NICOLE KRISTINE DEMARCO (NPI# 1982063632) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982063632 |
| Entity Type | Individual |
| Full Name | NICOLE KRISTINE DEMARCO |
| Practice Address |
16317 Clark Ln Tinley Park IL 60477 |
| Mailing Address |
16317 Clark Ln Tinley Park IL 60477-1823 |
| Practice Telephone | 3123504544 |
| Mailing Telephone | 3123504544 |
| Enumeration Date | 2016-02-22 |
| Last Update Date | 2018-05-18 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053711507 | Nicole Demarco | Student in an Organized Health Care Education/Training Program | 77 88th St, Brooklyn, NY 11209-5523 | 2014-09-02 |
| 1023633278 | Nicole Brooke Demarco | Optometrist | 3601 S 6th Ave # 11-112a, Tucson, AZ 85723-0001 | 2020-06-13 |
| 1134539265 | Nicole Ann Demarco | Nurse Practitioner | 8 N Howard Ave, Croswell, MI 48422-1221 | 2014-04-29 |
| Street Address |
16317 CLARK LN |
| City | TINLEY PARK |
| State | IL |
| Zip Code | 60477 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013522366 | Joshua Gruenke | Physical Therapist | 17129 S. Harlem Avenue, Tinley Park, IL 60477 | 2020-09-14 |
| 1881229656 | Sherrie Lynn Tsang | Massage Therapist | 7925 West 171st Street, Tinley Park, IL 60477 | 2020-03-11 |
| 1437782117 | Du Page Medical Group Ltd | Durable Medical Equipment & Medical Supplies | 17129 S Harlem Ave. Ste B3, Tinley Park, IL 60477 | 2020-02-20 |
| 1356998561 | Rasa Vaskeviciute | Physical Therapist | 17129 So Harlem, Tinley Park, IL 60477 | 2019-08-22 |
| 1538728258 | Michelle Anne Wisen | Physical Therapy Assistant | 17129 South Harlem, Suite B3, Tinley Park, IL 60477 | 2019-06-06 |
| 1073006151 | Danielle Lyon | Counselor | 6801 West 180th Court, Tinley Park, IL 60477 | 2018-06-13 |
| 1316445794 | Yvonne Tran | Physical Therapist | 17129 S Harlem Ave, Tinley Park, IL 60477 | 2018-01-31 |
| 1326574591 | Nicholas Barker | Chronic Disease Hospital | 7859 Joliet Drive North, Tinley Park, IL 60477 | 2017-05-10 |
| 1376900571 | Ucp Seguin Greater Chicago | Foster Care Agency | 7550 W. 183rd, Tinley Park, IL 60477 | 2016-01-20 |
| 1902271703 | Michael Palencia | Student in an Organized Health Care Education/Training Program | 16536 Manchester St, Tinley Park, IL 60477 | 2015-12-04 |
| Find all providers in zip 60477 | ||||
| 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 |
|---|---|---|---|---|
| 1548704984 | Brandon Collins | Specialist/Technologist | 8078 Stonegate Dr, Tinley Park, IL 60487-7194 | 2016-12-04 |
| 1851749204 | Morgan Mcdermott | Specialist/Technologist | 17030 Amherst Ln, Tinley Park, IL 60477-2435 | 2016-05-26 |
| 1457720989 | Michael Schauer | Specialist/Technologist | 7900 Belle Rive Ct, Tinley Park, IL 60477-4587 | 2015-09-15 |
| 1942587688 | Phillip Brent Rossberg | Specialist/Technologist | 8407 Castle Dr, Tinley Park, IL 60487-7645 | 2011-11-09 |
| 1992897847 | Kevin Patrick Bresnahan | Specialist/Technologist | 16651 Harlem Ave, Tinley Park, IL 60477-2581 | 2006-09-29 |
| 1376518894 | Sheila Lynn Bigelow | Specialist/Technologist | 17837 80th Ave, Tinley Park, IL 60477-5023 | 2006-02-19 |
| 1962987370 | Jeanette Frost | Specialist/Technologist | 16651 Harlem Ave, Tinley Park, IL 60477-2895 | 2018-10-02 |
| 1750747465 | Sheryl L Freudinger | Specialist/Technologist | 18660 Graphics Drive, Suite 200, Tinley Park, IL 60477 | 2016-01-11 |
| 1124396163 | William James Sullivan | Specialist/Technologist | 18660 Graphic Dr, Tinley Park, IL 60477-6257 | 2011-12-05 |
| 1457521171 | Brian Joesph Conroy | Specialist/Technologist | 16651 Harlem Ave, Tinley Park, IL 60477-2895 | 2008-03-10 |
| Find all providers in TINLEY PARK | ||||
| City | TINLEY PARK |
| Zip Code | 60477 |
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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.