JOHN DYLAN SHAPE (NPI# 1164060950) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164060950 |
| Entity Type | Individual |
| Full Name | JOHN DYLAN SHAPE |
| Practice Address |
810 E 23rd St Sioux Falls SD 57105-2135 |
| Practice Telephone | 6059776845 |
| Mailing Telephone | 6059776845 |
| Enumeration Date | 2019-12-12 |
| Last Update Date | 2019-12-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
0601 | SD | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
810 E 23RD ST |
| City | SIOUX FALLS |
| State | SD |
| Zip Code | 57105-2135 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073508131 | James T Brunz | Anesthesiology | 810 E 23rd St, Sioux Falls, SD 57105-2135 | 2005-09-14 |
| 1447864855 | Jordan William Whitsell | Specialist/Technologist | 810 E 23rd St, Sioux Falls, SD 57105-2135 | 2020-09-02 |
| 1790307205 | Gina Fritz | Specialist/Technologist | 810 E 23rd St, Sioux Falls, SD 57105-2135 | 2020-05-07 |
| 1861022543 | Manus, LLC | Orthopaedic Surgery | 810 E 23rd St, Sioux Falls, SD 57105-2135 | 2020-01-22 |
| 1629616164 | Amanda Kaye Pospischil | Nurse Practitioner | 810 E 23rd St, Sioux Falls, SD 57105-2135 | 2019-12-16 |
| 1124664065 | Jaymee Benson | Physician Assistant | 810 E 23rd St, Sioux Falls, SD 57105-2135 | 2019-11-26 |
| 1700430543 | Jena Rae Haigh | Physical Medicine & Rehabilitation | 810 E 23rd St, Sioux Falls, SD 57105-2135 | 2019-07-30 |
| 1962983981 | Andrew Holmstrom | Orthopaedic Surgery | 810 E 23rd St, Sioux Falls, SD 57105-2135 | 2018-08-27 |
| 1861907537 | Melissa Ann Weinandt | Physician Assistant | 810 E 23rd St, Sioux Falls, SD 57105-2135 | 2017-12-04 |
| 1821502881 | Amanda Kay Jacobsen | Occupational Therapist | 810 E 23rd St, Sioux Falls, SD 57105-2135 | 2017-11-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871117549 | Ashlesha Ravindra Bagwe | Student in an Organized Health Care Education/Training Program | Pediatrics Residency Program, 1305 W 18th St, Rt 6364, Sioux Falls, SD 57105 | 2020-05-29 |
| 1306494489 | Kelsey Elaine Kruse | Counselor | 3101 West 41st, Sioux Falls, SD 57105 | 2019-08-30 |
| 1902388341 | Sarah Tacke | Nurse Practitioner | 1301 West 18th Street, Sioux Falls, SD 57105 | 2018-09-02 |
| 1235624727 | Mahum Shahid | Student in an Organized Health Care Education/Training Program | 1400 W. 22nd St, Sioux Falls, SD 57105 | 2018-06-27 |
| 1942790126 | Smitha Narayana Gowda | Student in an Organized Health Care Education/Training Program | 1400 22nd Street, Sioux Falls, SD 57105 | 2018-05-14 |
| 1326538554 | Mali Elizabeth Teller | Speech-Language Pathologist | 2501 W. 26th Street, Sioux Falls, SD 57105 | 2018-05-14 |
| 1871081505 | Abdelmohaymin Abdalla Abufatima Abdalla | Student in an Organized Health Care Education/Training Program | Usd-ssom-internal Medicine Residency, 1400 22nd Street, Sioux Falls, SD 57105 | 2018-04-27 |
| 1710474697 | Moataz Ellithi | Student in an Organized Health Care Education/Training Program | 1400 W. 22nd St., Sioux Falls, SD 57105 | 2018-04-17 |
| 1366948663 | Holly Ahlers | Registered Nurse | 2000 S. Summit Ave, Sioux Falls, Sd 57105, Sioux Falls, SD 57105 | 2018-04-04 |
| 1558864124 | Darcy Lee Jensen | Counselor | 822 East 41st. Street, Suite 235, Souix Falls, SD 57105 | 2018-03-09 |
| Find all providers in zip 57105 | ||||
| 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 |
|---|---|---|---|---|
| 1184242612 | Turner David Serr | Specialist/Technologist | 5808 W Oakcrest Dr, Sioux Falls, SD 57107-0997 | 2020-07-10 |
| 1275156796 | Megan Rose Ekern | Specialist/Technologist | 816 S Suburban Dr, Sioux Falls, SD 57110-3184 | 2020-05-19 |
| 1982231338 | Brian Fox | Specialist/Technologist | 2900 S Cliff Ave, Sioux Falls, SD 57105-5125 | 2020-03-25 |
| 1669932273 | Taylor Alexandra Bergh | Specialist/Technologist | 3201 S Kiwanis Ave, Sioux Falls, SD 57105-4296 | 2019-03-20 |
| 1497214704 | Julia Catherine Brennan | Specialist/Technologist | 4001 S Lewis Ave, Sioux Falls, SD 57103-4505 | 2019-03-16 |
| 1144764887 | Jordan Lindberg | Specialist/Technologist | 2505 S Grange Ave, Sioux Falls, SD 57105 | 2016-12-15 |
| 1184092595 | Jason Rinne | Specialist/Technologist | Augustana University, 2001 S Summit Ave, Sioux Falls, SD 57197-0001 | 2015-09-02 |
| 1063888113 | Jennifer Stavenger | Specialist/Technologist | 3909 E Brookline Dr, Sioux Falls, SD 57103-5702 | 2015-08-12 |
| 1023494820 | Austin Dwaine Mueller | Specialist/Technologist | 6405 W 54th St, Sioux Falls, SD 57106-1942 | 2015-08-04 |
| 1144636077 | Alyssa Beacom | Specialist/Technologist | 48027 Riverside Pl, Sioux Falls, SD 57108-8209 | 2014-07-11 |
| Find all providers in SIOUX FALLS | ||||
| City | SIOUX FALLS |
| Zip Code | 57105 |
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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.