MS. LAUREN ANNE BRUECK (NPI# 1982092169) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982092169 |
| Entity Type | Individual |
| Full Name | MS. LAUREN ANNE BRUECK |
| Credential | ATC, LAT |
| Practice Address |
1218 Walton Ln Se Smyrna GA 30082-3873 |
| Practice Telephone | 7345362730 |
| Mailing Telephone | 7345362730 |
| Enumeration Date | 2014-12-22 |
| Last Update Date | 2014-12-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AT002284 | GA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1218 WALTON LN SE |
| City | SMYRNA |
| State | GA |
| Zip Code | 30082-3873 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528600335 | Arden Constance Mobley | Occupational Therapist | 3200 Highlands Parkway Suite 150, Smyrna, GA 30082 | 2019-10-14 |
| 1386185916 | Nicholas Andrews | Behavior Technician | 5034 Laurel Bridge, Smyrna, GA 30082 | 2017-03-15 |
| 1518331362 | Shannon Wilkerson | Counselor | 3040 Highlands Pkwy, Ste G, Smyrna, GA 30082 | 2015-11-17 |
| 1235529611 | Frances Offiah Idowu | Nurse Practitioner | 3240 South Cobb Drive, Smyrna, GA 30082 | 2015-01-23 |
| 1053717850 | Deena Altman Spital | Physician Assistant | 400 Technology Ct, Suite J, Smyrna, GA 30082 | 2014-11-06 |
| 1487964193 | Revive Athletics, Inc | Counselor | 460 Bourne Drive, Smyrna, GA 30082 | 2010-10-15 |
| 1386956746 | Kalpit C Patel | Family Medicine | 4480 N Cooper Lake Rd Se Ste 100, Smyrna, GA 30082 | 2010-07-13 |
| 1285826800 | David Goziem Nwabunor | Emergency Medicine | 415 Oak Brook Ct Se, Smyrna, GA 30082 | 2007-08-16 |
| 1437357373 | Amit M Patel | Plastic Surgery | 3968 Felton Hill Rd Sw, Ste 100, Smyrna, GA 30082 | 2007-07-03 |
| 1225103849 | Daniel C Norris Dds PC | Dentist | 620 Concord Rd, Smyrna, GA 30082 | 2006-11-21 |
| Find all providers in zip 30082 | ||||
| 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 |
|---|---|---|---|---|
| 1346855400 | Aran A Porte | Specialist/Technologist | 204 Century Dr, Smyrna, DE 19977-4476 | 2020-09-14 |
| 1003436015 | Valerie Hope Todd | Specialist/Technologist | 255 Plantation Rd Sw, Smyrna, GA 30082-3046 | 2020-04-20 |
| 1982167789 | Marcus A Underwood | Specialist/Technologist | 123 Vinings Pkwy Se, Smyrna, GA 30080-3863 | 2019-04-09 |
| 1831653427 | Everett Morgan Boutwell | Specialist/Technologist | 100 Bulldog Dr, Smyrna, TN 37167-4445 | 2019-01-28 |
| 1417456674 | Kasey Sohmer | Specialist/Technologist | 2205 Lake Park Dr Se Apt N, Smyrna, GA 30080-8970 | 2018-02-02 |
| 1851838031 | Kiera Lane | Specialist/Technologist | 8521 Cumberland Glen Ln Se, Smyrna, GA 30080-4049 | 2017-01-25 |
| 1235505066 | Robert Carlos Avila Jr. | Specialist/Technologist | 5265 Ward St Se, Smyrna, GA 30080-1944 | 2015-08-16 |
| 1881083236 | Joshua Haley | Specialist/Technologist | 400 Chaney Rd Apt 1402, Smyrna, TN 37167 | 2015-01-22 |
| 1861892697 | Andrew Medlock | Specialist/Technologist | 1925 Cooper Landing Dr Se, Smyrna, GA 30080-6464 | 2014-08-28 |
| 1922235431 | Aya Ieki | Specialist/Technologist | 421 Tibarron Pkwy Se, Smyrna, GA 30080-7282 | 2009-06-11 |
| Find all providers in SMYRNA | ||||
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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.