ANDIE MICHELLE STARK (NPI# 1972005601) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972005601 |
| Entity Type | Individual |
| Full Name | ANDIE MICHELLE STARK |
| Credential | ATC |
| Practice Address |
4008 Ave Maria Drive Lobby A Suite 100 Ann Arbor MI 48106 |
| Mailing Address |
24 Frank Lloyd Wright Dr Ann Arbor MI 48105-9484 |
| Practice Telephone | 7349307400 |
| Enumeration Date | 2018-03-08 |
| Last Update Date | 2018-03-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
2601001849 | MI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
4008 AVE MARIA DRIVE LOBBY A SUITE 100 |
| City | ANN ARBOR |
| State | MI |
| Zip Code | 48106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609335363 | Epmg Northern Michigan Pllc | Nurse Practitioner | 5301 E Huron River Dr Er, Ann Arbor, MI 48106 | 2019-03-13 |
| 1316405103 | Epmg Southwest Michigan Pllc | Emergency Medicine | 5301 E Huron River Rd, Ann Arbor, MI 48106 | 2019-03-11 |
| 1902308471 | Stacey Pagorek | Physical Therapist | 24 Frank Lloyd Wright Drive Lobby A - Medsport, Ann Arbor, MI 48106 | 2018-03-01 |
| 1386150217 | Joyce Barretto Patterson | Dietitian, Registered | Domino's Farm Lobby C, 24 Frank Lloyd Wright Dr., Suite 1300, Ann Arbor, MI 48106 | 2017-12-14 |
| 1376055350 | Sarah Anne Floyd | Specialist/Technologist | 4008 Ave Maria Drive Lobby A, Suite 1000, Ann Arbor, MI 48106 | 2017-10-30 |
| 1932639788 | Jasmine Dominique Harris | Specialist/Technologist | 4008 Ave Maria Drive, Lobby A, Suite 1000, Ann Arbor, MI 48106 | 2017-06-14 |
| 1437596046 | John P Sherbeck | Pathology | 5305 East Huron River Drive, Ann Arbor, MI 48106 | 2013-05-23 |
| 1366738213 | Zeena Husain | Anesthesiology | 5301 East Huron River, Anesthesia Department, Ann Arbor, MI 48106 | 2011-06-20 |
| 1942505458 | Angela Nicole Bartley | Pathology | 5305 E. Huron River Drive, Ann Arbor, MI 48106 | 2011-01-13 |
| 1275866071 | Kellie Nicole Malewski | Social Worker | 5401 Mcauley Dr., Ann Arbor, MI 48106 | 2009-09-10 |
| Find all providers in zip 48106 | ||||
| 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 |
|---|---|---|---|---|
| 1417571589 | Emily Ann Appold | Specialist/Technologist | 2350 S State St, Ann Arbor, MI 48104-6110 | 2020-06-03 |
| 1023649035 | Logan D Battreall | Specialist/Technologist | 3129 Woodland Hills Dr Apt 36, Ann Arbor, MI 48108-2180 | 2020-01-29 |
| 1841839347 | Mary Marlene Gocha | Specialist/Technologist | 1665 Plymouth Rd, Ann Arbor, MI 48105-1825 | 2019-12-31 |
| 1588203293 | Earl Wenk | Specialist/Technologist | 1958 S Industrial Hwy Ste C, Ann Arbor, MI 48104-4625 | 2019-12-27 |
| 1710522297 | Xiaoyuan Hu | Specialist/Technologist | Obl 2150, 1402 Washington Hts, Ann Arbor, MI 48109 | 2019-11-08 |
| 1881254662 | Amy Metiva | Specialist/Technologist | 4854 Washtenaw Ave, Ann Arbor, MI 48108-3441 | 2019-06-14 |
| 1376055350 | Sarah Anne Floyd | Specialist/Technologist | 4008 Ave Maria Drive Lobby A, Suite 1000, Ann Arbor, MI 48106 | 2017-10-30 |
| 1073035457 | Raynaldo Juaquin Valdez | Specialist/Technologist | 500 E. Hoover Ave, Ann Arbor, MI 48104 | 2017-07-07 |
| 1932639788 | Jasmine Dominique Harris | Specialist/Technologist | 4008 Ave Maria Drive, Lobby A, Suite 1000, Ann Arbor, MI 48106 | 2017-06-14 |
| 1386171734 | Mark Hwang | Specialist/Technologist | 1335 Geddes Ave Apt 4, Ann Arbor, MI 48104-1659 | 2017-05-16 |
| Find all providers in ANN ARBOR | ||||
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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.