NATHAN TYLER BORGET (NPI# 1033695572) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033695572 |
| Entity Type | Individual |
| Full Name | NATHAN TYLER BORGET |
| Credential | MAED, LAT, ATC, CSCS |
| Practice Address |
6632 Dixie Rd Columbus GA 31905-4218 |
| Mailing Address |
3609 14th Ave Columbus GA 31904-7840 |
| Practice Telephone | 7065451788 |
| Mailing Telephone | 3367076548 |
| Enumeration Date | 2018-07-18 |
| Last Update Date | 2018-07-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AT003340 | GA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | GEORGIA BOARD OF LICENSING | AT003340 | 01 |
| Street Address |
6632 DIXIE RD |
| City | COLUMBUS |
| State | GA |
| Zip Code | 31905-4218 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134741366 | Micah Elizabeth Lajoie | Specialist/Technologist | 7148 2nd Cavalry Street, Ft. Benning, GA 31905 | 2020-05-11 |
| 1598301384 | Tiffany Nicole Wolfe | Physical Therapist | 7446 Sightseeing Road, Bldg 2515, Ft Benning, GA 31905 | 2019-11-27 |
| 1790261022 | Kyle Joseph Burkardt | Dentist | Love Dental Clinic, 7101 Hoff St, Bldg 9240, Apo, AA 31905 | 2018-07-19 |
| 1821514449 | Rebekah Schott | Dentist | 7101 Hoff St., Fort Benning, GA 31905 | 2017-08-15 |
| 1043757677 | Karen Tolliver | Dental Hygienist | 7770 Sightseeing Rd, Bldg 2828, Fort Benning, GA 31905 | 2017-01-20 |
| 1356897953 | Katelyn Dolezal | Student in an Organized Health Care Education/Training Program | 6600 Van Aalst Blvd, Bldg 9250, Fort Benning, GA 31905 | 2016-09-01 |
| 1043663636 | Vicky J. Nehl | Dental Hygienist | 11th Abn Div Rd, Bldg 3255, Fort Benning, GA 31905 | 2016-07-19 |
| 1376992719 | Xenia Key | Dental Assistant | 7770 Sightseeing Road, Bernheim Dental Clinic, Fort Benning, GA 31905 | 2016-06-07 |
| 1588013189 | Barbara Parker | Dental Assistant | 2828 Sightseeing Rd, Fort Benning, GA 31905 | 2016-06-06 |
| 1568811255 | Tavonna Ashley | Dental Hygienist | 7107 Hoff Street, Apo, AA 31905 | 2016-06-03 |
| Find all providers in zip 31905 | ||||
| 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 |
|---|---|---|---|---|
| 1700486313 | Jenifer Bojanowski | Specialist/Technologist | 1009 Parkleigh Rd, Columbus, OH 43220-4041 | 2020-11-01 |
| 1295332914 | Cayla Mckeon | Specialist/Technologist | 11 W 11th St Apt 17, Columbus, GA 31901-4239 | 2020-10-06 |
| 1558973495 | Kaitlyn Anne Burnham | Specialist/Technologist | 3003 White Bark Pl, Columbus, OH 43221-4738 | 2020-08-21 |
| 1053922211 | Derek Lutz | Specialist/Technologist | 834 Thurber Dr W Apt 25, Columbus, OH 43215-1278 | 2020-08-12 |
| 1083224380 | Hailee Wilhelm | Specialist/Technologist | 7733 Candlewood Ln, Columbus, OH 43235-1625 | 2020-08-03 |
| 1083232623 | Jessica Caroline Steger | Specialist/Technologist | 8823 Evening Star Rd, Columbus, OH 43240-1106 | 2020-07-09 |
| 1447877360 | Jalisa Howard | Specialist/Technologist | 2621 Weyburn Rd, Columbus, OH 43232-4824 | 2020-06-26 |
| 1619513231 | Barbara Anna Hausmann | Specialist/Technologist | 9375 Conway Dr Bldg 3425, Columbus, GA 31905-5920 | 2019-11-19 |
| 1417507393 | Zachary Gordon Moss | Specialist/Technologist | 223 Pine Branch Cir, Columbus, GA 31909-2121 | 2019-09-12 |
| 1083173371 | Alexis Richardson | Specialist/Technologist | 2125 N High St, Columbus, OH 43210-1127 | 2019-03-15 |
| Find all providers in COLUMBUS | ||||
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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.