HALEY RAEANNE WIEDEMAN (NPI# 1952911083) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952911083 |
| Entity Type | Individual |
| Full Name | HALEY RAEANNE WIEDEMAN |
| Practice Address |
1100 North Ave Grand Junction CO 81501-3122 |
| Mailing Address |
2214 Mesa Ave Grand Junction CO 81501-6670 |
| Practice Telephone | 9703126511 |
| Mailing Telephone | 9703126511 |
| Enumeration Date | 2020-08-04 |
| Last Update Date | 2020-08-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| 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 |
1100 NORTH AVE |
| City | GRAND JUNCTION |
| State | CO |
| Zip Code | 81501-3122 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861411415 | Jeremy Hawkins | Specialist/Technologist | 1100 North Ave, Grand Junction, CO 81501-3122 | 2006-07-18 |
| 1235749797 | Sierra Denise Reich | Specialist/Technologist | 1100 North Ave, Grand Junction, CO 81501-3122 | 2020-08-08 |
| 1831709963 | Katie Ivers | Specialist/Technologist | 1100 North Ave, Grand Junction, CO 81501-3122 | 2020-08-04 |
| 1740890870 | Hannah Rank | Specialist/Technologist | 1100 North Ave, Grand Junction, CO 81501-3122 | 2020-08-04 |
| 1730799867 | Tanner Jay Hallock | Specialist/Technologist | 1100 North Ave, Grand Junction, CO 81501-3122 | 2020-08-04 |
| 1124638259 | Kelsey Forbord | Specialist/Technologist | 1100 North Ave, Grand Junction, CO 81501-3122 | 2020-08-04 |
| 1811522329 | Naomi Brown | Specialist/Technologist | 1100 North Ave, Grand Junction, CO 81501-3122 | 2020-03-04 |
| 1609422153 | Megan Kennedy | Specialist/Technologist | 1100 North Ave, Grand Junction, CO 81501-3122 | 2019-08-12 |
| 1336794452 | Rylee Blacker | Specialist/Technologist | 1100 North Ave, Grand Junction, CO 81501-3122 | 2019-08-06 |
| 1699231175 | Matthew Michael Culp | Specialist/Technologist | 1100 North Ave, Grand Junction, CO 81501-3122 | 2019-02-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700430261 | Brianne Tanae Harper | Physician Assistant | 2530 N 8th St Suite 205, Grand Junction, CO 81501 | 2019-08-01 |
| 1497318059 | Shellen H Pinnt | Counselor | 660 White Avene, Grand Junction, CO 81501 | 2019-04-19 |
| 1477011658 | Gaylene Ludwig | Counselor | 622 Rood Ave, Grand Junction, CO 81501 | 2019-03-07 |
| 1639676158 | Chris De Bruin | Counselor | Grand Junction Metro Treatment Center, 1001 Wellington Ave, Grand Junction, CO 81501 | 2018-04-11 |
| 1568971125 | Michael Sprague | Counselor | 1001 Wellington Avenue, Grand Junction, CO 81501 | 2017-09-27 |
| 1609393560 | Karin Vandervelde | Midwife | 2241 7th Street, Bloomin' Babies Birth Center, Grand Junction, CO 81501 | 2017-08-23 |
| 1225550361 | Critical Nurse Staffing, LLC | Home Health | 1114 N 1st St, Suite 200, Grand Junction, CO 81501 | 2017-07-11 |
| 1003344094 | Mac Aarron Fish | Counselor | 622 Rood Ave Ste C, Grand Junction, CO 81501 | 2017-06-02 |
| 1467994566 | A New Life Counseling, Inc | Counselor | 623 North 8th St, Grand Junction, CO 81501 | 2016-11-07 |
| 1801342597 | Paragon Restoration & Building, Inc. | Contractor | 205 S. 15th St., Grand Junction, CO 81501 | 2016-09-01 |
| Find all providers in zip 81501 | ||||
| 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 |
|---|---|---|---|---|
| 1639636186 | Michael James Green | Specialist/Technologist | 632 Noble Ct, Grand Junction, CO 81504-6987 | 2019-02-20 |
| 1154887917 | Jory Gallegos | Specialist/Technologist | 513 N 20th St, Grand Junction, CO 81501-7905 | 2019-02-18 |
| 1659835064 | Megan Kerry Limberg | Specialist/Technologist | 1208 Walnut Ave Apt 1, Grand Junction, CO 81501-4258 | 2019-01-30 |
| 1073972709 | Kyle Gallagher | Specialist/Technologist | 231 Garfield Dr, Grand Junction, CO 81503-2972 | 2016-02-23 |
| 1467848986 | Mathew Donello | Specialist/Technologist | 845 Orchard Ave, Grand Junction, CO 81501-2906 | 2015-04-10 |
| 1881080307 | Kevin Schulz | Specialist/Technologist | 105 Glade Park Rd Apt B, Grand Junction, CO 81507-3009 | 2015-04-10 |
| 1528479649 | Adam Neff | Specialist/Technologist | 2188 I Road, Grand Junction, CO 81505 | 2014-05-12 |
| 1457761843 | Caitlyn Ann Marie Cottrell | Specialist/Technologist | 293 Holly Ln, Grand Junction, CO 81503-2021 | 2014-05-06 |
| 1356618235 | Jesse L Getz | Specialist/Technologist | 2020 North 12th, Western Orthopedics and Sports Medicine, Grand Junction, CO 81501 | 2011-11-21 |
| 1861411415 | Jeremy Hawkins | Specialist/Technologist | 1100 North Ave, Grand Junction, CO 81501-3122 | 2006-07-18 |
| Find all providers in GRAND JUNCTION | ||||
| City | GRAND JUNCTION |
| Zip Code | 81501 |
Please comment or provide details below to improve the information on HALEY RAEANNE WIEDEMAN.
| 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.