HAYLEY WALLACE (NPI# 1003097825) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003097825 |
| Entity Type | Individual |
| Full Name | HAYLEY WALLACE |
| Practice Address |
2725 Jackson St Oshkosh WI 54901-1513 |
| Practice Telephone | 9202237743 |
| Mailing Telephone | 9202237743 |
| Enumeration Date | 2007-11-20 |
| Last Update Date | 2007-11-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
889 | WI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194011593 | Hayley Wallace | Speech-Language Pathologist | 6862 Whitby Ln, #4, Groves, TX 77619-4965 | 2011-06-23 |
| Street Address |
2725 JACKSON ST |
| City | OSHKOSH |
| State | WI |
| Zip Code | 54901-1513 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063406973 | Harold W Boccheciamp | Family Medicine | 2725 Jackson St, Oshkosh, WI 54901-1513 | 2005-09-07 |
| 1851954267 | Brianna Klotz | Registered Nurse | 2725 Jackson St, Oshkosh, WI 54901-1513 | 2019-04-22 |
| 1598183089 | Katherine Nonweiler | Family Medicine | 2725 Jackson St, Oshkosh, WI 54901-1513 | 2014-04-01 |
| 1124443726 | Courtney M Collien | Nurse Practitioner | 2725 Jackson St, Oshkosh, WI 54901-1513 | 2014-02-19 |
| 1952629941 | Dawn M Martin | Nurse Practitioner | 2725 Jackson St, Oshkosh, WI 54901-1513 | 2010-05-14 |
| 1558523258 | Kelly T Badger | Family Medicine | 2725 Jackson St, Oshkosh, WI 54901-1513 | 2008-06-25 |
| 1346408630 | Ascension Medical Group-fox Valley Wisconsin, Inc | Clinic/Center | 2725 Jackson St, Oshkosh, WI 54901 | 2008-05-23 |
| 1558544726 | Matthew T Husnik | Specialist/Technologist | 2725 Jackson St, Oshkosh, WI 54901-1513 | 2007-12-11 |
| 1811194699 | Dianna L Malkowski | Physician Assistant | 2725 Jackson St, Oshkosh, WI 54901-1513 | 2007-06-27 |
| 1396840062 | Ascension Medical Group-fox Valley Wisconsin, Inc | Durable Medical Equipment & Medical Supplies | 2725 Jackson St, Oshkosh, WI 54901 | 2006-09-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023657855 | Kayla Crockett | Specialist/Technologist | Kolf Sports Center, Oshkosh, WI 54901 | 2019-12-26 |
| 1629593421 | Taymoor Sardar | Psychologist | 404 N. Main St., Suite 501, Oshkosh, WI 54901 | 2017-08-14 |
| 1821414889 | Chris Lynn Wiggs | Registered Nurse | 2150 Ontario St., Oshkosh, WI 54901 | 2014-03-13 |
| 1114359023 | Robert James Rigoni Jr. | Pharmacist | 1300 S. Koeller Rd, Oshkosh, WI 54901 | 2013-08-01 |
| 1427313386 | Scott Forrest Trippe | Psychologist | 627 Bayshore Drive, Oshkosh, WI 54901 | 2012-07-06 |
| 1003113135 | Ashley Lauren Procknow | Registered Nurse | 105 Bowen St, Oshkosh, WI 54901 | 2011-02-25 |
| 1982915963 | Benjamin Ross Goldstein | Psychiatry & Neurology | 4100 Treffert Dr., Oshkosh, WI 54901 | 2010-06-24 |
| 1982926234 | Patricia A Pendowski | Counselor | 3240 Jackson Street, Oshkosh, WI 54901 | 2010-02-26 |
| 1083867477 | Lori Marie Pierquet | Psychologist | 375 C Executive Suites, City Center, Oshkosh, WI 54901 | 2008-10-29 |
| 1346493228 | William Alexander Hammond | Dentist | 5252 I-ah-maytah Rd., Oshkosh, WI 54901 | 2008-10-23 |
| Find all providers in zip 54901 | ||||
| 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 |
|---|---|---|---|---|
| 1023657855 | Kayla Crockett | Specialist/Technologist | Kolf Sports Center, Oshkosh, WI 54901 | 2019-12-26 |
| 1568950939 | Payton Goetz | Specialist/Technologist | 3807 Western Dr, Oshkosh, WI 54901-1174 | 2018-05-01 |
| 1952812372 | Jake Rathsack | Specialist/Technologist | 712 Elmwood Ave, Oshkosh, WI 54901-3517 | 2017-10-12 |
| 1891205407 | Alison Kramer | Specialist/Technologist | 712 Elmwood Ave Rm 1612, Oshkosh, WI 54901-3517 | 2017-10-09 |
| 1477922961 | Kelsey Sauer | Specialist/Technologist | 424 Wisconsin St, Oshkosh, WI 54901-4376 | 2015-09-15 |
| 1497123095 | Taylor Carpenter | Specialist/Technologist | 625 Algoma Blvd, 1021, Oshkosh, WI 54901-3501 | 2015-09-13 |
| 1083006209 | Brandon Yach | Specialist/Technologist | 3898 Summerset Way, Oshkosh, WI 54901-1272 | 2015-02-25 |
| 1740256122 | Daniel Joseph Gehri | Specialist/Technologist | 600 N. Westhaven Drive, Oshkosh, WI 54904 | 2006-02-27 |
| 1174512461 | John J Johnsen | Specialist/Technologist | 800 Algoma Blvd, Oshkosh, WI 54901-3551 | 2005-10-19 |
| 1851803951 | Julianne Katherine Pollei | Specialist/Technologist | 800 Algoma Blvd, Oshkosh, WI 54901-3551 | 2017-10-30 |
| Find all providers in OSHKOSH | ||||
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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.