TANNER SHULTZ (NPI# 1629551312) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1629551312 |
Entity Type | Individual |
Full Name | TANNER SHULTZ |
Practice Address |
27w157 Walnut Dr Winfield IL 60190-2051 |
Practice Telephone | 6303908417 |
Mailing Telephone | 6303908417 |
Enumeration Date | 2018-09-10 |
Last Update Date | 2018-09-10 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 224Y00000X | Clinical Exercise Physiologist | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IL | 26-1393224 | 05 |
Street Address |
27W157 WALNUT DR |
City | WINFIELD |
State | IL |
Zip Code | 60190-2051 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861960601 | Functional Fitness of Dupage, Inc | Clinic/Center | 27w157 Walnut Dr, Winfield, IL 60190-2051 | 2018-11-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316592256 | Kelly Marie Jung | Nurse Practitioner | 25 N Winfield Rd Ste 500, Winfield, IL 60190 | 2019-08-07 |
1003379660 | Genevieve Goro | Speech-Language Pathologist | In220 Pleasant Hill Rd, Winfield, IL 60190 | 2019-04-10 |
1730670175 | Brian J Fischer | Physical Therapist | 26w228 Geneva Road, Winfield, IL 60190 | 2018-05-22 |
1730625500 | Johnson Medical Services S.c. | Family Medicine | 27 W 132 Barnes Ave/, Winfield, IL 60190 | 2017-01-17 |
1992253843 | Dr. Roy Settergren S.c. | Chiropractor | 27w123 Redbud Lane, Winfield, IL 60190 | 2016-09-20 |
1952855223 | Terri Hannemann | Nurse Practitioner | 25 North Winfield Road, Central Dupage Hospital, Winfield, IL 60190 | 2016-08-04 |
1154730737 | Cynthia Koeppen | Registered Nurse | 27w281 Winfield Rd, Winfield, IL 60190 | 2014-08-07 |
1992117634 | Jonathan Wang | Internal Medicine | 25 N Winfield Rd Ste 202, Winfield, IL 60190 | 2014-05-29 |
1689005977 | Erin Sands | Physician Assistant | 25 N Winfield Rd Ste 519, Winfield, IL 60190 | 2013-12-11 |
1790120285 | Clarity Health & Wellness | Social Worker | 1 N. 121 County Farm Road, Suite 220, Winfield, IL 60190 | 2013-05-09 |
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Taxonomy Code | 224Y00000X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Clinical Exercise Physiologist |
A Clinical Exercise Physiologist is a health care professional who is trained to work with patients with chronic disease where exercise training has been shown to be of therapeutic benefit, including but not limited to cardiovascular and pulmonary disease, and metabolic disorders. |
Notes: Source: What is a Clinical Exercise Physiologist? Clinical Exercise Physiology Association (CEPA), CEPA Executive Board, 2008 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982152559 | Sharon Mosko Rotenberry | Clinical Exercise Physiologist | 323 Joshua Way, Winfield, WV 25213-9439 | 2016-09-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437786704 | Christopher Fuller | Clinical Exercise Physiologist | 1919 S Wolf Rd Apt 213, Hillside, IL 60162-2128 | 2020-03-25 |
1033521968 | James Towns | Clinical Exercise Physiologist | 9247 S. Wentworth, Chicago, IL 60620 | 2014-05-27 |
1023445269 | Russell Koenig | Clinical Exercise Physiologist | 88 W Schiller St Apt 1601, Chicago, IL 60610-2041 | 2013-10-02 |
1629410063 | Steven Mauk | Clinical Exercise Physiologist | 88 W Schiller St, Chicago, IL 60610-4966 | 2013-07-26 |
1902240781 | Cindy R Hooper | Clinical Exercise Physiologist | 1224 Sunnymeade Trl, Dekalb, IL 60115-2358 | 2013-04-23 |
1740532589 | Reginald Anderson | Clinical Exercise Physiologist | 328 Peterson Rd, Libertyville, IL 60048-1008 | 2012-10-03 |
1639601198 | Alex Colianni | Clinical Exercise Physiologist | 333 N Michigan Ave Ste 1900, Chicago, IL 60601-3994 | 2017-04-03 |
1437693439 | Scott Brunning | Clinical Exercise Physiologist | 123 N Wacker Dr Ste 1250, Chicago, IL 60606-1911 | 2016-12-09 |
1578956975 | Chris Scott Wellness, LLC | Clinical Exercise Physiologist | 1752 Windsor Rd Ste 202, Loves Park, IL 61111-4276 | 2015-03-09 |
1225433121 | Vitality Women's Physical Therapy and Wellness, LLC | Clinical Exercise Physiologist | 263 N York St, Suite 200, Elmhurst, IL 60126-2758 | 2014-11-04 |
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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.