |
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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.