JEANETTE ELLEN LEAL


Address: 605 Washington St, Fayette, IA 52142-9206
Phone: 6168625717

JEANETTE ELLEN LEAL (NPI# 1730726951) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1730726951
Entity Type Individual
Full Name JEANETTE ELLEN LEAL
Credential LAT, ATC
Practice Address 605 Washington St
Fayette
IA 52142-9206
Mailing Address 17050 Falcon Dr
Sand Lake
MI 49343-9208
Practice Telephone 6168625717
Enumeration Date 2019-12-06
Last Update Date 2019-12-06
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2255A2300X Specialist/Technologist
Specialization: Athletic Trainer
088931 IA Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 605 WASHINGTON ST
City FAYETTE
State IA
Zip Code 52142-9206

Providers in the same location

NPI Name Taxonomy Address Enumeration
1245857515 Winneshiek Medical Center Clinic/Center 605 Washington St, Fayette, IA 52142-9206 2020-07-02
1992335806 Kailyn Weber Specialist/Technologist 605 Washington St, Fayette, IA 52142-9206 2020-01-20
1801426713 Noah Mathias Rogers Specialist/Technologist 605 Washington St, Fayette, IA 52142-9206 2020-01-20
1447880356 Caitlin Himes Specialist/Technologist 605 Washington St, Fayette, IA 52142-9206 2020-01-20
1861966194 Jenna Marie Elsbernd Student in an Organized Health Care Education/Training Program 605 Washington St, Fayette, IA 52142-9206 2019-01-21
1679013734 Kelsey Sanders Student in an Organized Health Care Education/Training Program 605 Washington St, Fayette, IA 52142-9206 2017-03-08
1770023392 Brieanna Barnes Student in an Organized Health Care Education/Training Program 605 Washington St, Fayette, IA 52142-9206 2017-03-01
1962942573 Graham Werner Student in an Organized Health Care Education/Training Program 605 Washington St, Fayette, IA 52142-9206 2017-03-01
1871033480 Caitlin Tarnowski Student in an Organized Health Care Education/Training Program 605 Washington St, Fayette, IA 52142-9206 2017-03-01
1497125348 Matthew Wilfuer Specialist/Technologist 605 Washington St, Fayette, IA 52142-9206 2015-10-05
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1306364997 Kyle James Domin Specialist/Technologist 605 Washington Street, Fayette, IA 52142 2017-09-02
1114372752 Ryan Scott Fonkert Specialist/Technologist 605 Washingtone Street, Fayette, IA 52142 2016-05-02
1487871273 Total Builders Durable Medical Equipment & Medical Supplies 210 S. Main St., Box 698, Fayette, IA 52142 2007-04-20
1053366518 Gundersen Clinic, Ltd. Clinic/Center 110 King Street, Fayette, IA 52142 2006-05-23
1811992548 Steven W Greenwaldt Physician Assistant 110 King Street, Fayette, IA 52142-0157 2005-06-17
1649205469 City of Fayette Ambulance 11 South Main, Fayette, IA 52142-0340 2006-07-11
1316044654 Kirk A Abernathy Chiropractor 139 South Main Street, Fayette, IA 52142-0578 2006-09-20
1639444235 Charming Smiles PC Clinic/Center 143 S Main St, Fayette, IA 52142-7701 2012-03-14
1902464415 Takuya Suzuki Specialist/Technologist 400 Jones St, Fayette, IA 52142-9180 2019-05-30
1942862867 Joshua Ron Formanek Pharmacist 238 S Main St, Fayette, IA 52142-9301 2019-07-01
Find all providers in zip 52142

Taxonomy Information

Taxonomy Code 2255A2300X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Specialist/Technologist
Specialization Athletic Trainer

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1902464415 Takuya Suzuki Specialist/Technologist 400 Jones St, Fayette, IA 52142-9180 2019-05-30
1306364997 Kyle James Domin Specialist/Technologist 605 Washington Street, Fayette, IA 52142 2017-09-02
1114372752 Ryan Scott Fonkert Specialist/Technologist 605 Washingtone Street, Fayette, IA 52142 2016-05-02
1700859386 Melinda Dillard Wilson Specialist/Technologist 2631 Temple Ave N, Fayette, AL 35555-1157 2006-02-13
1952399776 Rick Errett Sage Specialist/Technologist 411 Central Methodist Sq, Fayette, MO 65248-1104 2005-10-06
1992335806 Kailyn Weber Specialist/Technologist 605 Washington St, Fayette, IA 52142-9206 2020-01-20
1801426713 Noah Mathias Rogers Specialist/Technologist 605 Washington St, Fayette, IA 52142-9206 2020-01-20
1447880356 Caitlin Himes Specialist/Technologist 605 Washington St, Fayette, IA 52142-9206 2020-01-20
1346734423 Kimberly Mikulan Specialist/Technologist 411 Central Methodist Sq, Fayette, MO 65248-1104 2018-06-21
1013429851 Kelsey Nicole Stuenkel Specialist/Technologist 411 Central Methodist Sq, Fayette, MO 65248-1104 2017-11-02
Find all providers in FAYETTE

Competitor

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City FAYETTE
Zip Code 52142

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Dataset Information

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.

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