STEPHANIE KULAVIC (NPI# 1992261671) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992261671 |
| Entity Type | Individual |
| Full Name | STEPHANIE KULAVIC |
| Credential | ATC |
| Practice Address |
1723 Broadway St Ste 315 Cape Girardeau MO 63701-4556 |
| Practice Telephone | 5735194960 |
| Enumeration Date | 2019-02-18 |
| Last Update Date | 2019-02-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| 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 |
1723 BROADWAY ST STE 315 |
| City | CAPE GIRARDEAU |
| State | MO |
| Zip Code | 63701-4556 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306133129 | Andrew J Lawrence | Family Medicine | 1723 Broadway St Ste 315, Cape Girardeau, MO 63701-4556 | 2011-06-30 |
| 1760030084 | Dava C Hummel | Physician Assistant | 1723 Broadway St Ste 315, Cape Girardeau, MO 63701-4556 | 2019-08-29 |
| 1205495272 | Sivagamy Nyanzi | Nurse Practitioner | 1723 Broadway St Ste 315, Cape Girardeau, MO 63701-4556 | 2019-06-12 |
| 1831675552 | Beth Allyson Simmons | Physician Assistant | 1723 Broadway St Ste 315, Cape Girardeau, MO 63701-4556 | 2018-07-16 |
| 1891160164 | Jennifer Lang | Advanced Practice Midwife | 1723 Broadway St Ste 315, Cape Girardeau, MO 63701-4556 | 2015-12-11 |
| 1962764183 | Charity Ann Jacobs | Orthopaedic Surgery | 1723 Broadway St Ste 315, Cape Girardeau, MO 63701-4556 | 2012-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336748110 | Westbrook Dialysis, LLC | Clinic/Center | 140 West Drive, Cape Girardeau, MO 63701 | 2020-10-22 |
| 1972079580 | Savannah Laine Menard | Behavior Technician | 20 S. Sprigg St, Cape Girardeau, MO 63701 | 2018-10-22 |
| 1932690377 | Broadway Specialty, LLC | Pharmacy | 706 Broadway St, Cape Girardeau, MO 63701 | 2018-05-22 |
| 1356864649 | Terri L. Mccord | Pharmacist | 4170 Connor Dr, Cape Girardeau, MO 63701 | 2017-07-19 |
| 1013459312 | Christina Cossou | Nurse Practitioner | 2116 Megan Dr Ste 102, Cape Girardeau, MO 63701 | 2016-11-17 |
| 1124573365 | Ashley Sullivan | Massage Therapist | 3041 Melrose Ave, Cape Girardeau, MO 63701 | 2016-08-17 |
| 1225432172 | Axpm - Merkley, LLC | Dentist | 2116 Megan Dr., Suite 101, Cape Girardeau, MO 63701 | 2014-10-21 |
| 1639573397 | Marian Perez Hurt | Physical Therapist | 2001 N. Kingshighway, Fountainbleau Lodge, Cape Girardeau, MO 63701 | 2014-10-09 |
| 1891194213 | Deanna Abner | Case Manager/Care Coordinator | 20 South Sprigg, Cape Girardeau, MO 63701 | 2014-08-21 |
| 1831506880 | Kwadwo O Britwum | Behavioral Analyst | Morningstar Behavioral Associates, 338 W. Broadway Suite 301, Cape Girardeau, MO 63701 | 2014-07-22 |
| Find all providers in zip 63701 | ||||
| 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 |
|---|---|---|---|---|
| 1639790090 | Brock O'neal | Specialist/Technologist | 1573 Saratoga St, Cape Girardeau, MO 63701-2535 | 2020-04-27 |
| 1811530496 | Callie Hefner | Specialist/Technologist | 1710 N Sprigg St, Cape Girardeau, MO 63701-2720 | 2019-10-25 |
| 1720635014 | Jessica Austin | Specialist/Technologist | 518 S Fountain St, Cape Girardeau, MO 63703-7410 | 2019-08-21 |
| 1699233072 | Rylie M Murray | Specialist/Technologist | 1 University Plz # Ms 7650, Cape Girardeau, MO 63701-4710 | 2019-03-05 |
| 1346735016 | Allison Ayers | Specialist/Technologist | 1112 Bertling St Apt 722, Cape Girardeau, MO 63701-3077 | 2018-06-26 |
| 1013142900 | Daniel K Halley | Specialist/Technologist | 3049 William Street, Suite 152, Cape Girardeau, MO 63701 | 2009-05-20 |
| 1730360678 | Benjmin Michael Fox | Specialist/Technologist | 1 University Plz # Ms 7000, Cape Girardeau, MO 63701-4710 | 2007-11-20 |
| 1679552319 | Robert Dean Hunt IIi | Specialist/Technologist | 1 University Plz, Ms 7000, Cape Girardeau, MO 63701-4710 | 2006-01-11 |
| 1689217994 | Meghan Angela Isenman | Specialist/Technologist | 1 University Plz, Cape Girardeau, MO 63701-4710 | 2019-10-21 |
| 1124661434 | Samantha Nicole Thienes | Specialist/Technologist | 1 University Plz, Cape Girardeau, MO 63701-4710 | 2019-10-21 |
| Find all providers in CAPE GIRARDEAU | ||||
| City | CAPE GIRARDEAU |
| Zip Code | 63701 |
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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.