MR. GREGG ELLIS BOUGHTON (NPI# 1932171998) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932171998 |
| Entity Type | Individual |
| Full Name | MR. GREGG ELLIS BOUGHTON |
| Credential | ATC, CSCS |
| Practice Address |
1909 Vista Dr Laramie WY 82070-5530 |
| Mailing Address |
5217 View Point Ct Cheyenne WY 82009-5679 |
| Practice Telephone | 3077458851 |
| Practice Fax Number | 3077420961 |
| Mailing Telephone | 3072141676 |
| Mailing Fax Number | 3077420961 |
| Enumeration Date | 2006-02-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| 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 |
1909 VISTA DR |
| City | LARAMIE |
| State | WY |
| Zip Code | 82070-5530 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891775862 | Stephen B Kaiser | Physical Therapist | 1909 Vista Dr, Laramie, WY 82070 | 2006-01-18 |
| 1962013433 | Teagan Young | Physical Therapist | 1909 Vista Dr, Laramie, WY 82070-5530 | 2020-08-10 |
| 1003393984 | Erena Hintsa | Physician Assistant | 1909 Vista Dr, Laramie, WY 82070-5599 | 2018-07-24 |
| 1669968848 | Rhiannan Kay Rubino | Physical Therapist | 1909 Vista Dr, Laramie, WY 82070-5530 | 2018-07-10 |
| 1497249981 | Heather Rose O'donnell | Physical Therapist | 1909 Vista Dr, Laramie, WY 82070-5599 | 2018-06-18 |
| 1316480478 | Michael Zelyez | Physical Therapist | 1909 Vista Dr, Laramie, WY 82070-5530 | 2016-11-22 |
| 1427418136 | Cinthy Carson | Physical Therapist | 1909 Vista Dr, Laramie, WY 82070-5530 | 2016-02-24 |
| 1447641717 | Rebecca Nordin | Registered Nurse | 1909 Vista Dr, Laramie, WY 82070-5530 | 2015-02-09 |
| 1437566908 | Amy Shepard | Physical Therapist | 1909 Vista Dr, Laramie, WY 82070-5530 | 2014-07-16 |
| 1427488279 | Torrie Irene | Registered Nurse | 1909 Vista Dr, Laramie, WY 82070-5530 | 2013-11-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548875164 | Roland Maldonado | Registered Nurse | 258 Nth Hayes Street, Laramie, WY 82070 | 2020-09-10 |
| 1528429917 | Spark | Community/Behavioral Health | 903 S 9th Street, Laramie, WY 82070 | 2016-03-11 |
| 1578968509 | Melissa Marie Allen | Speech-Language Pathologist | 1613 Clydesdale, Laramie, WY 82070 | 2014-11-04 |
| 1316362155 | Charles M. Alexander | Pharmacist | 3112 E. Grand Ave, Laramie, WY 82070 | 2014-03-04 |
| 1447685706 | Dale Warren Van Wig | Pharmacist | 544 N. Third St, Pharmacy, Laramie, WY 82070 | 2013-09-05 |
| 1558619973 | Sarah Marie Pence | Pharmacist | 4005 East Grand Ave, Laramie, WY 82070 | 2012-08-15 |
| 1437435567 | Stephanie Ingalls | Case Manager/Care Coordinator | 69 Osprey Rd., Laramie, WY 82070 | 2011-11-03 |
| 1457634040 | The Clinic for Mental Health and Wellness | Counselor | 504 South 4th Street, Laramie, WY 82070 | 2011-09-21 |
| 1316177371 | Patricia Ann Casey | Occupational Therapist | Laramie Care Center, 503 S. 18th St., Laramie, WY 82070 | 2009-07-23 |
| 1134322340 | Linda K Cross | Case Manager/Care Coordinator | 315 So 8th, Laramie, WY 82070 | 2007-06-06 |
| Find all providers in zip 82070 | ||||
| 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 |
|---|---|---|---|---|
| 1326135005 | Carl Barnett | Specialist/Technologist | Dept 3414 1000 E. University Ave, Department of Intercol, Laramie, WY 82071 | 2006-10-06 |
| 1760083851 | Thomas James Desimone | Specialist/Technologist | 1000 E University Ave Dept 3414, Laramie, WY 82071-2000 | 2020-11-04 |
| 1730724998 | Kara Saylor | Specialist/Technologist | 1000 E University Ave Dept 3414, Laramie, WY 82071-2000 | 2019-11-12 |
| 1033626049 | Jennifer Lyn Knerr | Specialist/Technologist | 1000 E University Ave, Laramie, WY 82071-2000 | 2017-12-29 |
| 1962857003 | Ryan Pinson | Specialist/Technologist | 1000 E University Ave, Dept. 3414, Laramie, WY 82071-2000 | 2016-04-26 |
| 1417292798 | Katie Drendel | Specialist/Technologist | 1000 E University Ave Dept 3414, Laramie, WY 82071-2000 | 2012-11-28 |
| 1306116173 | Kylie L Yates | Specialist/Technologist | 1000 E University Ave, Department 3414, Laramie, WY 82071-2000 | 2012-01-10 |
| 1518237395 | Benjamin Frank Kellner | Specialist/Technologist | 1000 E University Ave Dept 3414, Laramie, WY 82071-2000 | 2012-01-10 |
| 1679843478 | Brady Rice | Specialist/Technologist | 1000 E University Ave, Laramie, WY 82071-2000 | 2012-01-10 |
| 1386914281 | Shaun Richard Skavang | Specialist/Technologist | 1000 E University Ave Dept 3414, Laramie, WY 82071-2000 | 2012-01-09 |
| Find all providers in LARAMIE | ||||
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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.