AMANDA NICHOLE FENTON (NPI# 1003471194) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003471194 |
| Entity Type | Individual |
| Full Name | AMANDA NICHOLE FENTON |
| Practice Address |
2420 High Meadow Rd Naperville IL 60564-5375 |
| Practice Telephone | 6306993341 |
| Mailing Telephone | 6306993341 |
| Enumeration Date | 2019-05-05 |
| Last Update Date | 2019-05-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
F535-0149-7743-0 | WI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700439304 | Amanda Lee Fenton | Behavior Technician | 132 Robbs Hill Rd, Lunenburg, MA 01462-2167 | 2019-07-23 |
| 1114241627 | Amanda Destefano Fenton | Social Worker | 366 Massachusetts Ave, Suite 303, Arlington, MA 02474-6733 | 2010-03-26 |
| Street Address |
2420 HIGH MEADOW RD |
| City | NAPERVILLE |
| State | IL |
| Zip Code | 60564-5375 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215598842 | Jennifer A Mcgill | Speech-Language Pathologist | Sovereign Pediatric Therapy, 1315 Macom Dr #103, Naperville, IL 60564 | 2019-06-25 |
| 1083187660 | Erin Michelle Hankins | Counselor | 2132 Deep Water Lane, Suite # 240, Naperville, IL 60564 | 2019-01-07 |
| 1851873905 | Helen A Bruckner | Student in an Organized Health Care Education/Training Program | 28w154 Country View Dr., Naperville, IL 60564 | 2018-09-05 |
| 1912483074 | Kristina Kochanova | Psychologist | 3380 Lacrosse Lane, Suites 106-107, Naperville, IL 60564 | 2018-07-12 |
| 1831608397 | Courtney Srum | Speech-Language Pathologist | Graham Elementary School 2315 High Meadow Rd., Naperville, IL 60564 | 2017-09-27 |
| 1447707880 | Isabel Betancourt | Registered Nurse | 1315 Macom Dr Ste 5, Naperville, IL 60564 | 2016-09-01 |
| 1134577802 | Rosa Maria Felix-jones | Massage Therapist | 3420 Lacrosse, Suite 100, Unit 2 & 3, Naperville, IL 60564 | 2016-06-02 |
| 1245618412 | Ian E Evans | Counselor | 2948 Artesian Rd., Suite 112, Naperville, IL 60564 | 2015-05-08 |
| 1093114498 | Sovereign Rehab | Clinic/Center | 1315 Macom Dr. Suite 103, Naperville, IL 60564 | 2014-08-21 |
| 1154745891 | Antonina Rosaria Sullivan | Occupational Therapist | 10350 Brenner Ct, Naperville, IL 60564 | 2014-02-18 |
| Find all providers in zip 60564 | ||||
| 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 |
|---|---|---|---|---|
| 1386266633 | Kathryn Riordan | Specialist/Technologist | 221 Triton Ln, Naperville, IL 60540-7926 | 2020-05-09 |
| 1841754975 | Jamie Tabor | Specialist/Technologist | 1389 E Braymore Cir, Naperville, IL 60564-8286 | 2019-01-23 |
| 1760971881 | Haley Marie Mcclain | Specialist/Technologist | 127 S Whispering Hills Dr, Naperville, IL 60540-4231 | 2018-05-03 |
| 1104321199 | Brooke Ann Kuzniewicz | Specialist/Technologist | 4144 Callery Rd, Naperville, IL 60564-5003 | 2018-03-29 |
| 1154829125 | Camille Seghesio | Specialist/Technologist | 440 S Brainard St, Naperville, IL 60540-5448 | 2018-01-24 |
| 1699213801 | Luis Perez | Specialist/Technologist | 2565 Springdale Cir, Naperville, IL 60564-8732 | 2017-02-08 |
| 1396294609 | Chad Fahrenbach | Specialist/Technologist | 208 Triton Ln, Naperville, IL 60540-7927 | 2016-09-27 |
| 1205385515 | Kelly Kathleen Crowley | Specialist/Technologist | 10s287 Alma Ln, Naperville, IL 60564-9636 | 2016-09-27 |
| 1447706536 | Erica Chien | Specialist/Technologist | 2916 Nicole Dr, Naperville, IL 60564-4401 | 2016-08-29 |
| 1487100988 | Adam Cap | Specialist/Technologist | 737 Chesterfield Ave, Naperville, IL 60540-7037 | 2016-08-25 |
| Find all providers in NAPERVILLE | ||||
| City | NAPERVILLE |
| Zip Code | 60564 |
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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.