MRS. GUSTA MICHELLE OWENS (NPI# 1689053779) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689053779 |
| Entity Type | Individual |
| Full Name | MRS. GUSTA MICHELLE OWENS |
| Credential | ATC |
| Practice Address |
1411 S Creasy Ln Ste 120 Lafayette IN 47905-7438 |
| Practice Telephone | 7654474165 |
| Mailing Telephone | 7654474165 |
| Enumeration Date | 2015-05-22 |
| Last Update Date | 2015-05-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
36001127A | IN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1411 S CREASY LN STE 120 |
| City | LAFAYETTE |
| State | IN |
| Zip Code | 47905-7438 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922095769 | Michael D Krauss | Internal Medicine | 1411 S Creasy Ln, Suite 120, Lafayette, IN 47905-7438 | 2005-10-05 |
| 1174058507 | Lisa M Smith | Specialist/Technologist, Other | 1411 S Creasy Ln, Suite 120, Lafayette, IN 47905-7438 | 2017-04-24 |
| 1255887600 | Emily Martin | Physical Therapy Assistant | 1411 S Creasy Ln, Ste 100, Lafayette, IN 47905-7438 | 2016-08-26 |
| 1881148708 | Rebecah Gray | Specialist/Technologist, Other | 1411 S Creasy Ln, Suite 120, Lafayette, IN 47905-7438 | 2016-08-09 |
| 1306294772 | Erica Zartman | Physical Therapist | 1411 S Creasy Ln, Ste 100, Lafayette, IN 47905-7438 | 2016-05-26 |
| 1285024273 | Mary Ritter | Occupational Therapist | 1411 S Creasy Ln, Suite 100, Lafayette, IN 47905-7438 | 2015-01-28 |
| 1275933707 | Danielle Smith Amos | Physical Therapy Assistant | 1411 S Creasy Ln, Suite 100, Lafayette, IN 47905-7438 | 2014-09-03 |
| 1275957938 | Sara E Blasing | Physical Therapist | 1411 S Creasy Ln, Suite 100, Lafayette, IN 47905-7438 | 2014-02-14 |
| 1144642612 | Jessica Baumetz Dpt | Physical Therapist | 1411 S Creasy Ln, Suite 100, Lafayette, IN 47905-7438 | 2014-01-17 |
| 1306277561 | Teri Harrison | Specialist/Technologist, Other | 1411 S Creasy Ln, Suite 120, Lafayette, IN 47905-7438 | 2013-12-12 |
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| 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 |
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| 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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| 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 |
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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.