MRS. SARA J GERGELY (NPI# 1639139769) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639139769 |
| Entity Type | Individual |
| Full Name | MRS. SARA J GERGELY |
| Other Name | MISS SARA J MCKINLEY |
| Credential | ATC |
| Practice Address |
3001 S Creasy Ln Ste 100a Lafayette IN 47905 |
| Mailing Address |
3001 S Creasy Ln Ste 100a Lafayette IN 47905-5206 |
| Practice Telephone | 7654205800 |
| Enumeration Date | 2006-03-24 |
| Last Update Date | 2019-02-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
36001261A | IN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | ANTHEM PROVIDER NUMBER | 000000197905 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3001 S Creasy Ln Ste 100a, Lafayette, IN 47905 | 7654205800 |
| Street Address |
3001 S CREASY LN STE 100A |
| City | LAFAYETTE |
| State | IN |
| Zip Code | 47905 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588215420 | Thomas A Brady Sports Medicine Ctr | Occupational Therapist | 3001 S Creasy Ln Ste 100a, Lafayette, IN 47905-5206 | 2019-09-23 |
| 1760794762 | Emily Elizabeth Krodel | Family Medicine | 3001 S Creasy Ln Ste 100a, Lafayette, IN 47905-5206 | 2010-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538719893 | Elements Counseling LLC | Social Worker | 115 N. Farabee Drive, Lafayette, IN 47905 | 2019-09-18 |
| 1134596869 | Indiana Dental Sleep Therapy LLC | Dentist | 4921 Sr 26 E, Suite 300, Lafayette, IN 47905 | 2015-08-28 |
| 1255750899 | Emily S Miller | Physical Therapist | 1701 Creasy Ln, Lafayette, IN 47905 | 2014-04-10 |
| 1073876215 | Nathan Webster | Dentist | 1530 Kossuth St., Lafayette, IN 47905 | 2012-06-22 |
| 1578848370 | Mark Jin Kim | Pharmacist | 1801 South St., Lafayette, IN 47905 | 2011-10-13 |
| 1700177185 | Shannon Tawn Harris | Speech-Language Pathologist | 8900 Cobbler Lane, Lafayette, IN 47905 | 2011-04-20 |
| 1508164484 | David Thomas Beine | Specialist/Technologist | 1321 Unity Pl Ste A, Lafayette, IN 47905 | 2011-03-02 |
| 1447569538 | Deidre Dudley | Nurse Practitioner | 1701 S Creasy Ln Ste 1w93, Lafayette, IN 47905 | 2010-10-07 |
| 1548493067 | Unity Healthcare, LLC | Podiatrist | 750 Park East Blvd, Unit 4, Lafayette, IN 47905 | 2009-09-01 |
| 1073762969 | Lynette Marie Alexander | Nurse Practitioner | 5500 St Rd. 38 East, Lafayette, IN 47905 | 2008-09-16 |
| Find all providers in zip 47905 | ||||
| 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] |
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| 1336755495 | Kevin Keys | Specialist/Technologist | 106 Tomahawk Dr, Lafayette, LA 70503-6606 | 2020-09-23 |
| 1437767548 | Logan Marks | Specialist/Technologist | 118 Barnett Ct, Lafayette, LA 70507-2764 | 2020-07-15 |
| 1407491491 | Elizabeth Thomason | Specialist/Technologist | 1212 Jeanne St, Lafayette, LA 70506-2418 | 2019-11-13 |
| 1396203782 | Curtis Teseo Park | Specialist/Technologist | 3310 Moraga Blvd, Lafayette, CA 94549-4614 | 2019-03-05 |
| 1720552730 | Courtney Halsell | Specialist/Technologist | 103 Oak Hollow Dr, Lafayette, LA 70508-5189 | 2019-01-14 |
| 1124511290 | Isaac Chang | Specialist/Technologist | 3074 Pheasant Run Dr Apt 1122, Lafayette, IN 47909-3335 | 2018-06-12 |
| 1497246201 | Katelyn Brewer Rice | Specialist/Technologist | 201 W Gloria Switch Rd Ste H, Lafayette, LA 70507-2590 | 2018-05-29 |
| 1891286753 | Terry R. Kimball | Specialist/Technologist | 110 Kimball Dr, Lafayette, LA 70508-7802 | 2018-05-25 |
| 1902397599 | Daniel Delgado | Specialist/Technologist | 2101 S 18th St, Lafayette, IN 47905-2014 | 2018-05-20 |
| 1174047211 | Chloe Christina Salway | Specialist/Technologist | 2410 S 9th St, Lafayette, IN 47909-2404 | 2017-07-31 |
| Find all providers in LAFAYETTE | ||||
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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.