MRS. HOLLY BETH GAUDREAU (NPI# 1851706105) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851706105 |
| Entity Type | Individual |
| Full Name | MRS. HOLLY BETH GAUDREAU |
| Credential | ATC |
| Practice Address |
8100 W 78th St. Suite 225 Edina MN 55439 |
| Mailing Address |
3055 Eagandale Pl Apt 225 Eagan MN 55121-1239 |
| Practice Telephone | 9529469777 |
| Mailing Telephone | 6123662191 |
| Enumeration Date | 2014-06-25 |
| Last Update Date | 2014-06-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
8100 W 78TH ST. SUITE 225 |
| City | EDINA |
| State | MN |
| Zip Code | 55439 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538773601 | Bryan James Jaquette | Specialist/Technologist | Alina Health, 8100 West 78th Street, Suite 225, Edina, MN 55439 | 2020-09-04 |
| 1063034411 | Joseph E Noble | Marriage & Family Therapist | 7801 East Bush Lake Road, Suite 130, Edina, MN 55439 | 2020-05-08 |
| 1316421050 | Global Kinetics Usa Corporation | Physiological Laboratory | 5810 West 78th Street, Suite 210, Bloomington, MN 55439 | 2018-09-19 |
| 1003361601 | Zainab Ismail Hassan | Community Health Worker | 5400 W. 70th St # 207, Edina, MN 55439 | 2016-08-24 |
| 1861852287 | Global Linguistics Inc | Interpreter | 5535 Oak Glen Rd, Edina, MN 55439 | 2016-02-26 |
| 1063889616 | Lindsey Mackereth | Counselor | 7117 Ohms Ln, Edina, MN 55439 | 2015-08-31 |
| 1841504792 | Michelle R Aumock | Physician Assistant | 8100 W 78th Street, Ste 230, Edina, MN 55439 | 2010-08-03 |
| 1770812174 | Heather Lynn Hanson Grudzinski | Counselor | 7400 Metro Blvd #100-6, Edina, MN 55439 | 2009-12-14 |
| 1548599319 | Catasys Health Minnesota, Inc. | Case Management | 7825 Washington Avenue South, Suite 500, Pmb# 600-005, Bloomington, MN 55439 | 2009-12-08 |
| 1245486612 | Erich Gauger | Orthopaedic Surgery | Sports and Orthopaedic Specialists, 8100 W 78th St Suite 230, Edina, MN 55439 | 2008-08-17 |
| Find all providers in zip 55439 | ||||
| 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 |
|---|---|---|---|---|
| 1538773601 | Bryan James Jaquette | Specialist/Technologist | Alina Health, 8100 West 78th Street, Suite 225, Edina, MN 55439 | 2020-09-04 |
| 1003448812 | Abby Ingalls | Specialist/Technologist | 6117 Ashcroft Ave, Edina, MN 55424-1727 | 2020-02-10 |
| 1447412606 | Kyle A Vansickle | Specialist/Technologist | 8100 W 78th St Ste 225, Edina, MN 55439-2569 | 2008-06-30 |
| 1841273927 | Thomas Anthony Kiff | Specialist/Technologist | 8100 W 78th St, 225, Edina, MN 55439-2516 | 2005-11-22 |
| 1326524414 | Angela Esther Koich | Specialist/Technologist | 8100 W 78th St, Edina, MN 55439-2516 | 2018-07-12 |
| 1811351471 | Rachel Spika | Specialist/Technologist | 8100 W 78th St, Suite 225, Edina, MN 55439-2516 | 2016-04-11 |
| 1700260379 | Melissa Haupt | Specialist/Technologist | 8100 W 78th St, Suite 230, Edina, MN 55439-2516 | 2015-07-14 |
| 1609260413 | Michael Hall | Specialist/Technologist | 8100 W 78th St, Suite #230, Edina, MN 55439-2516 | 2015-03-19 |
| 1740673854 | Kylene Hoeft | Specialist/Technologist | 8100 W 78th St, Suite 230, Edina, MN 55439-2516 | 2015-03-13 |
| 1902297591 | Katie Lynn Sjostrom | Specialist/Technologist | 8100 W 78th St, Suite 225, Edina, MN 55439-2516 | 2015-02-18 |
| Find all providers in EDINA | ||||
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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.