MISS IRELIAM GUADALUPE (NPI# 1821266644) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821266644 |
| Entity Type | Individual |
| Full Name | MISS IRELIAM GUADALUPE |
| Credential | MS, LAT, ATC |
| Practice Address |
10501 Fgcu Blvd S Fort Myers FL 33965-5588 |
| Mailing Address |
12801 Eagle Pointe Cir Fort Myers FL 33913-7964 |
| Practice Telephone | 2397454299 |
| Mailing Telephone | 2393409111 |
| Enumeration Date | 2008-02-14 |
| Last Update Date | 2019-11-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AL2555 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
10501 FGCU BLVD S |
| City | FORT MYERS |
| State | FL |
| Zip Code | 33965-5588 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558368753 | Christie D. Shore | Nurse Practitioner | 10501 Fgcu Blvd S, Student Health Center/fgcu, Fort Myers, FL 33965-6502 | 2005-07-01 |
| 1053924100 | John Thomas Rowell | Physical Medicine & Rehabilitation | 10501 Fgcu Blvd S, Fort Myers, FL 33965-6565 | 2020-08-28 |
| 1679185961 | Brett A Clinton | Registered Nurse | 10501 Fgcu Blvd S, Fort Myers, FL 33965-6502 | 2020-08-19 |
| 1275141558 | Florida Gulf Coast Univeristy | Specialist/Technologist | 10501 Fgcu Blvd S, Fort Myers, FL 33965-6502 | 2020-07-22 |
| 1164041448 | Tess Fleming | Specialist/Technologist | 10501 Fgcu Blvd S, Fort Myers, FL 33965-2541 | 2020-04-16 |
| 1952937609 | Jacqueline Joy Battjes | Registered Nurse | 10501 Fgcu Blvd S, Fort Myers, FL 33965-6502 | 2020-03-13 |
| 1811520901 | Florida Gulf Coast University | Clinic/Center | 10501 Fgcu Blvd S, Fort Myers, FL 33965-6565 | 2020-02-17 |
| 1326576836 | Colleen Weber | Specialist/Technologist | 10501 Fgcu Blvd S, Fort Myers, FL 33965-6502 | 2017-05-28 |
| 1932645694 | Khuri Black | Student in an Organized Health Care Education/Training Program | 10501 Fgcu Blvd S, Fort Myers, FL 33965-6502 | 2017-01-18 |
| 1871946368 | Family Health Centers of Southwest Florida, Inc. | Clinic/Center | 10501 Fgcu Blvd S, Fort Myers, FL 33965-6502 | 2016-07-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326322207 | Lori D Carroll | Social Worker | 10501 Fgcu Blvd South, Department of Social Work, Fort Myers, FL 33965 | 2011-10-10 |
| 1093227951 | Devon Benson | Specialist/Technologist | 1000 Fgcu Campus Housing Cy04, Fort Myers, FL 33965-0001 | 2017-11-01 |
| 1255385092 | Michael A. Estes | Specialist/Technologist | Florida Gulf Coast University, 10501 Fgcu Blvd. South, Ft Myers, FL 33965-0001 | 2006-05-19 |
| 1437231677 | Rebecca Lou Johnson | Emergency Medicine | Florida Gulf Coast University, 10501 Fgcu Blvd. South, Fort Myers, FL 33965-0001 | 2006-10-19 |
| 1033315213 | Jean Hershey Fitch | Nurse Practitioner | Florida Gulf Coast University Student Health Services, 10501 Fgcu Boulevard South, Fort Myers, FL 33965-6565 | 2007-06-25 |
| 1396951497 | George Joseph Arthur Magnant | Pediatrics | Fgcu Student Health Services Ctr, 10501 Fgcu Blvd .s., Fort Myers, FL 33965-6565 | 2007-05-15 |
| 1487723581 | Florida Gulf Coastuniversity Wellness Center | Clinic/Center | Florida Gulf Coast University, 10501 Fgcu Boulevard S., Fort Myers, FL 33965-6565 | 2006-11-06 |
| 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 |
|---|---|---|---|---|
| 1467069914 | Alison M Dougan | Specialist/Technologist | 3345 Cypress Legends Cir Apt 1104, Fort Myers, FL 33905-5542 | 2020-09-29 |
| 1083234132 | Jaret Clarke | Specialist/Technologist | 9920 Estero Oaks Dr Apt 102, Fort Myers, FL 33967-5297 | 2020-04-19 |
| 1336768910 | Kayla Ann Berry | Specialist/Technologist | 8347 Caloosa Rd, Fort Myers, FL 33967-5214 | 2020-04-13 |
| 1609495456 | Kelly Colwell | Specialist/Technologist | 17390 Dumont Dr, Fort Myers, FL 33967-2725 | 2020-04-12 |
| 1558826032 | Robert Fouda | Specialist/Technologist | 14211 Georgian Cir Apt 101, Fort Myers, FL 33912-5698 | 2019-02-08 |
| 1275021768 | Kaitlin Elaine Nicholson | Specialist/Technologist | 5598 Sunrise Dr, Fort Myers, FL 33919-1716 | 2018-04-30 |
| 1053827071 | Sarah Michelle Geary | Specialist/Technologist | 2855 Colonial Blvd, Fort Myers, FL 33966-1012 | 2017-12-28 |
| 1659886018 | Paul Mattras | Specialist/Technologist | 7698 Cameron Cir, Fort Myers, FL 33912-5659 | 2017-12-07 |
| 1881106748 | Sawyer Swanson | Specialist/Technologist | 18525 Bradenton Rd, Fort Myers, FL 33967-3502 | 2017-11-01 |
| 1093227951 | Devon Benson | Specialist/Technologist | 1000 Fgcu Campus Housing Cy04, Fort Myers, FL 33965-0001 | 2017-11-01 |
| Find all providers in FORT MYERS | ||||
| City | FORT MYERS |
| Zip Code | 33965 |
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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.