MR. KYLE BUTTERS (NPI# 1174998793) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174998793 |
| Entity Type | Individual |
| Full Name | MR. KYLE BUTTERS |
| Credential | LAT, ATC |
| Practice Address |
1100 Gateway Ct West Bend WI 53095-8539 |
| Practice Telephone | 2623066100 |
| Enumeration Date | 2015-12-08 |
| Last Update Date | 2015-12-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
152039 | WI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1100 GATEWAY CT |
| City | WEST BEND |
| State | WI |
| Zip Code | 53095-8539 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346214897 | Ryszard Cholewa | Family Medicine | 1100 Gateway Ct, West Bend, WI 53095-8539 | 2006-02-13 |
| 1437614765 | Tracy Conklin | Registered Nurse | 1100 Gateway Ct, West Bend, WI 53095-8539 | 2019-01-31 |
| 1790292944 | Alissa M Straub | Occupational Therapist | 1100 Gateway Ct, West Bend, WI 53095-8539 | 2018-01-09 |
| 1225559321 | Abigail Jean Haag Davis | Nurse Practitioner | 1100 Gateway Ct, West Bend, WI 53095-8539 | 2017-06-29 |
| 1801280177 | Omuwa Braimah | Family Medicine | 1100 Gateway Ct, West Bend, WI 53095 | 2015-03-25 |
| 1407269335 | Aurora Advanced Healthcare Inc | Durable Medical Equipment & Medical Supplies | 1100 Gateway Ct, West Bend, WI 53095-8539 | 2014-06-09 |
| 1396099479 | Abbey Mishica | Physical Therapy Assistant | 1100 Gateway Ct, West Bend, WI 53095-8539 | 2012-10-29 |
| 1174831150 | Allison R Sajdak Hetzel | Nurse Practitioner | 1100 Gateway Ct, West Bend, WI 53095-8539 | 2010-09-23 |
| 1194905273 | Nichole Carstens | Specialist/Technologist | 1100 Gateway Ct, West Bend, WI 53095-8539 | 2007-11-06 |
| 1689708976 | Jamie L Everts | Physical Therapist | 1100 Gateway Ct, West Bend, WI 53095 | 2007-03-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942820428 | David Fountain | Contractor | 726 Creedwood Lane, West Bend, WI 53095 | 2020-04-24 |
| 1922664358 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 1745 South Main St, West Bend, WI 53095 | 2019-05-10 |
| 1912423773 | Michelle R Prentice | Family Medicine | West Bend Health Center, 1700 W. Paradise Drive, West Bend, WI 53095 | 2017-08-14 |
| 1386165918 | Quad/med, LLC | Clinic/Center | 432 E. Washington St. #1115, West Bend, WI 53095 | 2017-07-05 |
| 1508230632 | Jesen Daniel | Counselor | 111 East Washington St, Affiliated Clinical Services, West Bend, WI 53095 | 2015-12-01 |
| 1477965259 | Jenna Crofts | Specialist/Technologist | 1190 East Paradise Drive, West Bend, WI 53095 | 2014-05-28 |
| 1023436342 | Visionworks | Optometrist | 1437 S. Main St., West Bend, WI 53095 | 2014-04-03 |
| 1295157295 | Stephanie Rabe | Registered Nurse | 910 E. Paradise Drive, West Bend, WI 53095 | 2014-01-09 |
| 1477898815 | Ralph Norman Olsen | Pediatrics | 6267 Riesch Road, West Bend, WI 53095 | 2012-12-11 |
| 1932458536 | Joshua Aaron Barta | Dentist | 2090 Continental Drive, West Bend, WI 53095 | 2012-08-29 |
| Find all providers in zip 53095 | ||||
| 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 |
|---|---|---|---|---|
| 1245793975 | Aaron Mindel | Specialist/Technologist | 5250 High Ridge Trl, West Bend, WI 53095-7867 | 2019-04-10 |
| 1982194783 | Amanda Lehnerz | Specialist/Technologist | 1320 Royal Dr, West Bend, WI 53090-5423 | 2018-05-16 |
| 1912410028 | Jordan Lyn Fenney | Specialist/Technologist | 4907 Hillside Dr, West Bend, WI 53095-9255 | 2017-11-10 |
| 1558746990 | Kristi Sheffield | Specialist/Technologist | 3235 Dubin Circle, West Bend, WI 53090 | 2015-07-28 |
| 1366833253 | Wendy Reitz | Specialist/Technologist | 1431 Hummingbird Ct, West Bend, WI 53090-1093 | 2015-02-12 |
| 1477965259 | Jenna Crofts | Specialist/Technologist | 1190 East Paradise Drive, West Bend, WI 53095 | 2014-05-28 |
| 1770055782 | Lori Jo Dauss | Specialist/Technologist | 1700 W Paradise Dr, West Bend, WI 53095-9795 | 2019-01-02 |
| 1588046635 | Casey Ann Hamill-barth | Specialist/Technologist | 1190 E Paradise Dr, West Bend, WI 53095-5444 | 2015-06-25 |
| 1407268311 | Darlene Heather Jeson | Specialist/Technologist | 1190 E Paradise Dr, West Bend, WI 53095-5444 | 2014-05-27 |
| 1194905273 | Nichole Carstens | Specialist/Technologist | 1100 Gateway Ct, West Bend, WI 53095-8539 | 2007-11-06 |
| Find all providers in WEST BEND | ||||
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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.