MR. NATHAN JOSEPH WILMES (NPI# 1689794927) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689794927 |
| Entity Type | Individual |
| Full Name | MR. NATHAN JOSEPH WILMES |
| Credential | MED. ATC, LAT, CSCS |
| Practice Address |
4800 Mexico Rd Suite 104 Saint Peters MO 63376-1666 |
| Mailing Address |
18 Lone Eagle Trl Saint Charles MO 63303-6204 |
| Practice Telephone | 6369284199 |
| Mailing Telephone | 6369284342 |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
115091 | MO | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
4800 MEXICO RD SUITE 104 |
| City | SAINT PETERS |
| State | MO |
| Zip Code | 63376-1666 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164481909 | Glenda Jane Alfier | Physical Therapist | 4800 Mexico Rd, Suite 104, Saint Peters, MO 63376-1666 | 2006-03-21 |
| 1386002459 | Kristin Brockfeld | Physical Therapist | 4800 Mexico Rd, Ste 104, Saint Peters, MO 63376-1666 | 2016-02-04 |
| 1770962904 | Ryan Carl Skillen | Physical Therapist | 4800 Mexico Rd, Ste 104, Saint Peters, MO 63376-1666 | 2015-05-20 |
| 1750769261 | Jennifer Lueders Davis | Nurse Practitioner | 4800 Mexico Rd, Suite 101, Saint Peters, MO 63376-1666 | 2015-05-16 |
| 1063817120 | Elizabeth Gordon | Nurse Practitioner | 4800 Mexico Rd, Suite 102, Saint Peters, MO 63376-1666 | 2014-10-30 |
| 1578978797 | Gregory Charles Judice | Physical Therapist | 4800 Mexico Rd, Ste 104, Saint Peters, MO 63376-1666 | 2014-06-26 |
| 1093120214 | Kelsee Klein | Physical Therapy Assistant | 4800 Mexico Rd, Ste 104, Saint Peters, MO 63376-1666 | 2014-06-26 |
| 1538574751 | Stacey Biles | Physical Therapy Assistant | 4800 Mexico Rd, Ste 104, Saint Peters, MO 63376-1666 | 2014-06-26 |
| 1194135897 | Grand Health Wellness & Acupuncture LLC | Clinic/Center | 4800 Mexico Rd, Suite 101, Saint Peters, MO 63376-1666 | 2014-05-02 |
| 1861826323 | Lauren C Zwikelmaier | Physical Therapist | 4800 Mexico Rd, Suite 104, Saint Peters, MO 63376-1666 | 2013-09-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275047946 | Nicholas Christian Schultz | Dentist | 100 Piper Hill Dr Ste A, Saint Peters, MO 63376 | 2017-11-16 |
| 1982120093 | Carol Weber | Speech-Language Pathologist | 166 Boone Hills Dr., St Peters, MO 63376 | 2017-08-21 |
| 1619424744 | Forefront Dermatology, S.c. | Dermatology | 5700 Mexico Rd, Suite 14, Saint Peters, MO 63376 | 2016-09-07 |
| 1508310632 | Preferred Family Healthcare, Inc. | Counselor | 2120 Parkway Dr, Saint Peters, MO 63376 | 2016-08-05 |
| 1598130676 | Delta Center Personal Attendant Services | In Home Supportive Care | 3833 Mcclay, Suite 61, St. Peters, MO 63376 | 2015-12-01 |
| 1427420314 | Barbara Marlene Edelman | Counselor | 1286 Jungerman Rd. Suite G, St. Peters, MO 63376 | 2015-10-30 |
| 1255740247 | Claire Williams | Dentist | 340 Mid Rivers Mall Drive, Suite E, St. Peters, MO 63376 | 2014-08-05 |
| 1184042855 | Keith Wickenhauser | Internal Medicine | 201 Bjc Saint Peters Dr Ste 100, Saint Peters, MO 63376 | 2014-03-31 |
| 1821415233 | Abby Link | Physician Assistant | 107 Piper Parkway, #150, St. Peters, MO 63376 | 2014-03-24 |
| 1225452105 | Ashley Gagel | Physical Therapist | 7055 Mexico Rd Suite 1601, St. Peters, MO 63376 | 2014-02-12 |
| Find all providers in zip 63376 | ||||
| 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 |
|---|---|---|---|---|
| 1114485299 | Cheyenne Meinershagen | Specialist/Technologist | 25 Hillcrest Estates Ln, Saint Peters, MO 63376-4238 | 2019-03-07 |
| 1881158111 | Alexander Castulik | Specialist/Technologist | 1161 Spencer Hill Dr, Saint Peters, MO 63376-5140 | 2019-01-31 |
| 1306372461 | Cody Elmendorf | Specialist/Technologist | 1053 Windsor Crest Ct, Saint Peters, MO 63376-3850 | 2017-05-11 |
| 1407233026 | Joshua Michael Harris | Specialist/Technologist | 4800 Mexico Rd Suite 104, Saint Peters, MO 63376-1665 | 2015-05-04 |
| 1316155591 | Jennifer Michelle Eickhoff | Specialist/Technologist | 112 Piper Hill Dr Ste 9, Saint Peters, MO 63376-1690 | 2007-05-19 |
| 1548663131 | Sarah Lohse | Specialist/Technologist | 112 Piper Hill Dr, Suite 2, Saint Peters, MO 63376-1690 | 2014-09-27 |
| 1235347386 | Mark Hunter | Specialist/Technologist | 4800 Mexico Rd, Suite 104, Saint Peters, MO 63376-1666 | 2007-05-21 |
| 1811018633 | Lisa Craig | Specialist/Technologist | 4800 Mexico Rd, Suite 105, Saint Peters, MO 63376-1666 | 2007-04-02 |
| 1508986886 | Christian Wollmershauser | Specialist/Technologist | 4800 Mexico Rd, 104, Saint Peters, MO 63376-1666 | 2007-03-30 |
| 1710007174 | Giuseppi Bommarito Jr. I | Specialist/Technologist | 4800 Mexico Rd, Suite 104, Saint Peters, MO 63376-1666 | 2007-03-30 |
| Find all providers in SAINT PETERS | ||||
| City | SAINT PETERS |
| Zip Code | 63376 |
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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.