MATTEO BARAUSSE (NPI# 1679046114) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679046114 |
| Entity Type | Individual |
| Full Name | MATTEO BARAUSSE |
| Practice Address |
500 E College St Marshall MO 65340-3109 |
| Practice Telephone | 4797994232 |
| Enumeration Date | 2019-01-08 |
| Last Update Date | 2019-01-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
500 E COLLEGE ST |
| City | MARSHALL |
| State | MO |
| Zip Code | 65340-3109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801888532 | Charlotte A Neville | Counselor | 500 E College St, Marshall, MO 65340-3109 | 2005-08-18 |
| 1568069797 | Ivet Lloansi Rodriguez | Specialist/Technologist | 500 E College St, Marshall, MO 65340-3109 | 2020-10-01 |
| 1528629169 | Danielle Alyce Riley | Specialist/Technologist | 500 E College St, Marshall, MO 65340-3109 | 2019-06-25 |
| 1760955207 | Brian Devivo | Specialist/Technologist | 500 E College St, Marshall, MO 65340-3109 | 2019-01-08 |
| 1588137020 | Alyssa Lynne Dittmer | Specialist/Technologist | 500 E College St, Marshall, MO 65340-3109 | 2019-01-08 |
| 1144723644 | Zachary Dean Glenn | Specialist/Technologist | 500 E College St, Marshall, MO 65340-3109 | 2018-03-12 |
| 1285137786 | Jake Bellon | Specialist/Technologist | 500 E College St, Marshall, MO 65340-3109 | 2018-03-12 |
| 1457862005 | Kimberly Pechanec | Specialist/Technologist | 500 E College St, Marshall, MO 65340-3109 | 2017-10-22 |
| 1801266978 | Karla Bruntzel | Health Educator | 500 E College St, Marshall, MO 65340-3109 | 2015-10-01 |
| 1154724219 | Daniel Accola Jr. | Specialist/Technologist | 500 E College St, Marshall, MO 65340-3109 | 2014-10-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336791847 | Gerald D Robertson | Chiropractor | 1566 S Odell Ave, Marshall, MO 65340 | 2019-07-15 |
| 1659860765 | William L Pearman | Nurse Practitioner | Marshall Emergency Physicians, 2305 South Highway 65, Marshall, MO 65340 | 2018-05-03 |
| 1992204978 | Susan Elizabeth Lichtenberg | Speech-Language Pathologist | 860 W. Vest St., Marshall, MO 65340 | 2018-02-06 |
| 1568974616 | Falin Kay Larsen | Family Medicine | 2303 Us-65, Marshal, MO 65340 | 2017-10-30 |
| 1881132587 | Dana Zinn | Nurse Practitioner | 1547 Commerce Dr, Marshall, MO 65340 | 2017-02-02 |
| 1760877179 | Lifetime Dental Associates | Dentist | 2301 S. 65 Hwy, Suite 1, Marshall, MO 65340 | 2015-04-02 |
| 1780078949 | Glenda Cervantes | Interpreter | 1324 S Ellswort Ave, Marshall, MO 65340 | 2015-03-26 |
| 1174922173 | Michelle Stockman | Licensed Practical Nurse | 1004 S. Lincoln Ave, Marshall, MO 65340 | 2014-08-15 |
| 1730527722 | Lynn C Evans | Pharmacist | 941 S. Cherokee, Suite 1, Marshall, MO 65340 | 2013-06-12 |
| 1740589753 | Bethany Anne Harris | Social Worker | 1126 E. Hwy Ww, Marshall, MO 65340 | 2011-03-17 |
| Find all providers in zip 65340 | ||||
| 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 |
|---|---|---|---|---|
| 1396211488 | Thomas Fischer | Specialist/Technologist | 2729 County Road 5, Marshall, MN 56258-5353 | 2018-10-16 |
| 1194238337 | Jenny Spearman | Specialist/Technologist | 831 Calloway Rd, Marshall, TX 75670-4765 | 2017-11-09 |
| 1609399641 | Michael Alan Rich Jr. | Specialist/Technologist | One Tiger Drive, East Texas Baptist University, Marshall, TX 75670 | 2017-07-21 |
| 1528518024 | Chad Booher | Specialist/Technologist | 1900 Maverick Dr, Marshall, TX 75670-6352 | 2016-10-07 |
| 1639534514 | Carol Patzwahl Moss | Specialist/Technologist | 906 Okeefe Rd, Marshall, MI 49068-1354 | 2015-12-21 |
| 1619380300 | Joseph Harold Vogler | Specialist/Technologist | 806 N 6th St, Marshall, IL 62441-1226 | 2014-06-10 |
| 1497976625 | Erica Anne Jost | Specialist/Technologist | 1501 State Street, Marshall, MN 56258 | 2007-05-02 |
| 1275562670 | Celia Moore | Specialist/Technologist | 8285 Newcastle Ln, Marshall, VA 20115-3119 | 2006-06-30 |
| 1205873718 | Eric Paul Horning | Specialist/Technologist | 2303 S Highway 65, Marshall, MO 65340-3734 | 2006-06-01 |
| 1568069797 | Ivet Lloansi Rodriguez | Specialist/Technologist | 500 E College St, Marshall, MO 65340-3109 | 2020-10-01 |
| Find all providers in MARSHALL | ||||
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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.