MISS COLLEEN M RACKETT (NPI# 1689963837) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689963837 |
| Entity Type | Individual |
| Full Name | MISS COLLEEN M RACKETT |
| Credential | ATC |
| Practice Address |
400 Cedar Ave Department of Athletics West Long Branch NJ 07764-1804 |
| Practice Telephone | 7325714473 |
| Mailing Telephone | 7325714473 |
| Enumeration Date | 2011-03-28 |
| Last Update Date | 2011-03-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
25MT00163400 | NJ | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
400 CEDAR AVE DEPARTMENT OF ATHLETICS |
| City | WEST LONG BRANCH |
| State | NJ |
| Zip Code | 07764-1804 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295876332 | Kelly Ward | Counselor | 400 Cedar Ave, Department of Social Work, West Long Branch, NJ 07764-1804 | 2007-02-10 |
| 1710506191 | Christopher Mckittrick | Counselor | 400 Cedar Ave, West Long Branch, NJ 07764-1804 | 2020-04-15 |
| 1326697749 | Matthew Tilton | Specialist/Technologist | 400 Cedar Ave, West Long Branch, NJ 07764-1804 | 2019-09-09 |
| 1811545106 | Aaron Bottinick | Specialist/Technologist | 400 Cedar Ave, West Long Branch, NJ 07764-1804 | 2019-08-29 |
| 1831680818 | Maikee Bernadette Migallos | Specialist/Technologist | 400 Cedar Ave, West Long Branch, NJ 07764-1804 | 2018-05-24 |
| 1578932315 | Justina Daley | Specialist/Technologist | 400 Cedar Ave, West Long Branch, NJ 07764-1804 | 2015-09-23 |
| 1417333261 | Thomas Carroll | Specialist/Technologist | 400 Cedar Ave, West Long Branch, NJ 07764-1804 | 2015-08-04 |
| 1689050445 | Nicholas Aguilera | Specialist/Technologist | 400 Cedar Ave, West Long Branch, NJ 07764-1804 | 2015-08-04 |
| 1790118230 | Siobhan A.s. Huggins-sullivan | Specialist/Technologist | 400 Cedar Ave, Monmouth University Sports Medicine, West Long Branch, NJ 07764-1804 | 2013-08-20 |
| 1356640577 | Kevin William Drew | Specialist/Technologist | 400 Cedar Ave, West Long Branch, NJ 07764-1804 | 2011-03-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659854461 | Melanie Ramp | Nurse Practitioner | 100 Route 36, Suite 2k Vantage Point Bldg, West Long Branch, NJ 07764 | 2018-09-08 |
| 1154849750 | Rosbel Maria Puello | Counselor | 232 Norwood Avenue Building #2, West Long Branch, NJ 07764 | 2017-09-03 |
| 1821445594 | Jsr Medical Services LLC | Clinic/Center | 214 State Highway 36, Suite 5, West Long Branch, NJ 07764 | 2016-05-23 |
| 1265831259 | Allied Digestive Health, LLC | Anesthesiology | 187 Route 36, Monmouth Corporate Park Center I;building A, Suite 230, West Long Beach, NJ 07764 | 2014-08-15 |
| 1669891180 | Christopher Charles Gillis | Neurological Surgery | 121 Route 36 Ste 330, West Long Branch, NJ 07764 | 2014-04-11 |
| 1336485309 | Christopher Ralph Castellano | Physician Assistant | Afc Urgent Care, 214 State Highway 36, West Long Beach, NJ 07764 | 2012-12-19 |
| 1457687337 | Danielle Monti Pfeiffer | Counselor | 232 Norwood Avenue, Building 2, West Long Branch, NJ 07764 | 2009-10-27 |
| 1770741084 | Subha Sundararajan | Internal Medicine | 60 Highway 35, Suite B, West Long Branch, NJ 07764 | 2008-05-23 |
| 1033376157 | Alexander G Lasalle | Social Worker | 24 Walnut Place, West Long Branch, NJ 07764 | 2008-05-16 |
| 1962610485 | Richard Dean Isaacson | Dentist | 103 Parker Road, West Long Branch, NJ 07764 | 2007-05-18 |
| Find all providers in zip 07764 | ||||
| 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 |
|---|---|---|---|---|
| 1326284142 | Teresa Elizabeth Bordiuk | Specialist/Technologist | 400 Cedar Ave., West Long Branch, NJ 07764-1308 | 2008-12-29 |
| 1528221389 | Doug Padron | Specialist/Technologist | 400 Cedar Avenue, Monmouth University, West Long Branch, NJ 07764-1898 | 2008-07-02 |
| 1710169586 | Nora V Mccormick | Specialist/Technologist | 132 Monmouth Park Hwy, Shore Regional High School, West Long Branch, NJ 07764-1305 | 2007-12-03 |
| 1366404931 | Trina Cunningham | Specialist/Technologist | 232 Norwood Ave, West Long Branch, NJ 07764-1859 | 2006-04-06 |
| 1326697749 | Matthew Tilton | Specialist/Technologist | 400 Cedar Ave, West Long Branch, NJ 07764-1804 | 2019-09-09 |
| 1811545106 | Aaron Bottinick | Specialist/Technologist | 400 Cedar Ave, West Long Branch, NJ 07764-1804 | 2019-08-29 |
| 1831680818 | Maikee Bernadette Migallos | Specialist/Technologist | 400 Cedar Ave, West Long Branch, NJ 07764-1804 | 2018-05-24 |
| 1235673955 | Kylie Hubeny | Specialist/Technologist | 400 Cedar Avenue, West Long Branch, NJ 07764 | 2016-12-14 |
| 1578932315 | Justina Daley | Specialist/Technologist | 400 Cedar Ave, West Long Branch, NJ 07764-1804 | 2015-09-23 |
| 1427424688 | Joseph Amicucci | Specialist/Technologist | 132 Monmouth Park Hwy, West Long Branch, NJ 07764-1305 | 2015-08-11 |
| Find all providers in WEST LONG BRANCH | ||||
| City | WEST LONG BRANCH |
| Zip Code | 07764 |
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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.