AMANDA BOULWARE (NPI# 1700289899) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700289899 |
| Entity Type | Individual |
| Full Name | AMANDA BOULWARE |
| Credential | ATC |
| Practice Address |
124 Conestoga St Windsor CT 06095-2201 |
| Practice Telephone | 7864318888 |
| Enumeration Date | 2014-10-02 |
| Last Update Date | 2014-10-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
000929 | CT | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
124 CONESTOGA ST |
| City | WINDSOR |
| State | CT |
| Zip Code | 06095-2201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285255992 | Dnd Group of Companies LLC | Psychologist | 204 Old Village Cir, Windsor, CT 06095 | 2020-05-04 |
| 1811467442 | Joseph C Gaetani Jr. | Specialist | 340 Broad Street Suite 320, Windsor, CT 06095 | 2018-11-27 |
| 1447629043 | Brittany Higginbotham | Marriage & Family Therapist | 347 Park Avenue, Windsor, CT 06095 | 2015-09-24 |
| 1457737454 | Eric Han | Dentist | 697 Poquonock Ave, Windsor, CT 06095 | 2015-08-03 |
| 1265780894 | Annetta Ruth Troche | Nurse Practitioner | 22 Parkwood Drive, Windsor, CT 06095 | 2012-08-29 |
| 1821234006 | Milna Rosario | Social Worker | 6 Poquonock Avenue, Windsor, CT 06095 | 2008-12-18 |
| 1962686824 | Kimberly Ju Kim | Pediatrics | 820 C Prospect Hill Road, Windsor, CT 06095 | 2007-12-27 |
| 1972708758 | Price Chopper Inc | Pharmacy | 675 Poquoncock Ave, Windsor, CT 06095 | 2007-06-20 |
| 1396870358 | Occupational Health Centers of The Southwest, P.a., P.C. | Clinic/Center | 1080 Day Hill Road, Windsor, CT 06095 | 2007-02-22 |
| 1841342094 | Thomas F. Reif | Psychologist | 32 Maple Avenue, Windsor, CT 06095 | 2007-01-17 |
| Find all providers in zip 06095 | ||||
| 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 |
|---|---|---|---|---|
| 1982220018 | Marlee Sloan | Specialist/Technologist | 705 Us Hwy 13n, Windsor, NC 27983 | 2020-06-24 |
| 1336788199 | Sarah Beard | Specialist/Technologist | 2006 Lookout Dr, Windsor, CO 80550-4636 | 2019-12-26 |
| 1962049205 | Carly Romero | Specialist/Technologist | 905 Canyon Ct, Windsor, CO 80550-5355 | 2019-12-05 |
| 1497397525 | Diana T Cao | Specialist/Technologist | 21 Richmond Cres, Windsor, CT 06095-3849 | 2019-10-09 |
| 1215387444 | Kevin Michael Bower | Specialist/Technologist | 139 Meadow Pl, Windsor, CA 95492-9666 | 2016-06-19 |
| 1851791388 | Shannon Courtney | Specialist/Technologist | 1734 Platte River Ct, Windsor, CO 80550-3381 | 2014-09-03 |
| 1487838371 | Rachel Livingstone | Specialist/Technologist | 920 Pinot Noir Way, Windsor, CA 95492-9682 | 2007-12-27 |
| 1245277920 | Donald Thomas Macgillivray IIi | Specialist/Technologist | 4 Batchelder Rd, Windsor, CT 06095-3031 | 2006-06-01 |
| 1285253963 | Christina Elizabeth Bona | Specialist/Technologist | 150 Poquonock Ave, Windsor, CT 06095-2429 | 2020-04-13 |
| 1316216252 | Jennifer Linza | Specialist/Technologist | 24 Church St, Windsor, VA 23487-9301 | 2011-12-21 |
| Find all providers in WINDSOR | ||||
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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.