MADELINE VON HOLLE (NPI# 1790393015) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790393015 |
| Entity Type | Individual |
| Full Name | MADELINE VON HOLLE |
| Other Name | MADDY VON HOLLE |
| Practice Address |
984 N Meridian Pl Wasilla AK 99654-7215 |
| Mailing Address |
Po Box 3870 Palmer AK 99645-3870 |
| Practice Telephone | 9076314029 |
| Mailing Telephone | 9078418376 |
| Enumeration Date | 2020-07-22 |
| Last Update Date | 2020-07-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
163970 | AK | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
984 N MERIDIAN PL |
| City | WASILLA |
| State | AK |
| Zip Code | 99654-7215 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003971037 | Keith Poorbaugh | Physical Therapist | 984 N Meridian Pl, # A, Wasilla, AK 99654-7215 | 2006-12-27 |
| 1861006009 | Carlos Glines | Physical Therapist | 984 N Meridian Pl, Wasilla, AK 99654-7215 | 2020-09-04 |
| 1912468315 | Michael Cowan | Physical Therapy Assistant | 984 N Meridian Pl, Wasilla, AK 99654-7215 | 2019-03-28 |
| 1811499049 | Northern Edge Wellness Alaska, LLC | Physical Therapist | 984 N Meridian Pl, Wasilla, AK 99654-7215 | 2018-03-04 |
| 1578087466 | Katelyn Carpenter | Physical Therapist | 984 N Meridian Pl, Wasilla, AK 99654-7215 | 2017-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003426784 | Colleen Maggie Newcity | Case Manager/Care Coordinator | 851 Westpoint Suite 310, Wasilla, AK 99654 | 2020-08-06 |
| 1659995884 | Amy M Lowe | Peer Specialist | 1363 W Spuce Ave, Wasilla, AK 99654 | 2020-06-03 |
| 1922648690 | Achieve Medical Alaska LLC | Clinic/Center | 1981 E Palmer, Suite 230, Wasilla, AK 99654 | 2020-01-10 |
| 1588205538 | Juan Carlos Garcia | Physician Assistant | 950 East Bogard Road, Suite 103, Wasilla, AK 99654 | 2019-10-01 |
| 1427610864 | Sharon Webb | Counselor | 705 S Knik Goose Bay Rd Suite K, Wasilla, AK 99654 | 2019-07-06 |
| 1306401864 | Logan Lee Cook | Peer Specialist | 2953 E Fairview Loop, Wasilla, AK 99654 | 2019-05-09 |
| 1053883595 | Moose Creek Medical Clinic LLC | Nurse Practitioner | 2341 S. Fern St., Suite 300, Wasilla, AK 99654 | 2018-12-21 |
| 1487124962 | Melissa A Stevens | Massage Therapist | 2201 W That Rd, Wasilla, AK 99654 | 2018-11-28 |
| 1609359561 | Audrey E Beers | Midwife | 2405 S. Knik Goose Bay Rd., Wasilla, AK 99654 | 2018-09-07 |
| 1093297418 | Karlee Janine Mccorry | Occupational Therapist | 613 S Knik-goose Bay Rd, Wasilla, AK 99654 | 2018-09-01 |
| Find all providers in zip 99654 | ||||
| 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 |
|---|---|---|---|---|
| 1033617303 | Mary Perez | Specialist/Technologist | 1700 E Bogard Rd, Wasilla, AK 99654-6563 | 2018-01-31 |
| 1245461540 | Carolyn Margaret Black | Specialist/Technologist | 1001 E Bogard Rd, Wasilla, AK 99654-7114 | 2009-08-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265064943 | Claire E Feild | Specialist/Technologist | 12350 Industry Way Ste 110, Anchorage, AK 99515-4301 | 2020-02-10 |
| 1225693153 | Steven Lim | Specialist/Technologist | 7240 Newby Ave, Anchorage, AK 99507-6752 | 2019-05-06 |
| 1609330224 | Maiya Brielle Johnson | Specialist/Technologist | 5329 E 24th Ave, Anchorage, AK 99508-3807 | 2019-01-28 |
| 1831541184 | Nicholas Meniettti | Specialist/Technologist | 1725 University Ave S, Apt D45, Fairbanks, AK 99709-4932 | 2016-07-11 |
| 1164826293 | Michael Dhesse | Specialist/Technologist | 3550 Providence Dr, Anchorage, AK 99508 | 2014-10-17 |
| 1629482955 | Jennifer Sossamon | Specialist/Technologist | 8155 Kronos Dr, Anchorage, AK 99502-4627 | 2014-06-14 |
| 1649699612 | Anthony-edward K Urbi | Specialist/Technologist | 675 Ravens Way, Eielson Afb, AK 99702-1308 | 2014-04-07 |
| 1255532768 | Sharon Rudolph | Specialist/Technologist | 518 W 19th Ave, Anchorage, AK 99503-1830 | 2007-05-30 |
| 1942325410 | Lynne Marie Young | Specialist/Technologist | 3260 Providence Dr Ste 200, Anchorage, AK 99508-4603 | 2007-03-20 |
| 1093844466 | Mary Lynn Watts | Specialist/Technologist | 4075 9th St, #101, Ft Wainwright, AK 99703-7495 | 2007-03-03 |
| Find all providers with the same taxonomy | ||||
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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.