LANDRE TATUM OGLESBY (NPI# 1043732787) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043732787 |
| Entity Type | Individual |
| Full Name | LANDRE TATUM OGLESBY |
| Credential | ATC |
| Practice Address |
100 N University Dr # 190 Edmond OK 73034-5207 |
| Mailing Address |
13616 Red Bud Rd Choctaw OK 73020-7166 |
| Practice Telephone | 4059742188 |
| Mailing Telephone | 4052500550 |
| Mailing Fax Number | 4052500550 |
| Enumeration Date | 2017-07-14 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
2000029828 | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BOARD OF CERTIFICATION | 73898 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 13616 Red Bud Rd, Choctaw, OK 730207166 | 4052500550 |
| Street Address |
100 N UNIVERSITY DR # 190 |
| City | EDMOND |
| State | OK |
| Zip Code | 73034-5207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245756857 | Randa Castleberry | Specialist/Technologist | 100 N University Dr # 190, Edmond, OK 73034-5207 | 2017-08-15 |
| 1801311766 | Micah Jo Stall | Specialist/Technologist | 100 N University Dr # 190, Edmond, OK 73034-5207 | 2017-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306447172 | Saints Medical Group, LLC | Family Medicine | 2749 Progressive Dr, Suite B, Edmond, OK 73034 | 2020-11-06 |
| 1194339861 | Susan Haesook Kim | Pharmacist | 1400 2nd St, Edmod, Edmond, OK 73034 | 2020-09-01 |
| 1821616038 | Aaron Michael Gowens | Specialist/Technologist | 015 Wantland Hall 100 University Dr., Edmond, OK 73034 | 2020-07-14 |
| 1043834849 | Paddington Place Lcc | Intermediate Care Facility, Mental Illness | 3225 French Park Drive, Suite 6, Edmond, OK 73034 | 2020-06-08 |
| 1083254932 | Purpose Healthcare Inc | Psychologist | 301 South Blvd, Suite 117, Edmond, OK 73034 | 2020-01-08 |
| 1740773662 | Healthcare Express, LLP | Family Medicine | 2300 E 2nd St, Edmond, OK 73034 | 2018-06-14 |
| 1427555713 | Sara Nicole Smith | Specialist/Technologist | 100 N University Drive, Attn: Athletic Training Room, Edmond, OK 73034 | 2018-04-12 |
| 1619475084 | Carissa Leigh Brackelsberg | Chiropractor | 3709 E 2nd St, Edmond, OK 73034 | 2018-01-31 |
| 1760996177 | Laurel Michelle Glendening | Physical Therapist | 3531 River Wood Lane, Edmond, OK 73034 | 2017-11-21 |
| 1134643380 | Keith S Quinn | Dentist | 3008 Peaceful Ln, Edmond, OK 73034 | 2017-07-31 |
| Find all providers in zip 73034 | ||||
| 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 |
|---|---|---|---|---|
| 1821616038 | Aaron Michael Gowens | Specialist/Technologist | 015 Wantland Hall 100 University Dr., Edmond, OK 73034 | 2020-07-14 |
| 1548741499 | Grant R Schamburg | Specialist/Technologist | 1307 W Aries Rd, Edmond, OK 73003-7300 | 2018-08-28 |
| 1437630381 | Tyre' Kordyl Terry | Specialist/Technologist | 4808 Nw 161st St, Edmond, OK 73013-3205 | 2018-08-28 |
| 1427555713 | Sara Nicole Smith | Specialist/Technologist | 100 N University Drive, Attn: Athletic Training Room, Edmond, OK 73034 | 2018-04-12 |
| 1396252672 | Rachel Marie Conyac | Specialist/Technologist | 12 Pueblo, Edmond, OK 73013-2036 | 2018-01-08 |
| 1134636400 | Brooke Higgins | Specialist/Technologist | 200 W 15th St Apt 76, Edmond, OK 73013-3610 | 2018-01-08 |
| 1316454697 | Sydney Marie Rios | Specialist/Technologist | 930 S Boulevard Apt 132, Edmond, OK 73034-4712 | 2018-01-08 |
| 1952818221 | Casey O'leary | Specialist/Technologist | 14140 Broadway Ext Apt 436, Edmond, OK 73013-4144 | 2018-01-08 |
| 1083140750 | Emilie Taylor Troxell | Specialist/Technologist | 15409 Cardinal Nest Dr, Edmond, OK 73013-1068 | 2017-05-02 |
| 1396282877 | Ryan Frazer | Specialist/Technologist | 1920 E 2nd St Apt 3208, Edmond, OK 73034-6382 | 2017-01-23 |
| Find all providers in EDMOND | ||||
Please comment or provide details below to improve the information on LANDRE TATUM OGLESBY.
| 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.