KENGO SUGIMOTO (NPI# 1033616529) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033616529 |
| Entity Type | Individual |
| Full Name | KENGO SUGIMOTO |
| Credential | ATC |
| Practice Address |
1400 R St Lincoln NE 68588-0007 |
| Mailing Address |
4867 Gibbs Ave Boulder CO 80301-6207 |
| Practice Telephone | 4024724224 |
| Enumeration Date | 2018-04-10 |
| Last Update Date | 2018-05-01 |
| Gender Code | M |
| 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 |
1400 R ST |
| City | LINCOLN |
| State | NE |
| Zip Code | 68588-0007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184127375 | Julia Ann Tuttle | Physical Medicine & Rehabilitation | University of Nebraska Athletic Medicine, One Memorial Stadium, Lincoln, NE 68588 | 2018-03-14 |
| 1871046722 | Rachel Smith | Counselor | 150 U Street, Lincoln, NE 68588 | 2016-07-27 |
| 1831230036 | Nebraska Medical Center | Pharmacy | 550 N. 19th Street, Lincoln, NE 68588 | 2007-02-09 |
| 1659449700 | Mauricio Martin Ramirez | Counselor | 213 Uhc, Counseling and Psychological Services, Lincoln, NE 68588 | 2006-11-30 |
| 1780033886 | Cynthia Von Seggern | Counselor | 550 N 19th St, Lincoln, NE 68588 | 2016-06-09 |
| 1790183960 | Drew Hamblin | Specialist/Technologist | One Memorial Stadium, Lincoln, NE 68588 | 2014-12-19 |
| 1902941289 | University of Nebraska Board of Regents | Clinic/Center | 1500 U St, Lincoln, NE 68588 | 2007-02-21 |
| 1699143271 | Ashli Sharpton | Counselor | 550 N. 19th St, Lincoln, NE 68588-0001 | 2015-09-12 |
| 1619218302 | Cory Lee Rabe | Nurse Practitioner | 1500 U St, Lincoln, NE 68588-0001 | 2013-03-06 |
| 1609944941 | Tricia M Besett Alesch | Psychologist | 1500 U St, Lincoln, NE 68588-0001 | 2006-12-04 |
| Find all providers in zip 68588 | ||||
| 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 |
|---|---|---|---|---|
| 1760099014 | Rebecca Ann Ohlson | Specialist/Technologist | 1235 Sw Kelsey Cir, Lincoln, NE 68522-4446 | 2020-09-29 |
| 1780293209 | Kyle Younkin | Specialist/Technologist | 1100 N 56th St, Lincoln, NE 68504-3251 | 2020-07-30 |
| 1841822475 | Jaycee Fleming | Specialist/Technologist | 6820 N 16th St, Lincoln, NE 68521-9072 | 2020-02-11 |
| 1215569215 | Jessica Judith Fritson | Specialist/Technologist | 800 Stadium Dr, Lincoln, NE 68588-0030 | 2020-02-07 |
| 1164054144 | James Lavicky | Specialist/Technologist | 5340 W Aurora St, Lincoln, NE 68524-2159 | 2020-02-07 |
| 1881226926 | Payton Morgan Swanson | Specialist/Technologist | 5727 Harding Dr, Lincoln, NE 68521-5834 | 2020-02-06 |
| 1215568647 | Jenna Trail | Specialist/Technologist | 4518 Saint Paul Ave Apt 2, Lincoln, NE 68504-2601 | 2020-02-04 |
| 1861023293 | Madison Bruha | Specialist/Technologist | 5000 Saint Paul Ave # Smb2011, Lincoln, NE 68504-2760 | 2020-02-04 |
| 1700418100 | Allison Jo Mcluen | Specialist/Technologist | 5000 Saint Paul Ave # Smb5004, Lincoln, NE 68504-2760 | 2020-02-04 |
| 1437781879 | Alexis Grace Sandman | Specialist/Technologist | 5000 Saint Paul Ave # Smb11047, Lincoln, NE 68504-2760 | 2020-02-04 |
| Find all providers in LINCOLN | ||||
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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.