STACI MARIE GRUENKE


Address: 1160 Kepler Dr, Green Bay, WI 54311-8321
Phone: 9202885482

STACI MARIE GRUENKE (NPI# 1861534232) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1861534232
Entity Type Individual
Full Name STACI MARIE GRUENKE
Credential MS, LAT, CSCS
Practice Address 1160 Kepler Dr
Green Bay
WI 54311-8321
Practice Telephone 9202885482
Enumeration Date 2007-02-13
Last Update Date 2016-09-01
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2255A2300X Specialist/Technologist
Specialization: Athletic Trainer
670-039 WI Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 1160 KEPLER DR
City GREEN BAY
State WI
Zip Code 54311-8321

Providers in the same location

NPI Name Taxonomy Address Enumeration
1649273129 Luke Thomas Warpinski Family Medicine 1160 Kepler Dr, Green Bay, WI 54311-8321 2005-05-27
1639783202 Angela Dhuey Massage Therapist 1160 Kepler Dr, Green Bay, WI 54311-8321 2020-09-01
1912511585 Marilee Petasek Massage Therapist 1160 Kepler Dr, Green Bay, WI 54311-8321 2020-09-01
1720611981 Baycare Aurora, LLC Durable Medical Equipment & Medical Supplies 1160 Kepler Dr, Green Bay, WI 54311-8321 2020-02-17
1619448727 Melissa Mary Thompson Physical Therapist 1160 Kepler Dr, Green Bay, WI 54311-8321 2018-12-16
1942776919 Nathan Seitz Physical Therapist 1160 Kepler Dr, Green Bay, WI 54311-8321 2018-10-17
1679052104 Amy E Warden Nurse Practitioner 1160 Kepler Dr, Green Bay, WI 54311-8321 2018-08-07
1477052553 Kristin Kiekhaefer Specialist/Technologist 1160 Kepler Dr, Green Bay, WI 54311-8321 2018-02-05
1235647876 Jordan Robinson Specialist/Technologist 1160 Kepler Dr, Green Bay, WI 54311-8321 2018-01-17
1811433816 Paige E Pernaski Registered Nurse 1160 Kepler Dr, Green Bay, WI 54311-8321 2017-01-13
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1295333847 Karen Ginnow Pharmacist Walmart #1908, 2292 Main St, Green Bay, WI 54311 2020-10-15
1639786551 Maggie Hall Dental Hygienist 2633 Development Dr. Ste 40, Green Bay, WI 54311 2020-09-24
1295370807 Jennifer Marie Arendt Technician 2970 Mossy Oak Cir #39, Green Bay, WI 54311 2019-11-07
1518508803 Cheryl Ann Johnson Specialist 830 Edgewood Dr., Green Bay, WI 54311 2019-10-08
1124670898 Robert H Wagner Family Dentist S.c. Dentist 2830 Curry Court, Suite 1, Green Bay, WI 54311 2019-07-12
1821659624 The Salvation Army Counselor The Salvation Army Ray & Joan Kroc Center, 1315 Lime Kiln Road, Green Bay, WI 54311 2019-06-24
1578052866 Matthew Robert Wagner Dentist 2830 Curry Ln #1, Green Bay, WI 54311 2018-05-02
1861916769 Atlas Spinal Care Chiropractor 2069 Central Ct, Suite 11, Green Bay, WI 54311 2017-08-01
1851844161 Green Bay Family Dental LLC Dentist 2609 Development Dr., Green Bay, WI 54311 2016-08-03
1710382809 Betsy Hoida Pharmacist 2485 Greenbrier Rd., Green Bay, WI 54311 2014-10-31
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Taxonomy Information

Taxonomy Code 2255A2300X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Specialist/Technologist
Specialization Athletic Trainer

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1033774591 Laura Snyder Specialist/Technologist 1356 Suburban Ave, Green Bay, WI 54304-3832 2019-05-09
1982193124 Kevin William Cropsey Specialist/Technologist 3132 W Ottertail Ct, Green Bay, WI 54311-7608 2018-05-03
1144718511 Kasi Marie Bardouche Specialist/Technologist 2884 Sussex Rd, Green Bay, WI 54311-7475 2018-05-01
1407359474 Samantha Matuszak Specialist/Technologist 2944 Shefield Ct, Green Bay, WI 54311-5029 2018-03-15
1477094548 Jenna Carter Specialist/Technologist 3181 Jaguar Ln, Green Bay, WI 54313-9236 2017-03-09
1699216788 Meghan Lange Specialist/Technologist 1612 Royal Crown Ct, Green Bay, WI 54313-4390 2017-03-09
1619429479 Wyatt O'neil Specialist/Technologist 3044 Warm Springs Dr, Green Bay, WI 54311-5030 2016-10-27
1770947640 Brian Hanson Specialist/Technologist 234 Swiss Meadow Ln, Green Bay, WI 54302-5253 2016-04-07
1083092795 Alena Rose Mcguire Specialist/Technologist 2717 Prairie Garden Trl, Green Bay, WI 54313-3958 2015-05-13
1467849307 Maureen Riordan Specialist/Technologist 2957 S Telemark Cir., Green Bay, WI 54313 2015-04-17
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Competitor

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City GREEN BAY
Zip Code 54311

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Dataset Information

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.

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