MR. DANIEL BOULANGER (NPI# 1053824805) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053824805 |
| Entity Type | Individual |
| Full Name | MR. DANIEL BOULANGER |
| Credential | ATC, CES, PES |
| Practice Address |
1762 Louisquisset Pike Lincoln RI 02865 |
| Mailing Address |
37 Garden Dr Riverside RI 02915-3023 |
| Practice Telephone | 4013337000 |
| Mailing Telephone | 4014735733 |
| Enumeration Date | 2017-11-14 |
| Last Update Date | 2018-07-05 |
| 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 | ||
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 400 East Ave, Warwick, RI 028861807 | 4018251000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699136523 | Daniel Boulanger | Pharmacist | 7 Durant Ave, Bethel, CT 06801-1906 | 2016-03-20 |
| Street Address |
1762 LOUISQUISSET PIKE |
| City | LINCOLN |
| State | RI |
| Zip Code | 02865 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346749868 | Ckri Incorporated | In Home Supportive Care | 1525 Old Louisquissett Pike, C201, Lincoln, RI 02865 | 2018-02-10 |
| 1013449677 | Daniel Gardner | Physical Therapist | 618 George Washington Hwy, Lincoln, RI 02865 | 2017-03-31 |
| 1801335138 | Lucille Ellen Plasse | Registered Nurse | 19 Old Great Road, Lincoln, RI 02865 | 2017-02-20 |
| 1558752014 | Northern Rhode Island Cognitive Behavioral Therapy Inc | Social Worker | 640 George Washington Hwy Ste 103, Lincoln, RI 02865 | 2015-02-05 |
| 1528313004 | Sandra Faria | Counselor | 1525 Old Louisquisset Pike Ste B104, Lincoln, RI 02865 | 2012-07-19 |
| 1982832671 | Deborah F Katcher-buckley | Nurse Practitioner | 2 Wake Robin Rd Unit 201, Lincoln, RI 02865 | 2009-07-01 |
| 1558541011 | Dawn Marie Maguire | Social Worker | 640 George Washington Hwy Ste, Bdg B, Ste 103, Lincoln, RI 02865 | 2007-11-13 |
| 1477675262 | Rhode Island Hospital | Internal Medicine | 701 George Washington Hwy Ste 100, Lincoln, RI 02865 | 2007-04-04 |
| 1083789218 | Thomas Patrick Hines | Pediatrics | 6 Blackstone Valley Place Suite 306b, Lincoln, RI 02865 | 2006-11-22 |
| 1154403970 | Karen Elissa Madras | Pediatrics | 6 Blackstone Valley Place, Suite 306b, Lincoln, RI 02865 | 2006-10-20 |
| Find all providers in zip 02865 | ||||
| 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.