JORDAN SHANGREAUX (NPI# 1104366475) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
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 |
Street Address |
2200 S ROOSEVELT ST |
City | ABERDEEN |
State | SD |
Zip Code | 57401 |
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 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 |
---|---|---|---|---|
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 |
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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.