MR. DOUGLAS A WEST (NPI# 1821396722) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821396722 |
| Entity Type | Individual |
| Full Name | MR. DOUGLAS A WEST |
| Credential | ATC |
| Practice Address |
1701 E College Ave Bloomington IL 61704-2101 |
| Mailing Address |
1205 N Livingston St Bloomington IL 61701-1534 |
| Practice Telephone | 3096643038 |
| Practice Fax Number | 3096643119 |
| Mailing Telephone | 3098383640 |
| Enumeration Date | 2011-03-02 |
| Last Update Date | 2011-03-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
096003032 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598927212 | Douglas R West | Specialist/Technologist | 114 Recreation Bldg, Iowa City, IA 52242 | 2008-06-25 |
| 1659301810 | Douglas L West | Internal Medicine | 1514 E Evans St, Bainbridge, GA 39819-4363 | 2006-07-04 |
| 1295774719 | Douglas Brian West | Optometrist | 1545 Fort Harrison Rd, Terre Haute, IN 47804-1332 | 2006-06-06 |
| 1194272674 | Douglas Wayne West Jr. | Specialist | 1523 Highway 7 N, Camden, AR 71701-8711 | 2016-09-01 |
| 1255352043 | Douglas Alan West | Urology | 3207 W Truman Blvd, Jefferson City, MO 65109-0578 | 2006-07-21 |
| 1104884295 | Douglas Edison West | Physician Assistant | 301 W Poplar St, Ste 220, Walla Walla, WA 99362-2858 | 2006-05-01 |
| 1316901309 | Douglas Casey West | Nurse Practitioner | 1215 21st Ave S, Medical Center East, South Tower, Suite 5209, Nashville, TN 37232-0014 | 2006-04-14 |
| Street Address |
1701 E COLLEGE AVE |
| City | BLOOMINGTON |
| State | IL |
| Zip Code | 61704-2101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982602140 | Brandy Lynn Redman | Occupational Therapist | 1701 E College Ave, Bloomington, IL 61704-2101 | 2005-07-12 |
| 1336777515 | Paula Roberts | Nurse Practitioner | 1701 E College Ave, Bloomington, IL 61704-2101 | 2020-04-01 |
| 1689150948 | Barbara Luann Weis | Psychiatry & Neurology | 1701 E College Ave, Bloomington, IL 61704-2101 | 2018-07-18 |
| 1366949224 | Kayla Marie Hnilicka | Registered Nurse | 1701 E College Ave, Bloomington, IL 61704-2101 | 2018-04-09 |
| 1992227052 | Christine C Gardner | Nurse Practitioner | 1701 E College Ave, Bloomington, IL 61704-2101 | 2017-07-11 |
| 1033652243 | Sonal Mukesh Patel | Nurse Practitioner | 1701 E College Ave, Bloomington, IL 61704-2101 | 2016-11-21 |
| 1285013029 | Andrew Tharp | Nurse Practitioner | 1701 E College Ave, Bloomington, IL 61704-2101 | 2015-05-27 |
| 1154670073 | Amy Lynn Nelson | Occupational Therapist | 1701 E College Ave, Bloomington, IL 61704-2101 | 2012-09-06 |
| 1336403237 | Derrick Alwyn Fox | Psychiatry & Neurology | 1701 E College Ave, Bloomington, IL 61704-2101 | 2012-06-26 |
| 1437434982 | Abbi Carr | Nurse Practitioner | 1701 E College Ave, Bloomington, IL 61704-2101 | 2011-10-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518430859 | Visionpoint Eye Center LLC | Optometrist | 1107 Airport Road, Bloomington, IL 61704 | 2019-01-09 |
| 1922588235 | Geethu Sabu Makil | Speech-Language Pathologist | 1039 Blueheron Way, Apt#3, Bloomington, IL 61704 | 2018-08-16 |
| 1629596812 | Mental Wellness Center Inc | Counselor | 202 N Prospect Rd Ste 207, Bloomington, IL 61704 | 2017-09-07 |
| 1649798513 | Sarah Goodner | Psychologist | 1704 Royal Pointe Drive, Bloomington, IL 61704 | 2017-08-31 |
| 1346760253 | Elizabeth Devlin | Nurse Practitioner | 25 Long Cove Ct, Bloomington, IL 61704 | 2017-06-21 |
| 1396107918 | Darla Schwertfeger | Specialist/Technologist, Other | 2104 Hedgewood Dr, Bloomington, IL 61704 | 2016-03-23 |
| 1740662949 | Oncology Hematology Associates of Central Illinois | Pharmacy | 3105 Magory Drive, Bloomington, IL 61704 | 2015-06-24 |
| 1821478967 | Kelly R Andrews | Massage Therapist | 4101 Wicker Rd, Bloomington, IL 61704 | 2015-06-03 |
| 1235522582 | All Ways Caring Services, Inc. | In Home Supportive Care | 209 S Prospect Rd, Suite 3e, Bloomington, IL 61704 | 2015-03-11 |
| 1396093977 | Bhawna Gupta | Physical Therapist | 2200 East Washington Street, Bloomington, IL 61704 | 2012-08-29 |
| Find all providers in zip 61704 | ||||
| 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 |
|---|---|---|---|---|
| 1770110967 | Erica Zemites | Specialist/Technologist | 20 Brickyard Dr Apt A18, Bloomington, IL 61701-7085 | 2020-03-26 |
| 1083257547 | Ava Korinke | Specialist/Technologist | 701 E 17th St, Bloomington, IN 47408-1578 | 2019-10-28 |
| 1760025308 | Kyle Robert Barr | Specialist/Technologist | 1428 S Washington St, Bloomington, IN 47401-5878 | 2019-10-28 |
| 1497398028 | James Aaron Dash | Specialist/Technologist | 1419 W Allen St, Bloomington, IN 47403-2930 | 2019-10-27 |
| 1225671852 | Sierra Johnson | Specialist/Technologist | 2036 N Walnut St Apt 7, Bloomington, IN 47404-2465 | 2019-10-27 |
| 1285284158 | Keisuke Kawata | Specialist/Technologist | 1025 E 7th St # C215, Bloomington, IN 47405-7109 | 2019-09-12 |
| 1205485877 | Susan Marie Bitney | Specialist/Technologist | 10217 Scarborough Rd, Bloomington, MN 55437-2516 | 2019-09-06 |
| 1912566092 | Matthew Wayne Adams | Specialist/Technologist | 2301 E Arden Dr, Bloomington, IN 47401-6890 | 2019-06-11 |
| 1356806384 | Tori J Eastes | Specialist/Technologist | 1150 S Clarizz Blvd, Bloomington, IN 47401-4270 | 2019-02-04 |
| 1689139602 | Hallie Mccarn | Specialist/Technologist | 503 S Muller Pkwy Apt 303, Bloomington, IN 47403-1635 | 2019-02-04 |
| Find all providers in BLOOMINGTON | ||||
| City | BLOOMINGTON |
| Zip Code | 61704 |
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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.