OLIVIA MARIE BOGOLIN (NPI# 1851916878) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851916878 |
| Entity Type | Individual |
| Full Name | OLIVIA MARIE BOGOLIN |
| Credential | ATC |
| Practice Address |
111 Timber Trace Xing Wentzville MO 63385-2124 |
| Practice Telephone | 3144823886 |
| Mailing Telephone | 3144823886 |
| Enumeration Date | 2020-06-15 |
| Last Update Date | 2020-06-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
2017043589 | MO | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
111 TIMBER TRACE XING |
| City | WENTZVILLE |
| State | MO |
| Zip Code | 63385-2124 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235730243 | Jeffery William Ellis | Pharmacist | 1571 Wentzville Parkway, Wentzville, MO 63385 | 2020-11-05 |
| 1487266011 | Jason Wade Moore | Peer Specialist | 5 West Pearce Boulevard, Wentzville, MO 63385 | 2020-08-17 |
| 1265906176 | Montrice M Haynes | Counselor | 500 Medical Dr., Central Intake, Wentzville, MO 63385 | 2019-01-14 |
| 1841718459 | Linda Duree | Counselor | 7105 Whisper Creek Dr, Wentzville, MO 63385 | 2017-09-03 |
| 1811349368 | Sara Kleinlein | Social Worker | 500 Medical Drive, Wentzville, MO 63385 | 2016-07-08 |
| 1275980757 | Teona Moeller | Nurse Practitioner | 1598 West Meyer Dr., Wentzville, MO 63385 | 2016-05-16 |
| 1831561273 | Jay F. Hauser, Dds, PC | Dentist | 11 Wentzville Bluffs Drive, Wentzville, MO 63385 | 2015-10-26 |
| 1720402035 | Shara Kuehl | Speech-Language Pathologist | One Campus Drive, Wentzville, MO 63385 | 2014-02-06 |
| 1336480474 | Simply Loyal In Home and Transport Services LLC | Home Health | 152 Enterprise Dr, Wentzille, MO 63385 | 2013-03-14 |
| 1750641338 | Missouri Dental Professionals, Richard Straus, Dmd, PC | Dentist | 1849 Wentzville Parkway, Wentzville, MO 63385 | 2012-05-17 |
| Find all providers in zip 63385 | ||||
| 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 |
|---|---|---|---|---|
| 1881242899 | Niki Sue Swafford | Specialist/Technologist | 662 Dundee Ct, Wentzville, MO 63385-2858 | 2019-09-03 |
| 1598235210 | Haskel John Buford | Specialist/Technologist | 602 Spring Meadow Dr, Wentzville, MO 63385-3447 | 2018-11-26 |
| 1720419609 | Brian Hudson | Specialist/Technologist | 419 Pearl Creek Dr, Wentzville, MO 63385-5587 | 2013-12-03 |
| 1083940696 | Kristen Elaine Jeans | Specialist/Technologist | 2520 Hopewell Rd, Wentzville, MO 63385-5911 | 2009-11-02 |
| 1073630422 | Kristin Quinn | Specialist/Technologist | 1425 Wentzville Pkwy, Wentzville, MO 63385-3407 | 2007-03-23 |
| 1396899944 | Michael S Heffner | Specialist/Technologist | 19 Tyler Ct, Wentzville, MO 63385-4665 | 2007-01-22 |
| 1326609934 | Nicholas Martin Wiegand | Specialist/Technologist | 600 Campus Dr, Wentzville, MO 63385-3433 | 2019-06-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467051516 | Kangjun Lee | Specialist/Technologist | 901 S. National Ave., Springfield, MO 65897 | 2020-10-20 |
| 1114525631 | Kaylen A Howard | Specialist/Technologist | No, No, MO 63119 | 2020-10-16 |
| 1548868334 | Alexander Kenneth Hollingsworth | Specialist/Technologist | 1904 Franklin Ave, Lexington, MO 64067-1705 | 2020-10-13 |
| 1164020335 | Taylor Fumagalli | Specialist/Technologist | 1421 Woodstone Dr, Saint Charles, MO 63304-6866 | 2020-10-11 |
| 1265039192 | Carley M Swabby | Specialist/Technologist | 652 Bismark Ave, Saint Louis, MO 63119-1528 | 2020-10-05 |
| 1275144891 | Tiffany Hallacy | Specialist/Technologist | 5014 Walnut St Apt D, Kansas City, MO 64112-2641 | 2020-08-17 |
| 1306464011 | Dustin Flynn | Specialist/Technologist | 541 Huntley Heights Dr, Ballwin, MO 63021-5884 | 2020-07-09 |
| 1417571464 | Jessica Burgason | Specialist/Technologist | 24173 State Highway F, Kirksville, MO 63501-8009 | 2020-06-05 |
| 1225651664 | Ashley Marie Garlock | Specialist/Technologist | 1308 S Halliburton St, Kirksville, MO 63501-4456 | 2020-05-20 |
| 1639790090 | Brock O'neal | Specialist/Technologist | 1573 Saratoga St, Cape Girardeau, MO 63701-2535 | 2020-04-27 |
| Find all providers with the same taxonomy | ||||
| City | WENTZVILLE |
| Zip Code | 63385 |
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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.