DUSTIN ANDERSON (NPI# 1053779819) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053779819 |
| Entity Type | Individual |
| Full Name | DUSTIN ANDERSON |
| Credential | ATC |
| Practice Address |
4301 Wilson St Fort Sill OK 73503-4472 |
| Mailing Address |
4301 Wilson S Fort Sill OK 73503 |
| Practice Telephone | 2767686907 |
| Enumeration Date | 2016-02-08 |
| Last Update Date | 2016-02-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AT002398 | GA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275133225 | Dustin Anderson | Pharmacist | 3829 Nicholas Dr Ne, Lancaster, OH 43130-8601 | 2020-10-29 |
| 1306053897 | Dustin C Anderson | Anesthesiology | 374 W Granite Dr, Washington, UT 84780-8330 | 2007-05-16 |
| 1669442661 | Dustin Clark Anderson | Optometrist | 7238 N Academy Blvd, Colorado Springs, CO 80920 | 2006-01-24 |
| 1235757451 | Dustin B. Anderson | Social Worker | 412 Sipapu St, Taos, NM 87571-6498 | 2020-07-14 |
| 1821640517 | Dustin William Anderson | Optometrist | 9082 Overland Plz, Overland, MO 63114-6122 | 2019-07-12 |
| 1205381209 | Dustin Blake Anderson | Pharmacist | 10692 Campus Way S, Upper Marlboro, MD 20774-1307 | 2016-08-18 |
| 1710359799 | Dustin Anderson | Behavioral Analyst | 644 E Jefferson Ave, Bastrop, LA 71220 | 2015-10-29 |
| 1265827737 | Dustin Anderson | Physical Medicine & Rehabilitation | 12605 E 16th Ave, Aurora, CO 80045-2545 | 2015-04-01 |
| 1588009138 | Dustin W Anderson | Student in an Organized Health Care Education/Training Program | 1250 E Marshall St, Em: Emergency Medicine Clinic, Richmond, VA 23298-5051 | 2013-05-08 |
| Street Address |
4301 WILSON ST |
| City | FORT SILL |
| State | OK |
| Zip Code | 73503-4472 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154323301 | Brenda K Swain | Nurse Practitioner | 4301 Wilson St, Ent Clinic, Fort Sill, OK 73503-4472 | 2005-06-01 |
| 1073148342 | Jonathan Kline | Physician Assistant | 4301 Wilson St, Fort Sill, OK 73503-4472 | 2020-03-07 |
| 1205474947 | Karyn Zaage | Physical Therapist | 4301 Wilson St, Fort Sill, OK 73503-4472 | 2019-12-12 |
| 1063059715 | Holley Ann Martinez | Technician, Other | 4301 Wilson St, Fort Sill, OK 73503-4472 | 2019-12-02 |
| 1174168165 | Michele Hornsby | Physician Assistant | 4301 Wilson St, Fort Sill, OK 73503-4472 | 2019-11-13 |
| 1831732346 | Kaegan G Williams | Physician Assistant | 4301 Wilson St, Fort Sill, OK 73503-4472 | 2019-10-28 |
| 1144870015 | Kaylee Johnson | Physical Therapist | 4301 Wilson St, Fort Sill, OK 73503-4472 | 2019-09-12 |
| 1245889591 | Scott Michael Hallak | Physical Therapist | 4301 Wilson St, Fort Sill, OK 73503-4472 | 2019-09-10 |
| 1104472471 | Adriana Ramos | Social Worker | 4301 Wilson St, Fort Sill, OK 73503-4472 | 2019-08-13 |
| 1275185001 | Joshua Robert Jenny | Physician Assistant | 4301 Wilson St, Fort Sill, OK 73503-4472 | 2019-07-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942824446 | Alex Boyd | Dentist | U.S.A. Dental Health Activity, 652 Hamilton Road, Fort Sill, OK 73503 | 2020-06-01 |
