JORDAN SHANGREAUX


Address: 2200 S Roosevelt St, Aberdeen, SD 57401
Phone: 6052804697

JORDAN SHANGREAUX (NPI# 1104366475) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1104366475
Entity Type Individual
Full Name JORDAN SHANGREAUX
Credential MS, LAT, ATC
Practice Address 2200 S Roosevelt St
Aberdeen
SD 57401
Mailing Address 1736 S 2nd St
Aberdeen
SD 57401-7416
Practice Telephone 6052804697
Enumeration Date 2017-03-06
Last Update Date 2019-12-20
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2255A2300X Specialist/Technologist
Specialization: Athletic Trainer
0472 SD Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 2200 S ROOSEVELT ST
City ABERDEEN
State SD
Zip Code 57401

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1679002950 Brenda Lee Pence Registered Nurse 305 S. State St., Aberdeen, SD 57401 2017-06-08
1205387545 Midwest Medical Transport Company, LLC-aberdeen, Sd Ambulance 2919 Industrial Avenue, Aberdeen, SD 57401 2016-10-21
1356752471 Cameron Eichler Enterprises Hearing Aid Equipment 110 6th Ave Se Ste 106, Aberdeen, SD 57401 2014-05-12
1184059412 Richard Allen Ward IIi Hearing Instrument Specialist 1315 6th Avenue Se, Suite 4, Aberdeen, SD 57401 2013-09-05
1427395540 Matthew William Svensen Physical Therapist 1109 S Jay St, Aberdeen, SD 57401 2013-01-09
1750655940 Robert Ashly Froke Audiologist 121 4th Ave Sw-suite 1, Natural Hearing Center, Aberdeen, SD 57401 2012-03-06
1457504862 Rodney S Johnson Counselor 14 S Main St Ste 1e, Aberdeen, SD 57401 2008-10-29
1518115005 Dakota Chiropractic of Aberdeen, PC Chiropractor 520 Moccasin Drive, Aberdeen, SD 57401 2008-09-09
1558554626 Tiffany Zimmerman Hoeft Speech-Language Pathologist 39515 Pintail Ave, Aberdeen, SD 57401 2007-08-22
1821208216 Kimberly R. Henrich Pharmacist 3820 7th Ave Sw, Aberdeen, SD 57401 2007-05-23
Find all providers in zip 57401

Taxonomy Information

Taxonomy Code 2255A2300X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Specialist/Technologist
Specialization Athletic Trainer

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1003394461 Jessica Huntoon Specialist/Technologist 511 Chelsea Rd, Aberdeen, MD 21001-4305 2018-07-29
1336630912 Bailey Schahn Specialist/Technologist 1023 S Jay St Apt 1, Aberdeen, SD 57401-7168 2018-05-19
1699274365 Adam Mcfarland Specialist/Technologist 310 Kenmore St S Apt 1g, Aberdeen, SD 57401-5423 2018-02-07
1891221453 Ariana Vasquez Specialist/Technologist 201 2nd Ave Ne, Aberdeen, SD 57401-3516 2017-05-02
1598205338 Taryn Martin Specialist/Technologist 400 24th Ave Nw, Aberdeen, SD 57401-2500 2017-02-27
1861891681 Meghan Whitehead Specialist/Technologist 565 Windsong Dr, Aberdeen, MD 21001-1835 2014-08-18
1548458003 Dawn Maria D'onofrio Specialist/Technologist 450 Atlantic Ave, Matawan High School, Aberdeen, NJ 07747-2326 2007-10-10
1649498643 Pamela W Hofmann Specialist/Technologist 307 Fairway Dr, Aberdeen, WA 98520-7032 2007-04-23
1205970456 Jeff Dekoski Specialist/Technologist 1200 S Jay St, Aberdeen, SD 57401-7155 2007-02-19
1669020251 Brittany Kay Hubbart Specialist/Technologist 1500 N Main St, Aberdeen, SD 57401-1280 2019-08-28
Find all providers in ABERDEEN

Competitor

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City ABERDEEN
Zip Code 57401

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Dataset Information

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.

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