SPECIALTY ATHLETIC TRAINING


Address: 501 Se Ellsworth Rd, Vancouver, WA 98664-5101
Phone: 5038630512

SPECIALTY ATHLETIC TRAINING (NPI# 1699307959) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1699307959
Entity Type Organization
Organization Name SPECIALTY ATHLETIC TRAINING
Practice Address 501 Se Ellsworth Rd
Vancouver
WA 98664-5101
Mailing Address 9208 Ne Highway 99 Ste 107-117
Vancouver
WA 98665-8986
Practice Telephone 5038630512
Mailing Telephone 5038630512
Enumeration Date 2020-02-05
Last Update Date 2020-02-05
Authorized Official Name RYAN LOCKARD (FOUNDER)
Authorized Official Telephone 5038630512
Authorized Official Credential CSCS, CSPS
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 174H00000X Health Educator Other Service Providers

Other Data Sources

Entity Type Entity Name Entity Address
Oregon Corporations, Companies and Business Names SPECIALTY ATHLETIC TRAINING LLC 1895 Shadow Wood Drive, West Linn, OR 97068
Washington State Corporations SPECIALTY ATHLETIC TRAINING, LLC 9208 Ne Highway 99, Vancouver, WA 98665-8986

Office Location

Street Address 501 SE ELLSWORTH RD
City VANCOUVER
State WA
Zip Code 98664-5101

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1285249938 Angelica Maria Parle-fresquez Speech-Language Pathologist Early Childhood Assessment Center - Lieser School, 301 S. Lieser Rd, Vancouver, WA 98664 2020-09-10
1467923441 Elizabeth Steen Counselor 230 E. State St., Mossyrock, WA 98664 2018-12-17
1497241657 Chelsey Nicole Parker Peer Specialist 9815 Ne 3rd St, Vancouver, WA 98664 2018-07-10
1881145431 Brent Homan Occupational Therapist 807 Se Morgan Rd., Vancouver, WA 98664 2016-10-19
1114474277 Rebecca Marie Stefan Nurse's Aide 10025 Ne 19th St, Vancouver, WA 98664 2016-09-07
1528454105 Alicia Ford Dietitian, Registered 700 Ne 87th Ave Ste 280, Vancouver, WA 98664 2015-04-10
1033504261 Reid Roberts Bennett Anesthesiology 505 Ne 87th Ave Ste 210, Vancouver, WA 98664 2015-04-03
1235550856 Nikolay Nikolaevich Chernukhin Jr. Chiropractor 221-a Ne 104th Ave, Suite 205, Vancouver, WA 98664 2013-12-27
1013278712 Serena Harker Physical Therapy Assistant 221a Ne 104th Ave, Suite #205, Vancouver, WA 98664 2012-05-30
1295091080 Rebeca C Johnson Massage Therapist 11015 Ne 4th Plain Suite B, Vancouver, WA 98664 2012-04-05
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Taxonomy Information

Taxonomy Code 174H00000X
Grouping Other Service Providers
Classification Health Educator

Taxonomy Definition

Health educators work in a variety of settings providing education to individuals or groups of individuals on healthy behaviors, wellness, and health-related topics with the goal of preventing diseases and health problems. Health educators generally require a bachelor’s degree and may receive additional training, such as through mentoring, internships, or volunteer work.
Notes: Source: National Uniform Claim Committee, 2009 [7/1/2009: definition added]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1366083289 Kim Lehmann Health Educator 4622 Ne 56th St, Vancouver, WA 98661-2118 2019-10-02
1346763406 Amy Elisabeth Cooley Health Educator 1919 Ne 78th St, Vancouver, WA 98665-9752 2017-07-20
1225525090 Washington State University Health Educator 1919 Ne 78th St, Vancouver, WA 98665 2018-04-17
1508371097 Carmen Mckibben Health Educator 1919 Ne 78th St, Vancouver, WA 98665-9752 2017-12-06

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1063058493 Brook, LLC. Health Educator 311 1/2 Occidental Ave South, Suite 210, Seattle, WA 98104 2019-11-20
1326513078 Christian R Koehler Health Educator 32 Elma Mccleary Rd, Elma, WA 98541-9425 2018-10-09
1841784741 Dorothy F Landeen Health Educator 12118 Ne 66th St, Kirkland, WA 98033-8433 2018-06-15
1316446065 Lauren Paige Luther Health Educator 501 N Riverpoint Blvd Ste 245, Spokane, WA 99202-1649 2018-02-08
1225554090 Karla M Anderson Health Educator 1000 N Forest St Ste 201, Bellingham, WA 98225-5530 2017-08-14
1770007817 Laura Ellen Defreese Health Educator 11768 Westar Lane, Suite A, Burlington, WA 98233 2017-07-31
1316481229 Lisa Calavetta Health Educator 811 N 36th St, Seattle, WA 98103-8806 2016-12-12
1962946954 Young Men's Christian Association of The Inland Northwest Health Educator 1126 N Monroe St, Spokane, WA 99201-2116 2016-12-09
1164971479 Mondana Madjdi Health Educator 1312 N Brooklane St, Ellensburg, WA 98926-2620 2016-09-27
1326595356 The Young Men's Christian Association of Walla Walla Health Educator 340 S Park St, Walla Walla, WA 99362-3249 2016-09-07
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Competitor

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City VANCOUVER
Zip Code 98664

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Dataset Information

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.

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