| 1588145031 | Dustin Davis | Dentist | Usa Dental Health Activity 652 Hamilton Rd., Fort Sill, OK 73503 | 2018-08-23 |
| 1578086492 | Austin Kent Brown | Dentist | Usa Dental Activity 652 Hamilton Rd., Fort Sill, OK 73503 | 2017-07-23 |
| 1083155998 | Michael Gagliano | Physician Assistant | 4301 Wilson Street, Attn: Mcua-qm Credentials, Reynolds Army Health Clinic, Fort Sill, OK 73503 | 2017-03-10 |
| 1619428885 | Kristi Ann Putnam | Registered Nurse | Sgt Bleak Troop Medical Clinic, 6039 Berry Street, Fort Sill, OK 73503 | 2016-10-21 |
| 1003265901 | Lucy Muller | Registered Nurse | 4301 Wilson Road, Ft Sill, OK 73503 | 2016-06-10 |
| 1356740146 | Gregory B Kiene | Dentist | 642 Hamilton Rd, Usa Dental Activity, Fort Sill, OK 73503 | 2014-08-18 |
| 1295152262 | Cheryl Marie Wildman | Dental Assistant | 2640 Miner Road, Weeks Dental Clinic, Ft Sill, OK 73503 | 2014-03-27 |
| 1245664143 | Tina L Gray | Dentist | 652 Hamilton Road, Suite 210, Fort Sill Dentac, Fort Sill, OK 73503 | 2013-08-27 |
| 1720410533 | Katherine Loi | Dentist | 652 Hamilton Rd, Fort Sill Dentac, Suite 210, Fort Sill, OK 73503 | 2013-08-02 |
| Find all providers in zip 73503 | ||||
| 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 |
|---|---|---|---|---|
| 1588055594 | Lindsey Maxwell | Specialist/Technologist | 6050 Rothwell St, Fort Sill, OK 73503-4482 | 2015-02-12 |
| 1952769242 | Andrew Tomas Batista | Specialist/Technologist | 4301 Wilson St, Fort Sill, OK 73503-4472 | 2016-02-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083227110 | Mercedes Phegley | Specialist/Technologist | 2815 E 5th St Apt 1936, Tulsa, OK 74104-3122 | 2020-08-28 |
| 1437761657 | Sierra Harmon | Specialist/Technologist | 214 S Water St, Sapulpa, OK 74066-4236 | 2020-08-19 |
| 1689285363 | Meredith Galloway | Specialist/Technologist | 2806 E 8th St Apt 3022, Tulsa, OK 74104-7402 | 2020-08-14 |
| 1821616038 | Aaron Michael Gowens | Specialist/Technologist | 015 Wantland Hall 100 University Dr., Edmond, OK 73034 | 2020-07-14 |
| 1427681766 | Brianna Lee Brooks | Specialist/Technologist | 3014 E 8th St Apt 4313, Tulsa, OK 74104-7436 | 2020-02-14 |
| 1467084806 | Jessica Lyn Johnson | Specialist/Technologist | 23 E 157th Pl S, Glenpool, OK 74033-4437 | 2020-02-04 |
| 1083245948 | Hana Young Clancy | Specialist/Technologist | 2626 S Trenton Ave, Tulsa, OK 74114-2728 | 2020-01-30 |
| 1033740121 | Taylor Deeanne Pitcock | Specialist/Technologist | 180 W Brooks St Norman Ok 1335-1, Norman, OK 73019-0001 | 2020-01-28 |
| 1164052148 | Marlow Rehab Services, Pllc | Specialist/Technologist | 304 W. Gilkey, Marlow, OK 73055-1224 | 2020-01-18 |
| 1023658424 | Amber Martin | Specialist/Technologist | 9201 N 22nd West Pl, Sperry, OK 74073-4141 | 2020-01-14 |
| Find all providers with the same taxonomy | ||||
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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.