MR. ETHAN ANDREW NAYBACK (NPI# 1164663589) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164663589 |
| Entity Type | Individual |
| Full Name | MR. ETHAN ANDREW NAYBACK |
| Credential | ATC |
| Practice Address |
5702 Beecher Rd Apt 5 Osseo MI 49266-9603 |
| Practice Telephone | 5177458290 |
| Mailing Telephone | 5177458290 |
| Enumeration Date | 2009-03-14 |
| Last Update Date | 2009-03-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
MI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
5702 BEECHER RD APT 5 |
| City | OSSEO |
| State | MI |
| Zip Code | 49266-9603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245654367 | Vicki Kime I | Social Worker | 3191 Peterson Rd, Osseo, MI 49266-9028 | 2014-02-10 |
| 1093358004 | Monika Hildegard Winters | Technician | 4150 Lake Pleasant Rd S, Osseo, MI 49266-9623 | 2019-10-22 |
| 1871829150 | Golden Years Adult Foster Care | Custodial Care Facility | 1885 Osseo Rd S, Osseo, MI 49266-9643 | 2009-10-21 |
| 1427595958 | Central Michigan Medical Technologies, LLC | Durable Medical Equipment & Medical Supplies | 6191 Beecher Rd, Osseo, MI 49266-9672 | 2017-01-23 |
| 1629313648 | Debora Lou Joseph | Licensed Practical Nurse | 6163 Bellvernon Dr, Osseo, MI 49266-9713 | 2012-12-03 |
| 1184969107 | Craig Steven Joseph | Licensed Practical Nurse | 6163 Bellvernon Dr, Osseo, MI 49266-9713 | 2012-12-03 |
| 1124353743 | Eitniear Afc | Community Based Residential Treatment Facility, Mental Illness | 5760 Hudson Rd, Osseo, MI 49266-9840 | 2009-10-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376144188 | Bonnie Rose Theis | Counselor | 24 3rd Ave Ne, Unit B, Osseo, MN 55369 | 2020-11-06 |
| 1215556733 | Lindsey Jo Rongstad | Student in an Organized Health Care Education/Training Program | 51382 Whitetail Rd, Osseo, WI 54758-7766 | 2020-04-14 |
| 1760018337 | Bonita Bolsa Dba Twin Cities Natural Care Center | Massage Therapist | 24 3rd St Ne Ste B, Osseo, MN 55369-1212 | 2020-03-16 |
| 1225662174 | Kristin Joy Anderson | Nurse Practitioner | 15391 Creekside Ln, Osseo, MN 55369-2646 | 2020-03-01 |
| 1497391494 | Conner R Hoesley | Massage Therapist | 13512 9th St, Osseo, WI 54758-8775 | 2019-11-25 |
| 1093358004 | Monika Hildegard Winters | Technician | 4150 Lake Pleasant Rd S, Osseo, MI 49266-9623 | 2019-10-22 |
| 1588205074 | Richard Kulig | Chore Provider | W15918 Brook Trout Trl, Osseo, WI 54758-0009 | 2019-10-05 |
| 1750932406 | Shane Michael Huyser | Chiropractor | 50618 Charles St, Osseo, WI 54758-7508 | 2019-09-24 |
| 1477112324 | Indigo Health Care,llc | Home Health | 308 2nd St Se Apt 204, Osseo, MN 55369-1532 | 2019-06-12 |
| 1427558899 | Margaret Ann Seefeldt | Speech-Language Pathologist | E11130 E Robin Rd, Osseo, WI 54758-8819 | 2018-02-12 |
| Find all providers in OSSEO | ||||
| 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 |
|---|---|---|---|---|
| 1720538473 | Samantha Josephine Anderson | Specialist/Technologist | 17 5th Ave Ne, Osseo, MN 55369-1305 | 2016-10-06 |
| 1689033995 | Morgan Perry | Specialist/Technologist | E12735 County Road K, Osseo, WI 54758-9787 | 2016-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467052027 | Brianna Redmond | Specialist/Technologist | 2145 Sunset Ln, Saginaw, MI 48604-2443 | 2020-10-31 |
| 1386243913 | Carrie A Lindsay | Specialist/Technologist | 4761 Highland Rd, Waterford, MI 48328-1178 | 2020-10-24 |
| 1528667128 | Bethany Lynn York | Specialist/Technologist | 1461 Crest Rd, Gladwin, MI 48624-7606 | 2020-10-23 |
| 1255930962 | Benjamin Foddrill | Specialist/Technologist | 7380 Clearview Dr, Caledonia, MI 49316-9309 | 2020-10-22 |
| 1427656040 | Travis Zaborowski | Specialist/Technologist | 2412 W 4th Ave, Sault Sainte Marie, MI 49783-1212 | 2020-10-15 |
| 1730787912 | Batoul Kassem | Specialist/Technologist | 6045 Steadman St, Dearborn, MI 48126-2052 | 2020-10-11 |
| 1801493697 | Janelle Dorsey | Specialist/Technologist | 24311 Ithaca St, Oak Park, MI 48237-1788 | 2020-10-05 |
| 1194332379 | Bryan Keith Baines Sr. | Specialist/Technologist | 4333 John R Rd, Troy, MI 48085-3681 | 2020-09-30 |
| 1205443553 | Emma Weber | Specialist/Technologist | 7776 Percheron St, Kalamazoo, MI 49009-5990 | 2020-09-29 |
| 1295342616 | Margaret Ann Gilbeau | Specialist/Technologist | 38051 Metro Villa Dr Unit 114f, Harrison Township, MI 48045-3553 | 2020-09-29 |
| Find all providers with the same taxonomy | ||||
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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.