KRISTIN KOLODZIEJ (NPI# 1710155379) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710155379 |
| Entity Type | Individual |
| Full Name | KRISTIN KOLODZIEJ |
| Credential | ATC |
| Practice Address |
80 1st St Prairie Du Sac WI 53578-1550 |
| Mailing Address |
1029 Vilas Ave Madison WI 53715-1511 |
| Practice Telephone | 6086433311 |
| Enumeration Date | 2008-02-18 |
| Last Update Date | 2008-02-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
934-39 | WI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
80 1ST ST |
| City | PRAIRIE DU SAC |
| State | WI |
| Zip Code | 53578-1550 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114921046 | Sandhya V Shah | Internal Medicine | 80 1st St, Prairie Du Sac, WI 53578-1550 | 2005-06-09 |
| 1013349984 | Sarah Hellenbrand | Occupational Therapist | 80 1st St, Prairie Du Sac, WI 53578-1550 | 2013-08-02 |
| 1679868400 | Diane Austin | Occupational Therapist | 80 1st St, Prairie Du Sac, WI 53578-1550 | 2011-06-09 |
| 1881836245 | Justin T. Schroeder | Nurse Anesthetist, Certified Registered | 80 1st St, Prairie Du Sac, WI 53578-1550 | 2009-04-01 |
| 1982842993 | Amy B Miller | Dietitian, Registered | 80 1st St, Prairie Du Sac, WI 53578-1550 | 2009-01-29 |
| 1518103076 | Kathleen Meister | Dietitian, Registered | 80 1st St, Prairie Du Sac, WI 53578-1550 | 2009-01-05 |
| 1346491628 | Sonya Kelly-lynn Rowe | Physical Therapist | 80 1st St, Prairie Du Sac, WI 53578-1550 | 2008-10-06 |
| 1891990610 | Emily J Smith | Physician Assistant | 80 1st St, Prairie Du Sac, WI 53578-1550 | 2007-06-20 |
| 1194878645 | Thomas William Wojta | Physical Therapist | 80 1st St, Prairie Du Sac, WI 53578-1550 | 2007-01-19 |
| 1316099419 | Margaret Owen Faludi | Occupational Therapist | 80 1st St, Prairie Du Sac, WI 53578-1550 | 2007-01-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437272341 | Christianson Pfau Chiropractic LLC | Chiropractor | 1190 Prairie Street, Prairie Du Sac, WI 53578 | 2007-04-06 |
| 1184665291 | Kerri Michele Lehman | Psychologist | 1190 Prairie St., Prairie Du Sac, WI 53578 | 2006-06-09 |
| 1619933496 | Jennifer Ann Yessa-kast | Social Worker | 560 4th St, Prairie Du Sac, WI 53578 | 2006-04-21 |
| 1598734956 | Eric A Warbasse | Family Medicine | 80 First St, Sauk Prairie Memorial Hospital and Clinics, Prairie Du Sac, WI 53578 | 2006-03-16 |
| 1215959812 | James Franklin Williams | Social Worker | 560 4th St, Pathway Clinic, Prairie Du Sac, WI 53578 | 2006-07-24 |
| 1629035324 | Michael L Hammer | Psychologist | 560 4th St, Pathway Clinic Sc, Prairie Du Sac, WI 53578 | 2006-04-27 |
| 1871550517 | Jean Mcelhaney | Counselor | 560 4th St, Prairie Du Sac, WI 53578 | 2006-04-27 |
| 1407093693 | Mihal Davis | Acupuncturist | 608 Water St, Prairie Du Sac, WI 53578-1027 | 2009-01-09 |
| 1528220472 | Tina Rios | Custodial Care Facility | 601 21st St, Prairie Du Sac, WI 53578-1068 | 2008-07-01 |
| 1124052451 | Raelyn Katherine Eannelli | Nurse Practitioner | 405 Water St, Prairie Du Sac, WI 53578-1126 | 2006-07-11 |
| Find all providers in zip 53578 | ||||
| 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 |
|---|---|---|---|---|
| 1922068642 | Heidi Beth Hohensee | Specialist/Technologist | 105 9th St, Prairie Du Sac, WI 53578-1428 | 2006-03-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427657329 | Tyler John Friis | Specialist/Technologist | 1514 E Keystone Ln, Appleton, WI 54913-7162 | 2020-10-21 |
| 1184222085 | Ryan James Mcnamara | Specialist/Technologist | 28914 Golden Cir, Waterford, WI 53185-1197 | 2020-10-13 |
| 1770198699 | Tanner Sterling | Specialist/Technologist | 2538 E Garrison Rd, Foxboro, WI 54836-9507 | 2020-09-09 |
| 1922626670 | Eric William Brostrom | Specialist/Technologist | 3305 Lilly Rd, Brookfield, WI 53005-7608 | 2020-07-09 |
| 1174146690 | Brycen Valiga | Specialist/Technologist | 4477 S 113th St, Greenfield, WI 53228-2566 | 2020-05-19 |
| 1104448307 | Xeing Randy Yang | Specialist/Technologist | 2207 Namekagon St, Hudson, WI 54016-9426 | 2020-05-11 |
| 1073134615 | Brian Wood | Specialist/Technologist | 1950 Washington St, Grafton, WI 53024-2103 | 2020-05-06 |
| 1124649751 | Cody Scott Tesch | Specialist/Technologist | 6680 N Teutonia Ave, Milwaukee, WI 53209-3117 | 2020-05-05 |
| 1659992642 | Kelley Potila | Specialist/Technologist | 255 Maggilu Ct, Jefferson, WI 53549-2095 | 2020-04-30 |
| 1366070708 | Claire Duwell | Specialist/Technologist | 9111 W Bluemound Rd, Milwaukee, WI 53226-4506 | 2020-03-31 |
| Find all providers with the same taxonomy | ||||
| City | PRAIRIE DU SAC |
| Zip Code | 53578 |
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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.