SHANNON DAVID (NPI# 1003227380) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003227380 |
| Entity Type | Individual |
| Full Name | SHANNON DAVID |
| Credential | AT |
| Practice Address |
1301 Centennial Blvd Bbfh # 1 Fargo ND 58108-6050 |
| Mailing Address |
Po Box 6050 Fargo ND 58108-6050 |
| Practice Telephone | 7012315686 |
| Enumeration Date | 2014-05-08 |
| Last Update Date | 2014-05-08 |
| 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 |
| Street Address |
1301 CENTENNIAL BLVD BBFH # 1 |
| City | FARGO |
| State | ND |
| Zip Code | 58108-6050 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013425149 | Mason Ankenbauer | Specialist/Technologist | 1301 Centennial Blvd, Fargo, ND 58108 | 2018-01-10 |
| 1821506957 | Bradley John Conant | Specialist/Technologist | 1301 Centennial Blvd., Fargo, ND 58108 | 2018-01-10 |
| 1730697863 | Brady Och | Specialist/Technologist | 1301 Centennial Blvd., Fargo, ND 58108 | 2018-01-10 |
| 1043620677 | Kara Gange | Specialist/Technologist | 1301 Centennial Blvd N, Hnes Dept 2620, Fargo, ND 58108-6050 | 2014-05-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467053124 | Jon'e Kaye Mcdaniel | Technician | 4448 Bluestem Ct S, Fargo, ND 58104-4344 | 2020-11-07 |
| 1861093536 | Yadu M Ghimire | Technician | 2220 6th Ave S Apt 61, Fargo, ND 58103-2455 | 2020-11-07 |
| 1487255295 | Myofascial Release By Katie | Physical Therapist | 3441 45th St S, Fargo, ND 58104-8970 | 2020-11-06 |
| 1497356315 | Nizhoni Healthcare Services, LLC | Home Health | 825 25th St S Ste F, Fargo, ND 58103-8724 | 2020-11-06 |
| 1235730003 | Admira Omerovic | Technician | 4365 15th Ave S Apt 313, Fargo, ND 58103-3588 | 2020-11-06 |
| 1700487758 | Sheila Jean Hagel | Technician | 1417 16th St S, Fargo, ND 58103-3932 | 2020-11-05 |
| 1780285924 | Shelley Dene Townsend-hansen | Dentist | 1017 Broadway N, Fargo, ND 58102 | 2020-11-04 |
| 1275134538 | Elizabeth Emma Heintzman | Physical Therapist | 938 76th Ave S, Fargo, ND 58104-8029 | 2020-11-03 |
| 1407457930 | Sanju Maya Tamang | Technician | 3061 32nd St S Apt 1, Fargo, ND 58103-7865 | 2020-11-02 |
| 1124628995 | Emily Herbranson | Technician | 1007 7th Ave N Apt C, Fargo, ND 58102-4326 | 2020-10-29 |
| Find all providers in FARGO | ||||
| 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 |
|---|---|---|---|---|
| 1225640170 | Jordan Chase Elliott | Specialist/Technologist | 1800 University Dr N, Fargo, ND 58102-2241 | 2020-08-21 |
| 1235769712 | Kathleen Freebern | Specialist/Technologist | 4780 Timber Pkwy S Apt 103, Fargo, ND 58104-4837 | 2020-01-23 |
| 1245793330 | Mara Jungels | Specialist/Technologist | 1837 University Dr N, Fargo, ND 58105-2504 | 2019-04-07 |
| 1215493374 | Kayla Marie Hennum | Specialist/Technologist | 1225 2nd St N, Fargo, ND 58102-2722 | 2019-02-13 |
| 1740745405 | Anna Marie St Catherine | Specialist/Technologist | 1709 35th St S Apt 416, Fargo, ND 58103-4883 | 2019-02-07 |
| 1417411380 | Tara Dawn Gebur | Specialist/Technologist | 3200 22nd St S Apt C42, Fargo, ND 58104-6570 | 2019-01-24 |
| 1427522754 | Dana Vander Wal | Specialist/Technologist | 315 30th Ave N Apt 16, Fargo, ND 58102-1567 | 2019-01-21 |
| 1912471210 | Kaitlyn Dorsher | Specialist/Technologist | 1113 18th St N Apt C, Fargo, ND 58102-3306 | 2019-01-20 |
| 1124523576 | Christopher Peroutka | Specialist/Technologist | 1300 17th Ave N, Fargo, ND 58102 | 2018-03-28 |
| 1205331873 | Nathan Koens | Specialist/Technologist | 1300 17th Avenue North, Fargo, ND 58102 | 2018-03-27 |
| Find all providers in FARGO | ||||
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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.