KATHERINE ALLISON SHAAK (NPI# 1053957571) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053957571 |
| Entity Type | Individual |
| Full Name | KATHERINE ALLISON SHAAK |
| Credential | LAT, ATC, PES |
| Practice Address |
101 Regent Ct State College PA 16801-7965 |
| Mailing Address |
203 Miller Cir Fayetteville PA 17222-1127 |
| Practice Telephone | 8142312101 |
| Enumeration Date | 2019-11-19 |
| Last Update Date | 2019-11-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
RT006648 | PA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
101 REGENT CT |
| City | STATE COLLEGE |
| State | PA |
| Zip Code | 16801-7965 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952383408 | Scott Alan Devore | Specialist | 101 Regent Ct, State College, PA 16801-7965 | 2005-11-18 |
| 1790333755 | Brooke Nicole Maneval | Specialist/Technologist | 101 Regent Ct, State College, PA 16801-7965 | 2019-09-03 |
| 1285182089 | Robert M Lawler Jr. | Physician Assistant | 101 Regent Ct, State College, PA 16801-7965 | 2016-09-21 |
| 1770987976 | Kelsey Ulrich | Specialist/Technologist | 101 Regent Ct, State College, PA 16801-7965 | 2014-10-16 |
| 1477955425 | Zachary Kavo | Specialist/Technologist | 101 Regent Ct, State College, PA 16801-7965 | 2014-09-22 |
| 1417385881 | Brad Rickabaugh | Physician Assistant | 101 Regent Ct, State College, PA 16801-7965 | 2013-10-23 |
| 1083989800 | John Arthur Smaniotto | Specialist/Technologist | 101 Regent Ct, State College, PA 16801-7965 | 2012-03-12 |
| 1770863672 | Erin Marie Veneziano | Physician Assistant | 101 Regent Ct, State College, PA 16801-7965 | 2011-08-23 |
| 1558655308 | Casey Reade Antholz | Orthopaedic Surgery | 101 Regent Ct, State College, PA 16801-7965 | 2011-06-08 |
| 1760611180 | Aaron L Thompson | Physician Assistant | 101 Regent Ct, State College, PA 16801-7965 | 2009-07-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851880975 | Creative Reflections Counseling, LLC | Counselor | 315 S Allen St Ste 124b, State College, PA 16801 | 2018-05-03 |
| 1679097901 | Michelle L Grove | Home Health Aide | 2100 E College Ave Ste B, State College, PA 16801 | 2017-07-28 |
| 1740702034 | Matthew Ishler | Counselor | 315 S. Allen Street Ste 326, State College, PA 16801 | 2017-07-09 |
| 1699206300 | Emily Lauer | Specialist/Technologist | 102a Multisport Indoor Facility, State College, PA 16801 | 2017-03-23 |
| 1740721075 | Luk Devorski | Student in an Organized Health Care Education/Training Program | Rec Hall University Park, Penn State University, State College, PA 16801 | 2017-03-20 |
| 1013465764 | Pennsylvania Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 201 West Beaver Avenue, State College, PA 16801 | 2016-09-12 |
| 1740685858 | Mallory L. Miller | Physician Assistant | 100 Radnor Rd Ste 101, State College, PA 16801 | 2014-10-31 |
| 1386053981 | Christopher Hippenmeyer | Specialist/Technologist | 102a East Area Locker Building, Pennsylvania State University, University Park, PA 16801 | 2014-08-07 |
| 1982022059 | Christy Sharer | Counselor | 301 S Allen St Ste 106, State College, PA 16801 | 2014-04-04 |
| 1912250523 | Eva M Letwin | Counselor | 2011 Cato Ave Ste 201, State College, PA 16801 | 2012-10-19 |
| Find all providers in zip 16801 | ||||
| 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 |
|---|---|---|---|---|
| 1639783699 | Angel Louis Lazu | Specialist/Technologist | 276 Recreation Bldg # 147d, State College, PA 16802-5701 | 2020-09-06 |
| 1659991297 | Margaret Alena Buck | Specialist/Technologist | 221 E Park Ave, State College, PA 16803-3643 | 2020-04-23 |
| 1104463900 | Elizabeth Pringle | Specialist/Technologist | 2304 Stafford Cir, State College, PA 16801-2421 | 2019-11-30 |
| 1225543440 | Steven Murray | Specialist/Technologist | 101 Fairlawn Ave, State College, PA 16801-7208 | 2017-12-11 |
| 1699206300 | Emily Lauer | Specialist/Technologist | 102a Multisport Indoor Facility, State College, PA 16801 | 2017-03-23 |
| 1467993873 | Jacob Richard Shelow | Specialist/Technologist | 211 Rosemont Dr, State College, PA 16801-2555 | 2017-03-17 |
| 1649724436 | Courtney Renee Williams | Specialist/Technologist | 1610 Hawthorn Dr, State College, PA 16801-7016 | 2016-08-09 |
| 1902255060 | Stephen Delger | Specialist/Technologist | 147e Recreational Hall, State College, PA 16802 | 2016-06-09 |
| 1205284254 | Daniel Monthley I | Specialist/Technologist | 276 Recreation Bldg, 147, State College, PA 16802-5701 | 2016-06-01 |
| 1780030940 | John Fleck | Specialist/Technologist | 218 South Sparks Street, Apartment 107, State College, PA 16801-8409 | 2016-05-06 |
| Find all providers in STATE COLLEGE | ||||
| City | STATE COLLEGE |
| Zip Code | 16801 |
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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.