SHANE CHRISTOPHER NELSON (NPI# 1114352358) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114352358 |
| Entity Type | Individual |
| Full Name | SHANE CHRISTOPHER NELSON |
| Credential | A.T.C. |
| Practice Address |
1060 W Addison St Chicago IL 60613-4566 |
| Practice Telephone | 7734044035 |
| Enumeration Date | 2013-09-06 |
| Last Update Date | 2013-09-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
1038 | AZ | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
096.003289 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417462813 | Shane Lee Nelson | Counselor | 288 Mill St Bldg N, Springfield, OR 97477-4597 | 2017-12-07 |
| 1619942083 | Shane Aaron Nelson | Dentist | 7001 W 121st St, Overland Park, KS 66209-2009 | 2006-02-21 |
| 1831731751 | Shane Allen Nelson | Behavior Technician | 1050 Fulton Ave Ste 235, Sacramento, CA 95825-4299 | 2019-10-11 |
| 1356628168 | Shane Michael Nelson | Massage Therapist | 413 Woodfield Dr, Piedmont, SC 29673-8373 | 2011-11-08 |
| 1780697565 | Shane L Nelson | Nurse Anesthetist, Certified Registered | 400 N Holtzclaw Ave, Chattanooga, TN 37404-1916 | 2006-08-14 |
| Street Address |
1060 W ADDISON ST |
| City | CHICAGO |
| State | IL |
| Zip Code | 60613-4566 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861965154 | Mark Edward Oneal | Specialist/Technologist | 1060 W Addison St, Chicago, IL 60613-4397 | 2019-01-09 |
| 1801259064 | Edward Halbur | Specialist/Technologist | 1060 W Addison St, Chicago, IL 60613-4566 | 2016-04-04 |
| 1295193902 | Peter Mainville Jr. | Specialist/Technologist | 1060 W Addison St, Chicago, IL 60613-4566 | 2016-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588261978 | Thorek Radiology Group Nfp | Radiology | 850 West Irving Park Road, Chicago, IL 60613 | 2020-10-08 |
| 1760034128 | Maryellen Karas Lajeunesse | Social Worker | 3930 N. Pine Grove Ave, #2403, Chicago, IL 60613 | 2019-07-15 |
| 1801366430 | Stephanie A Dykema | Psychologist | 4043 N Ravenswood Ave Suite 302, Chicago, IL 60613 | 2018-11-27 |
| 1487154191 | Alan Tsang | Counselor | 655 W Irving Park Rd Ste 203, Chicago, IL 60613 | 2018-02-19 |
| 1972015782 | Integrated Ortho, LLC. | Durable Medical Equipment & Medical Supplies | 3717 N. Ravenswood Ave, Suite 219w, Chicago, IL 60613 | 2017-11-02 |
| 1073048005 | Claire Jolly | Social Worker | 3701 N Ravenswood Ave Ste 301, Chicago, IL 60613 | 2017-04-27 |
| 1730626011 | Marc Fagan | Psychologist | 4101 N Ravenswood Ave., Chicago, IL 60613 | 2017-01-25 |
| 1205385671 | Sara Turner | Psychologist | 3855 N Greenview Ave # 2a, Chicago, IL 60613 | 2016-09-27 |
| 1962955997 | Michelle Montero | Psychologist | 925 W Dakin St Apt 405, Chicago, IL 60613 | 2016-07-26 |
| 1063883494 | Athletico, Ltd | Physical Therapist | 3922 North Sheridan Rd, Chicago, IL 60613 | 2015-10-12 |
| Find all providers in zip 60613 | ||||
| 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 |
|---|---|---|---|---|
| 1588286272 | Sarah Wegrzyn | Specialist/Technologist | 3040 S Wabash Ave, Chicago, IL 60616-3474 | 2020-05-15 |
| 1881215002 | Sierra Smith | Specialist/Technologist | 6301 S Halsted St, Chicago, IL 60621-2709 | 2020-04-28 |
| 1043830573 | Karla Landeros | Specialist/Technologist | 3533 W 62nd St, Chicago, IL 60629-3703 | 2020-04-24 |
| 1538789607 | Isabel Gonzalez | Specialist/Technologist | 3021 W Ainslie St Apt 1, Chicago, IL 60625-7378 | 2020-04-19 |
| 1679109060 | Nicole Dubro | Specialist/Technologist | 1919 S Wabash Ave Unit 325, Chicago, IL 60616-2061 | 2020-03-17 |
| 1962038604 | Aristidis John Adrahtas | Specialist/Technologist | 2501 W Addison St, Chicago, IL 60618-5902 | 2020-03-13 |
| 1083247969 | Nakia Rene' Jones | Specialist/Technologist | 7934 S Crandon Ave, Chicago, IL 60617-1146 | 2020-02-19 |
| 1841823952 | Jennifer Noonan | Specialist/Technologist | 10522 S Sacramento Ave, Chicago, IL 60655-2031 | 2020-02-17 |
| 1891326740 | Anabel Ruiz | Specialist/Technologist | 2847 N Normandy Ave, Chicago, IL 60634-4816 | 2020-01-29 |
| 1205476645 | Jerry Henley Jr. | Specialist/Technologist | 322 N Leavitt St Unit B, Chicago, IL 60612-1616 | 2020-01-14 |
| Find all providers in CHICAGO | ||||
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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.