HOLLY LYNN SISSON (NPI# 1891052833) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891052833 |
| Entity Type | Individual |
| Full Name | HOLLY LYNN SISSON |
| Credential | MA, AT, ATC |
| Practice Address |
1903 W Michigan Ave Kalamazoo MI 49008-5426 |
| Practice Telephone | 2693872701 |
| Mailing Telephone | 2693872701 |
| Enumeration Date | 2012-04-16 |
| Last Update Date | 2019-07-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
2601001015 | MI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AL3101 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1 Unf Dr, Jacksonville, FL 322247699 | 9046202855 |
| Street Address |
1903 W MICHIGAN AVE |
| City | KALAMAZOO |
| State | MI |
| Zip Code | 49008-5426 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639151871 | Eric L Lean | Family Medicine | 1903 W Michigan Ave, Kalamazoo, MI 49008-5200 | 2005-11-15 |
| 1285285460 | Theresa Chacon | Specialist/Technologist | 1903 W Michigan Ave, Kalamazoo, MI 49008-5200 | 2019-09-27 |
| 1144871880 | Tasuku Kurane | Specialist/Technologist | 1903 W Michigan Ave, Kalamazoo, MI 49008-5200 | 2019-09-24 |
| 1942710306 | Kyle Donovan Schiller | Specialist/Technologist | 1903 W Michigan Ave, Kalamazoo, MI 49008-5200 | 2017-10-11 |
| 1083150692 | Daniel Raymond Walen | Specialist/Technologist | 1903 W Michigan Ave, Kalamazoo, MI 49008-5200 | 2017-01-06 |
| 1649713819 | Western Michigan University Psychological Assessment and Treatment Ser | Behavioral Analyst | 1903 W Michigan Ave, Kalamazoo, MI 49008-5200 | 2016-11-21 |
| 1275085714 | Kayla Brown | Rehabilitation Practitioner | 1903 W Michigan Ave, Eicher 420, Kalamazoo, MI 49008-5200 | 2016-11-01 |
| 1376093492 | Nicholas Hartwigsen | Specialist/Technologist | 1903 W Michigan Ave, Kalamazoo, MI 49008-5200 | 2016-10-13 |
| 1174997563 | Jake Edward Kuipers | Specialist/Technologist | 1903 W Michigan Ave, Health and Human Performance, Kalamazoo, MI 49008-5200 | 2015-11-23 |
| 1801268446 | David Joseph Rhodes | Student in an Organized Health Care Education/Training Program | 1903 W Michigan Ave, Kalamazoo, MI 49008-5200 | 2015-10-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144847534 | Theresa Anne Aranda | Pharmacist | 3016 S Westendge Ave, Kalamazoo, MI 49008 | 2020-07-01 |
| 1336615830 | Jonathon Strefling | Physical Therapist | 165 N. Washington Ave, Battle Creek, MI 49008 | 2018-10-23 |
| 1376039826 | Alexander J Hessler I | Pharmacist | 5121 S Westnedge Ave., Kalamazoo, MI 49008 | 2018-07-09 |
| 1700324415 | Philip Richard Granish | Psychologist | 4341 S. Westnedge, Suite 1103, Kalamazoo, MI 49008 | 2017-02-02 |
| 1396195863 | Kyle Bronsteen | Student in an Organized Health Care Education/Training Program | Wmu School of Medicine, 1000 Oakland Drive, Kalamazoo, MI 49008 | 2016-06-15 |
| 1013363449 | Gwendolyn Layette Moore | Home Health Aide | 4441 Old Colony Road, Kalamazoo, MI 49008 | 2016-05-04 |
| 1982008066 | Danah Kim | Dentist | 3130 N Westnedge Ave., Kalamazoo, MI 49008 | 2014-10-17 |
| 1598168874 | Melissa Shields | Physician Assistant | Western Michigan University, 1903 Western Michigan Avenue, Kalamazoo, MI 49008 | 2014-10-01 |
| 1831508548 | D2 Dental of Michigan, P.C. | Dentist | 3130 S Westnedge Avenue, Kalamazoo, MI 49008 | 2014-08-06 |
| 1558784330 | Maureen Brown | Pharmacist | 5121 S. Westnedge Ave, Kalamazoo, MI 49008 | 2014-01-29 |
| Find all providers in zip 49008 | ||||
| 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 |
|---|---|---|---|---|
| 1205443553 | Emma Weber | Specialist/Technologist | 7776 Percheron St, Kalamazoo, MI 49009-5990 | 2020-09-29 |
| 1851858724 | Rylea Saunders | Specialist/Technologist | 10582 W L Ave, Kalamazoo, MI 49009-9323 | 2019-02-26 |
| 1043775802 | Allison Selene Zyzelewski | Specialist/Technologist | 4163 Glacier Valley Ave, Kalamazoo, MI 49009-5015 | 2019-02-06 |
| 1851876692 | Alexis Kristine French | Specialist/Technologist | 3847 Whitney Ct, Kalamazoo, MI 49009-6922 | 2018-09-27 |
| 1598269086 | Salvador Robles-soriano | Specialist/Technologist | 2107 N 26th St, Kalamazoo, MI 49048-9217 | 2018-03-20 |
| 1538677919 | Jacob Walter Slager | Specialist/Technologist | 4703 Silverleaf Ln, Kalamazoo, MI 49004-3180 | 2018-01-19 |
| 1871000166 | Stefvany Rae Miller | Specialist/Technologist | 611 Wheaton Ave, Kalamazoo, MI 49008-1357 | 2018-01-08 |
| 1144761370 | Joseph Timgren | Specialist/Technologist | 5048 Coopers Landing Dr, Apt 2b, Kalamazoo, MI 49004-6657 | 2017-03-20 |
| 1588105068 | Janelle Morem | Specialist/Technologist | 4739 Sweet Cherry Ln, Kalamazoo, MI 49004-3706 | 2017-03-16 |
| 1285171603 | Anthony Moon | Specialist/Technologist | 36460 22nd St, Kalamazoo, MI 49009-9200 | 2017-01-23 |
| Find all providers in KALAMAZOO | ||||
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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.