WASHINGTON UNIVERSITY IN ST. LOUIS (NPI# 1053593319) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053593319 |
| Entity Type | Organization |
| Organization Name | WASHINGTON UNIVERSITY IN ST. LOUIS |
| Other Organization Name | ATHLETIC THERAPY & REHABILITATION DEPARTMEN |
| Practice Address |
1 Brookings Dr Campus Box 1067 Saint Louis MO 63130-4862 |
| Practice Telephone | 3149356461 |
| Mailing Telephone | 3149356461 |
| Enumeration Date | 2007-11-28 |
| Last Update Date | 2007-11-28 |
| Authorized Official Name | MR. RICK LARSEN (HEAD ATHLETIC TRAINER) |
| Authorized Official Telephone | 3149356461 |
| Authorized Official Credential | L.A.T. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
00062 | MO | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Other Name | Type Code |
|---|---|
| Athletic Therapy & Rehabilitation Departmen | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356514012 | Washington University In St. Louis | General Acute Care Hospital | 4940 Parkview Pl, Campus Box 8230, Saint Louis, MO 63110-1025 | 2008-04-02 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | WASHINGTON UNIVERSITY IN ST. LOUIS | The Washington University, 1 Brookings Dr Campus Box 1058, St. Louis, Mo 631304899 |
| Street Address |
1 BROOKINGS DR CAMPUS BOX 1067 |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63130-4862 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982699443 | Lisa R Ross | Internal Medicine | 1 Brookings Dr, Saint Louis, MO 63130-4862 | 2005-09-12 |
| 1558962746 | Melissa Showalter | Social Worker | 1 Brookings Dr, Saint Louis, MO 63130-4899 | 2020-11-04 |
| 1184235228 | Melissa Chapnick | Dietitian, Registered | 1 Brookings Dr, Saint Louis, MO 63130-4862 | 2020-08-12 |
| 1902364672 | Jill Marie Eaton | Registered Nurse | 1 Brookings Dr, Saint Louis, MO 63130-4862 | 2019-03-12 |
| 1356807010 | Kristin Miserocchi | Psychologist | 1 Brookings Dr, Saint Louis, MO 63130-4862 | 2019-02-18 |
| 1063999415 | Yujia Lei | Psychologist | 1 Brookings Dr, Saint Louis, MO 63130-4862 | 2018-07-27 |
| 1851899165 | Aditi Ahlawat | Psychologist | 1 Brookings Dr, Saint Louis, MO 63130-4862 | 2018-02-01 |
| 1124530266 | Marilyn S Hubert | Counselor | 1 Brookings Dr, Saint Louis, MO 63130-4862 | 2017-10-30 |
| 1780057810 | Timika S Edwards | Psychologist | 1 Brookings Dr, Saint Louis, MO 63130-4862 | 2015-11-11 |
| 1235507260 | Shannon Gartland | Counselor | 1 Brookings Dr, Saint Louis, MO 63130-4862 | 2015-09-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568008282 | Latrece Smith | Social Worker | 1270 North and South Road, St. Louis, MO 63130 | 2019-11-18 |
| 1134602576 | Hatfill & Boothe Corp | Chore Provider | 7819 Olive Blvd, St Louis, MO 63130 | 2018-09-12 |
| 1285152041 | Above and Beyond Home Health Cares Corporation | In Home Supportive Care | 7251 Olive, St Louis, MO 63130 | 2017-08-31 |
| 1780114918 | Deborah Ann Zorensky | Dietitian, Registered | 7649 Delmar Blvd., The Center for Mind, Body & Spirit, St. Louis, MO 63130 | 2017-06-20 |
| 1548612419 | Bella Home Care LLC | In Home Supportive Care | 8147 Delmar Blvd Ste 208, Saint Louis, MO 63130 | 2016-07-05 |
| 1225487341 | Daniel Shenderov | Chore Provider | 8127 Delmar Blvd #208, Saint Louis, MO 63130 | 2016-06-09 |
| 1497012322 | A Better Choice Homecare, Inc | In Home Supportive Care | 606 North and South Road, Suite 200, Saint Louis, MO 63130 | 2012-04-17 |
| 1306150958 | Lisa J. Mcdonald, Dmd, Inc. | Dentist | 7247 Delmar Boulevard, St Louis, MO 63130 | 2010-08-05 |
| 1114247939 | United Care Service LLC | Non-emergency Medical Transport (VAN) | 8147 Delmar Blvd. #2, St.louis, MO 63130 | 2010-06-03 |
| 1770759771 | Reynold's Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7460 Cornell Ave, Saint Louis, MO 63130 | 2008-04-30 |
| Find all providers in zip 63130 | ||||
| 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 |
|---|---|---|---|---|
| 1265039192 | Carley M Swabby | Specialist/Technologist | 652 Bismark Ave, Saint Louis, MO 63119-1528 | 2020-10-05 |
| 1194383943 | Elizabeth Lynch | Specialist/Technologist | 605 Clara Ave Apt 609, Saint Louis, MO 63112-1936 | 2019-06-05 |
| 1063970242 | Abby Hoffman | Specialist/Technologist | 7318 Brunswick Ave, Saint Louis, MO 63119-3329 | 2019-03-07 |
| 1649738824 | Emma C Yonkers | Specialist/Technologist | 4050 W Pine Blvd Apt 3207, Saint Louis, MO 63108-3349 | 2019-03-07 |
| 1386102556 | Justin Durham | Specialist/Technologist | 8425 Engler Ave, Saint Louis, MO 63114-4126 | 2019-03-06 |
| 1538626007 | Justin Ullom | Specialist/Technologist | 1111 Victor St, Saint Louis, MO 63104-4323 | 2019-02-21 |
| 1003373564 | Brian Tyler Leach | Specialist/Technologist | 6120 Wanda Ave, Saint Louis, MO 63116-2225 | 2019-02-20 |
| 1003372566 | Jesse Schmitt | Specialist/Technologist | 3939 W Pine Blvd, Saint Louis, MO 63108-3220 | 2019-02-20 |
| 1326504846 | Breanna Kenney | Specialist/Technologist | 1024 Colebrook Dr, Saint Louis, MO 63119-4757 | 2019-02-20 |
| 1083170518 | Paul Samuel Lamb | Specialist/Technologist | 3805 Lindell Blvd Apt A, Saint Louis, MO 63108-3451 | 2019-02-20 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63130 |
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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.