MR. TRAVIS ADDISON CAMBRONNE (NPI# 1083030365) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083030365 |
| Entity Type | Individual |
| Full Name | MR. TRAVIS ADDISON CAMBRONNE |
| Credential | ATC |
| Practice Address |
8100 Northland Dr Minneapolis MN 55431-4800 |
| Practice Telephone | 9528065490 |
| Practice Fax Number | 9528311626 |
| Mailing Telephone | 9528065490 |
| Mailing Fax Number | 9528311626 |
| Enumeration Date | 2014-03-11 |
| Last Update Date | 2014-03-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
2470 | MN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
8100 NORTHLAND DR |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55431-4800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750384707 | Alan William Markman | Specialist | 8100 Northland Dr, Minneapolis, MN 55431-4800 | 2005-05-23 |
| 1659849735 | Tria Orthopaedic Center, LLC | Clinic/Center | 8100 Northland Dr, Minneapolis, MN 55431-4800 | 2018-11-07 |
| 1164892972 | Frederick Mcwane Iv | Specialist/Technologist | 8100 Northland Dr, Minneapolis, MN 55431-4800 | 2015-10-06 |
| 1972988400 | Tria Orthopaedic Center Asc LLC | Clinic/Center | 8100 Northland Dr, Minneapolis, MN 55431-4800 | 2015-07-27 |
| 1306237953 | Christina Hirsch | Specialist/Technologist | 8100 Northland Dr, Minneapolis, MN 55431-4800 | 2015-02-17 |
| 1356755433 | Peter Lasater | Orthopaedic Surgery | 8100 Northland Dr, Minneapolis, MN 55431-4800 | 2014-06-17 |
| 1780936393 | Layla Sayles | Physical Therapist | 8100 Northland Dr, Minneapolis, MN 55431-4800 | 2012-10-05 |
| 1912265455 | Brian James Theisen | Physical Therapist | 8100 Northland Dr, Minneapolis, MN 55431-4800 | 2012-05-02 |
| 1841577996 | Katherine Morigaki Breedlove | Specialist/Technologist | 8100 Northland Dr, Minneapolis, MN 55431-4800 | 2011-11-03 |
| 1255656492 | Chelsea Nicole Gabrielse | Specialist/Technologist | 8100 Northland Dr, Minneapolis, MN 55431-4800 | 2010-03-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578162509 | Mckenzie Mcadaragh | Nurse Practitioner | 10924 Girard Curve, Bloomington, MN 55431 | 2020-10-21 |
| 1760042253 | Adams Health Care Services, LLC | Registered Nurse | 10036 Washburn Ave S, Bloomington, MN 55431 | 2019-06-17 |
| 1851864755 | Hope Autism Center | Day Training, Developmentally Disabled Services | 9333 Penn Ave S, Bloomington, MN 55431 | 2019-01-03 |
| 1275006215 | Cameron Lee Small | Counselor | 9156 Vincent Ave S, Bloomington, MN 55431 | 2019-01-02 |
| 1497240469 | Mikayla Slegh | Behavior Technician | 8200 Humboldt Ave S Suite 100, Bloomington, MN 55431 | 2018-06-22 |
| 1073061552 | David Wells | Nurse Practitioner | 8100 Northland Dr., Bloomington, MN 55431 | 2016-09-14 |
| 1780033076 | Yasin Jama | Contractor | 9810 Drew Avenue South, Apartment 106, Bloomington, MN 55431 | 2016-06-07 |
| 1972961001 | Kadar Hadis | Social Worker | 8200 Humboldt Ave S Ste 217, Bloomington, MN 55431 | 2016-02-03 |
| 1063878908 | Amazing Transportation Services, LLC | Non-emergency Medical Transport (VAN) | 9031 Penn Ave South Suite 100, Bloomington, MN 55431 | 2016-01-07 |
| 1093170136 | Kelsey Margaret Perreault | Chiropractor | 8120 Penn Ave. S., Suite 525, Bloomington, MN 55431 | 2015-12-16 |
| Find all providers in zip 55431 | ||||
| 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 |
|---|---|---|---|---|
| 1558984674 | Kylie Macziewski | Specialist/Technologist | 104 W 95th St, Minneapolis, MN 55420-4307 | 2020-05-22 |
| 1295356293 | Matthew Larsen | Specialist/Technologist | 501 E 14th St Apt 34, Minneapolis, MN 55404-1409 | 2020-04-30 |
| 1801433115 | Mary L Weddle | Specialist/Technologist | 4300 W River Pkwy Apt 251, Minneapolis, MN 55406-3678 | 2019-12-05 |
| 1760041065 | Kristin Wood | Specialist/Technologist | 1900 University Ave Se, Minneapolis, MN 55455-0376 | 2019-06-10 |
| 1831665868 | Brandi Bluearm | Specialist/Technologist | 1410 Elliot Ave, Minneapolis, MN 55404-1300 | 2018-10-17 |
| 1982195558 | Joshua Wintz | Specialist/Technologist | 4112 Morrill Ln, Minneapolis, MN 55406-3656 | 2018-05-19 |
| 1225548126 | Abbegayle Kisrow | Specialist/Technologist | 2840 123rd Ave Nw, Minneapolis, MN 55433-1727 | 2017-10-05 |
| 1295250744 | Emily Jacob | Specialist/Technologist | 5829 Oakland Ave, Minneapolis, MN 55417-3113 | 2017-08-06 |
| 1639524853 | Annie Thoresen | Specialist/Technologist | 7841 Wayzata Blvd, Suite 214, Minneapolis, MN 55426-1452 | 2016-04-25 |
| 1205214566 | Karin Shelstad | Specialist/Technologist | 5501 10th Av S, Minneapolis, MN 55417 | 2015-05-07 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55431 |
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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.