LAUREN M BURISH (NPI# 1821639477) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821639477 |
| Entity Type | Individual |
| Full Name | LAUREN M BURISH |
| Credential | ATC |
| Practice Address |
111 W Jefferson Blvd Ste 100 South Bend IN 46601-1993 |
| Mailing Address |
2518 E Evergreen Dr Warsaw IN 46582-8928 |
| Practice Telephone | 5746471670 |
| Mailing Telephone | 7654340384 |
| Enumeration Date | 2019-10-04 |
| Last Update Date | 2020-05-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
36003036A | IN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
111 W JEFFERSON BLVD STE 100 |
| City | SOUTH BEND |
| State | IN |
| Zip Code | 46601-1993 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700231313 | Heather Saffel | Family Medicine | 111 W Jefferson Blvd Ste 100, South Bend, IN 46601-1993 | 2016-05-02 |
| 1376020701 | Marcia Ritzert Barrett | Occupational Therapist | 111 W Jefferson Blvd Ste 100, South Bend, IN 46601-1993 | 2018-07-27 |
| 1568982437 | Erin Yeoman | Physical Therapist | 111 W Jefferson Blvd Ste 100, South Bend, IN 46601-1993 | 2017-06-22 |
| 1265962633 | Jordan Geroski | Student in an Organized Health Care Education/Training Program | 111 W Jefferson Blvd Ste 100, South Bend, IN 46601-1993 | 2017-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447610449 | David Thomas | Hearing Instrument Specialist | 808 S Michigan St., South Bend, IN 46601 | 2016-03-03 |
| 1285072454 | Kevin Francis Cumper | Internal Medicine | 621 Memorial Dr Ste 624, South Bend, IN 46601 | 2013-06-11 |
| 1952605560 | Robert Lusk Bonham | Dentist | 1222 L.w.e., So. Bend, IN 46601 | 2010-12-23 |
| 1649580911 | Daniel Scott Debrule | Psychologist | 211 W. Washington Street, Suite 2311, South Bend, IN 46601 | 2010-10-20 |
| 1528390770 | Luke Alfred White | Internal Medicine | 615 N. Michigan St., Memorial Hospital, C/o Erin Smith, South Bend, IN 46601 | 2010-02-12 |
| 1548497837 | Tmg Home Health Care | Home Health | 108 N Main St #305, South Bend, IN 46601 | 2009-06-15 |
| 1225283039 | Jody L. Hughes | Counselor | 202 S. Michigan Street, Suite 875, South Bend, IN 46601 | 2008-11-20 |
| 1740432574 | Amanda Jayne Quicksall | Social Worker | 611 Lincolnway W, South Bend, IN 46601 | 2008-10-10 |
| 1952565772 | Thomas P Judd | Dentist | 1901 #b Western Avenue, Ihc South Bend, South Bend, IN 46601 | 2008-07-10 |
| 1851590269 | Warren Larry Penrod | Nurse Practitioner | 333 W. Western Ave, South Bend, IN 46601 | 2007-07-16 |
| Find all providers in zip 46601 | ||||
| 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 |
|---|---|---|---|---|
| 1043776321 | Nicholas B Hoover | Specialist/Technologist | 52695 Sporn Dr, South Bend, IN 46635-1228 | 2019-02-12 |
| 1053816439 | Anna Roberts | Specialist/Technologist | 453 N Notre Dame Ave, South Bend, IN 46617-2335 | 2018-03-27 |
| 1821517392 | Scott Flanagan | Specialist/Technologist | 50709 Marie Ct, South Bend, IN 46637-2317 | 2017-09-15 |
| 1740731116 | Jack Mcintyre Kimmell | Specialist/Technologist | 1526 East Lasalle, South Bend, IN 46617 | 2016-10-20 |
| 1518387216 | Kendra Weber | Specialist/Technologist | 904 Woodbine Way, South Bend, IN 46628-1241 | 2014-04-21 |
| 1336426139 | Kelly Demski | Specialist/Technologist | 52926 Red Fox Trl, South Bend, IN 46628-9247 | 2011-11-08 |
| 1194937680 | Sarah Elizabeth Redman | Specialist/Technologist | 53880 Carmichael Dr., South Bend, IN 46617 | 2007-05-04 |
| 1871623595 | Anthony Zorger | Specialist/Technologist | 808 S Twyckenham Dr, South Bend, IN 46615-1134 | 2007-03-06 |
| 1063057198 | Joseph Lawrence Carr | Specialist/Technologist | 808 S Twyckenham Dr, South Bend, IN 46615-1134 | 2019-11-13 |
| 1730677295 | Katelyn Patberg | Specialist/Technologist | 111 W Jefferson Blvd, South Bend, IN 46601-1994 | 2018-04-30 |
| Find all providers in SOUTH BEND | ||||
| City | SOUTH BEND |
| Zip Code | 46601 |
Please comment or provide details below to improve the information on LAUREN M BURISH.
| 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.