KIMBERLY LEIBEL (NPI# 1710457932) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710457932 |
| Entity Type | Individual |
| Full Name | KIMBERLY LEIBEL |
| Credential | ATC, NRP |
| Practice Address |
1302 N Washington Ave Madison SD 57042-5704 |
| Mailing Address |
Po Box 174 Madison SD 57042-0174 |
| Practice Telephone | 6054815000 |
| Mailing Telephone | 6054815000 |
| Enumeration Date | 2018-11-30 |
| Last Update Date | 2018-11-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 146L00000X | Emergency Medical Technician, Paramedic | 1558 | SD | Emergency Medical Service Providers |
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
0361 | SD | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1302 N WASHINGTON AVE |
| City | MADISON |
| State | SD |
| Zip Code | 57042-5704 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093924169 | Bradley Dale Gilbert | Specialist/Technologist | 1302 N Washington Ave, Madison, SD 57042 | 2007-05-22 |
| 1801303862 | Kari Ann Hall | Specialist/Technologist | 1302 N Washington Ave, Madison, SD 57042 | 2017-12-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316493042 | Renae Christensen | Psychologist | 820 N. Washington Ave., Madison, SD 57042 | 2016-09-01 |
| 1275080889 | Lance Koenig | Psychologist | 820 North Washington Ave, Plec Dakota State University, Madison, SD 57042 | 2016-09-01 |
| 1699145532 | Counseling Associates, Alla Jones | Counselor | 726 S. Washington Ave., Madison, SD 57042 | 2015-10-05 |
| 1619222080 | Laura Elizabeth Larsen | Occupational Therapist | 917 North Washington, Madison, SD 57042 | 2012-07-20 |
| 1639470925 | Jessica Rogers | Physical Therapy Assistant | 416 South Harth Ave., Madison, SD 57042 | 2010-11-03 |
| 1659420073 | Every Citizen Counts Organization | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 706 Sw 7th St, Madison, SD 57042 | 2007-01-09 |
| 1912076985 | Larry Paul Green Sr. | Dentist | 102 N Egan Ave, Madison, SD 57042 | 2006-11-06 |
| 1306854062 | Michael Steven Brooke | Optometrist | 302 N Harth Avenue, Madison, SD 57042 | 2006-08-04 |
| 1336118181 | Douglas J Caron | Chiropractor | 120 Nw 2nd St, Madison, SD 57042 | 2006-03-15 |
| 1184279036 | Madison Family Dental Prof LLC | Dentist | 502 Ne 2nd St, Madison, SD 57042 | 2019-08-07 |
| Find all providers in zip 57042 | ||||
| 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 |
|---|---|---|---|---|
| 1578196580 | Jerod Keene | Specialist/Technologist | 333 E Campus Mall # 5140, Madison, WI 53715-1365 | 2020-02-18 |
| 1497396428 | Austin Drake | Specialist/Technologist | 201 Planters Cv, Madison, MS 39110-7988 | 2019-10-01 |
| 1407400112 | Zafir Georges-abeyie | Specialist/Technologist | 1920 Kendall Ave Apt 2, Madison, WI 53726-4008 | 2019-07-31 |
| 1023675212 | Kennedy Wayne Germany Jr. | Specialist/Technologist | 813 Seashell Cove, Madison, TN 37115 | 2019-05-22 |
| 1457810673 | Leah Smith | Specialist/Technologist | 1436 Monroe Street, Madison, WI 53711 | 2019-03-18 |
| 1710451927 | Patrick Louis Johnson | Specialist/Technologist | 103 Lynbrook Blvd, Madison, AL 35758-8137 | 2019-01-22 |
| 1518430735 | Jennifer Cecil | Specialist/Technologist | 126 Spring Water Dr, Madison, AL 35758-1391 | 2019-01-10 |
| 1073086336 | John M Spillman | Specialist/Technologist | 1913 Neelys Bend Rd, Madison, TN 37115-5811 | 2019-01-09 |
| 1932677309 | Garrett Hansen | Specialist/Technologist | 402 Northbay Dr, Madison, MS 39110-8859 | 2018-11-05 |
| 1891284303 | Lisbeth Smith | Specialist/Technologist | 920 Spring St, Madison, WI 53715-3603 | 2018-05-09 |
| Find all providers in MADISON | ||||
Please comment or provide details below to improve the information on KIMBERLY LEIBEL.
| 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.