MISS MEGAN RENAE SHIFFLETT (NPI# 1700284262) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700284262 |
| Entity Type | Individual |
| Full Name | MISS MEGAN RENAE SHIFFLETT |
| Credential | ATC |
| Practice Address |
875 Perimeter Dr # Ms 2302 Moscow ID 83844-2302 |
| Practice Telephone | 2088850256 |
| Practice Fax Number | 2088850254 |
| Mailing Telephone | 2088850256 |
| Mailing Fax Number | 2088850254 |
| Enumeration Date | 2014-12-16 |
| Last Update Date | 2014-12-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AT-348 | ID | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
875 PERIMETER DR # MS 2302 |
| City | MOSCOW |
| State | ID |
| Zip Code | 83844-2302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548762867 | University of Idaho | General Practice | 875 Perimeter Dr # Ms 2302, Moscow, ID 83844-9803 | 2018-03-02 |
| 1295245421 | Elizabeth Bonanni | Specialist/Technologist | 875 Perimeter Dr # Ms 2302, Moscow, ID 83844-9803 | 2017-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578118568 | Rechelle Ann Meade | Specialist/Technologist | 875 Perimeter Drive, Moscow, ID 83844 | 2019-08-06 |
| 1194253302 | Tyler Atkinson | Specialist/Technologist | 875 Perimeter Dr, Moscow, ID 83844 | 2017-06-01 |
| 1720618960 | Samantha Layne Hanna | Specialist/Technologist | 875 Perimeter Drive College of Education 123, Moscow, ID 83844-0001 | 2020-01-15 |
| 1649764713 | Clarissa Marie Edge Richardson | Psychologist | University of Idaho Student Health Center 210, Moscow, ID 83844-0001 | 2018-06-21 |
| 1588193577 | Carmen Perez | Specialist/Technologist | University of Idaho 709 South Deakin St, Moscow, ID 83844-0001 | 2017-06-05 |
| 1013445220 | Alec Webbenhurst | Specialist/Technologist | University of Idaho Athletic Training 875 Dr, Moscow, ID 83844-0001 | 2017-06-01 |
| 1194990044 | William A. Cone | Psychiatry & Neurology | 831 Ash St, Moscow, ID 83844-0001 | 2008-04-22 |
| 1467855403 | Clint Emmett | Nurse Practitioner | 875 Perimeter Dr # Ms 3140, Moscow, ID 83844-2006 | 2014-10-06 |
| 1922529544 | Christopher John Walsh Jr. | Specialist/Technologist | University of Idaho Athletic Training Services, 1000 Stadium Way, Moscow, ID 83844-2302 | 2017-07-05 |
| 1013044767 | Megan Brooke Borchert | Specialist/Technologist | 442302 Asui Kibbie Dome, Moscow, ID 83844-2302 | 2007-02-28 |
| Find all providers in zip 83844 | ||||
| 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 |
|---|---|---|---|---|
| 1063030237 | Brandon Garfield | Specialist/Technologist | 3287 W Twin Rd, Moscow, ID 83843-8130 | 2020-07-14 |
| 1811515067 | Lexis Fouts | Specialist/Technologist | 617 W Taylor Ave # A, Moscow, ID 83843-2411 | 2020-07-13 |
| 1063039204 | Jadelyn Taylor Eisele | Specialist/Technologist | 707 Railroad St Apt 4, Moscow, ID 83843-2381 | 2020-07-04 |
| 1366069593 | Tyler Hempfling Volkmann | Specialist/Technologist | 924 Indian Hills Dr, Moscow, ID 83843-5096 | 2020-07-03 |
| 1013531680 | Dalton Tanner Pitts | Specialist/Technologist | 1433 W A St, Moscow, ID 83843-3274 | 2020-05-29 |
| 1720618960 | Samantha Layne Hanna | Specialist/Technologist | 875 Perimeter Drive College of Education 123, Moscow, ID 83844-0001 | 2020-01-15 |
| 1063070670 | Alli Schomburg | Specialist/Technologist | 1012 S Main St, Moscow, ID 83843-4251 | 2019-05-30 |
| 1770141384 | Lingwen Zhang | Specialist/Technologist | 901 Paradise Creek Rd, Moscow, ID 83843 | 2019-05-30 |
| 1336605138 | Stephane Colle | Specialist/Technologist | 1121 W A St Apt 8, Moscow, ID 83843-4610 | 2019-02-17 |
| 1306312376 | Anastasia Stigall | Specialist/Technologist | 711 S Rayburn St, Moscow, ID 83844-3228 | 2018-10-17 |
| Find all providers in MOSCOW | ||||
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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.