MR. JAMES BLOOMCAMP (NPI# 1063816817) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063816817 |
| Entity Type | Individual |
| Full Name | MR. JAMES BLOOMCAMP |
| Credential | ATC |
| Practice Address |
600 N Grand Ave Tahlequah OK 74464-2301 |
| Mailing Address |
1103 Chase Ave Tahlequah OK 74464-5294 |
| Practice Telephone | 9184443921 |
| Mailing Telephone | 9189312948 |
| Enumeration Date | 2014-10-22 |
| Last Update Date | 2014-10-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AT339 | OK | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 22 | 22 | 01 |
| Street Address |
600 N GRAND AVE |
| City | TAHLEQUAH |
| State | OK |
| Zip Code | 74464-2301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932271798 | Zachary Daniel Collett | Specialist/Technologist | 600 N Grand Ave, Tahlequah, OK 74464-2301 | 2006-11-15 |
| 1154949626 | Renee J Wilson | Counselor | 600 N Grand Ave, Tahlequah, OK 74464-2301 | 2020-07-10 |
| 1558903401 | Elizabeth A Mai | Social Worker | 600 N Grand Ave, Tahlequah, OK 74464-2301 | 2019-10-11 |
| 1740842772 | Jordyn Danielle Reese | Specialist/Technologist | 600 N Grand Ave, Tahlequah, OK 74464-2301 | 2019-06-29 |
| 1811552482 | Sarah Robinson | Specialist/Technologist | 600 N Grand Ave, Tahlequah, OK 74464-2301 | 2019-05-08 |
| 1689166431 | Emily Summerlin | Specialist/Technologist | 600 N Grand Ave, Tahlequah, OK 74464-2301 | 2018-06-06 |
| 1376071845 | Bailey Cooper | Specialist/Technologist | 600 N Grand Ave, Tahlequah, OK 74464-2301 | 2017-05-30 |
| 1184152027 | Ann Peyton Ellis | Specialist/Technologist | 600 N Grand Ave, Tahlequah, OK 74464-2301 | 2017-05-23 |
| 1427581958 | Kendra Pettit | Specialist/Technologist | 600 N Grand Ave, Tahlequah, OK 74464-2301 | 2017-04-11 |
| 1437504321 | Tiffany Marie Hoffman | Student in an Organized Health Care Education/Training Program | 600 N Grand Ave, Tahlequah, OK 74464-2301 | 2016-04-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184253403 | Kendall Harris | Student in an Organized Health Care Education/Training Program | 100 Bliss Ave, Tahlequah, OK 74464 | 2020-04-07 |
| 1528609302 | Norma Brightly | Technician | 103 Sequoyah, Tahlequah, OK 74464 | 2019-10-03 |
| 1073175832 | Jody Lynn Dallis | Case Manager/Care Coordinator | Tenkiller Behavioral Services, 27753 S. Welling Rd, Welling, OK 74464 | 2019-07-02 |
| 1184287849 | Perry Jake Proctor | Student in an Organized Health Care Education/Training Program | 1400 E Downing St, Tahlequah, Ok 74464, Tahlequah, OK 74464 | 2019-04-18 |
| 1336657279 | Sidney Sheyenne Kimble | Case Manager/Care Coordinator | 1429 Jack Brown Lane, Tahlequah, OK 74464 | 2018-01-12 |
| 1891225686 | Nichols Bradley Alberty | Orthotist | 1294 East Downing, Suite 3, Tahlequah, OK 74464 | 2017-06-14 |
| 1922549690 | Krystal Easter Ms, Lpc | Counselor | 2201 Oakridge Dr, Tahlequah, OK 74464 | 2017-03-15 |
| 1144777319 | Northeastern Oklahoma Community Health Centers, Inc. | Clinic/Center | 529 N. Oak St., Tahlequah, OK 74464 | 2016-09-06 |
| 1548713456 | Clement Isioma Nwadozi | Optometrist | 3763 Southridge Cir Apt 6, Tahlequah, OK 74464 | 2016-07-27 |
| 1033532635 | Wesley Gragg | Specialist/Technologist | 603 North Grand Avenue, Tahlequah, OK 74464 | 2014-02-03 |
| Find all providers in zip 74464 | ||||
| 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 |
|---|---|---|---|---|
| 1033532635 | Wesley Gragg | Specialist/Technologist | 603 North Grand Avenue, Tahlequah, OK 74464 | 2014-02-03 |
| 1932271798 | Zachary Daniel Collett | Specialist/Technologist | 600 N Grand Ave, Tahlequah, OK 74464-2301 | 2006-11-15 |
| 1619964582 | Rodney Thomas Lechtenberg Jr. | Specialist/Technologist | 603 N Grand Ave, Tahlequah, OK 74464-2302 | 2005-10-05 |
| 1740842772 | Jordyn Danielle Reese | Specialist/Technologist | 600 N Grand Ave, Tahlequah, OK 74464-2301 | 2019-06-29 |
| 1811552482 | Sarah Robinson | Specialist/Technologist | 600 N Grand Ave, Tahlequah, OK 74464-2301 | 2019-05-08 |
| 1689166431 | Emily Summerlin | Specialist/Technologist | 600 N Grand Ave, Tahlequah, OK 74464-2301 | 2018-06-06 |
| 1265946164 | Diana Keys | Specialist/Technologist | 603 N Grand Ave, Tahlequah, OK 74464-2302 | 2017-11-30 |
| 1376071845 | Bailey Cooper | Specialist/Technologist | 600 N Grand Ave, Tahlequah, OK 74464-2301 | 2017-05-30 |
| 1184152027 | Ann Peyton Ellis | Specialist/Technologist | 600 N Grand Ave, Tahlequah, OK 74464-2301 | 2017-05-23 |
| 1740714997 | Alexander Fleming | Specialist/Technologist | 603 N Grand Ave, Tahlequah, OK 74464-2302 | 2017-04-14 |
| Find all providers in TAHLEQUAH | ||||
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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.