CORBY RYAN STICKELMAN (NPI# 1699984005) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699984005 |
| Entity Type | Individual |
| Full Name | CORBY RYAN STICKELMAN |
| Credential | ATC, CSCS |
| Practice Address |
3205 S Oak St North Platte NE 69101-6870 |
| Practice Telephone | 3086960983 |
| Mailing Telephone | 3086960983 |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
321 | NE | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
3205 S OAK ST |
| City | NORTH PLATTE |
| State | NE |
| Zip Code | 69101-6870 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972017523 | Rocky Mountain Holdings, LLC | Ambulance | 5570 E. Lee Bird Drive, Northe Platte, NE 69101 | 2017-11-18 |
| 1396297503 | Karen L Gutherless | Counselor | 401 W Walker Road, North Platte, NE 69101 | 2016-11-04 |
| 1992165898 | Laren Alden Roper Jr. | Occupational Therapist | 1115 S Cottonwood, Great Plains Sports and Therapy Center, North Platte, NE 69101 | 2016-03-04 |
| 1669733085 | Stephanie Lynn Marcy | Anesthesiology | 601 W Leota Street, Anes: Anesthesiology, North Platte, NE 69101 | 2012-06-01 |
| 1033480470 | Wb Counseling LLC | Counselor | 319 E. B St., North Platte, NE 69101 | 2012-01-17 |
| 1306114962 | Amy J Kloess | Occupational Therapist | 8165 North Twin Lakes Rd, North Platte, NE 69101 | 2011-12-09 |
| 1043442312 | Derek Walrod | Dentist | 1225 South Poplar, Suite 500, North Platte, NE 69101 | 2009-08-20 |
| 1033374525 | Millie Erickson | Urology | 611 W. Francis St., Suite 200, North Platte, NE 69101 | 2008-07-23 |
| 1952586331 | West Central District Health Department | Public Health or Welfare | 111 North Dewey Street, North Platte, NE 69101 | 2008-01-04 |
| 1558579698 | Piper Dental Clinic | Dentist | 1919 West A Street, North Platte, NE 69101 | 2007-05-21 |
| Find all providers in zip 69101 | ||||
| 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 |
|---|---|---|---|---|
| 1720121619 | Douglas Jess Long | Specialist/Technologist | 1115 S Cottonwood St, North Platte, NE 69101-6108 | 2007-02-14 |
| 1851804041 | Thomas Kenneth Ksiazek | Specialist/Technologist | 1115 S Cottonwood St, North Platte, NE 69101-6108 | 2017-11-09 |
| 1194186874 | Tyler John Oberlander | Specialist/Technologist | 1115 S Cottonwood St, North Platte, NE 69101-6108 | 2016-03-09 |
| 1063806222 | Jordan Paul Hiatt | Specialist/Technologist | 215 Mcneel Ln, North Platte, NE 69101-6054 | 2015-03-26 |
| 1053698936 | Brigham Andrew Becker | Specialist/Technologist | 1115 S Cottonwood St, North Platte, NE 69101-6108 | 2011-11-07 |
| 1902949746 | Todd Martin Grothe | Specialist/Technologist | 1115 S Cottonwood St, North Platte, NE 69101-6108 | 2007-02-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972101616 | Muriel Kuhl | Specialist/Technologist | 19905 Chicago St, Elkhorn, NE 68022-4903 | 2020-10-14 |
| 1760099014 | Rebecca Ann Ohlson | Specialist/Technologist | 1235 Sw Kelsey Cir, Lincoln, NE 68522-4446 | 2020-09-29 |
| 1033723291 | Donald J Gehr | Specialist/Technologist | 122 Heroes Blvd, Boys Town, NE 68010-7537 | 2020-09-04 |
| 1699388108 | Jennifer Hewitt | Specialist/Technologist | 21015 Cumberland Dr, Elkhorn, NE 68022-4110 | 2020-08-25 |
| 1679184675 | Chris Pavlik Jr. | Specialist/Technologist | 56591 892 Rd # Ne, Fordyce, NE 68736-5011 | 2020-08-12 |
| 1184235673 | Cheyenne Janicek | Specialist/Technologist | 7630 Ontario St, Omaha, NE 68124-4035 | 2020-08-10 |
| 1962012575 | Vanessa Derner | Specialist/Technologist | 710 Eagle View Dr, Papillion, NE 68133-2482 | 2020-08-07 |
| 1780293209 | Kyle Younkin | Specialist/Technologist | 1100 N 56th St, Lincoln, NE 68504-3251 | 2020-07-30 |
| 1235747080 | Mark Allen Kwikkel | Specialist/Technologist | 310 N 10th, Blair, NE 68008 | 2020-07-17 |
| 1922633882 | Amber Menard | Specialist/Technologist | 1013 Day Dr, Bellevue, NE 68005-4425 | 2020-03-10 |
| Find all providers with the same taxonomy | ||||
| City | NORTH PLATTE |
| Zip Code | 69101 |
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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.