MINDA MCCULLOUGH-YRAY (NPI# 1194192021) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194192021 |
| Entity Type | Individual |
| Full Name | MINDA MCCULLOUGH-YRAY |
| Credential | MS, ATC |
| Practice Address |
1754 Sw Easy St Corvallis OR 97333-1762 |
| Practice Telephone | 5306322146 |
| Mailing Telephone | 5306322146 |
| Enumeration Date | 2015-08-26 |
| Last Update Date | 2015-08-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
10169784 | OR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1754 SW EASY ST |
| City | CORVALLIS |
| State | OR |
| Zip Code | 97333-1762 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437629037 | Collin Korthauer | Case Manager/Care Coordinator | 1650 Sw 45th Place, Corvallis, OR 97333 | 2018-11-27 |
| 1477079937 | Adam Johnson | Counselor | 518 Sw 3rd, Corvallis, OR 97333 | 2017-08-16 |
| 1386961522 | Michael S. Hanson | Counselor | 518 Sw 3rd St., Corvallis, OR 97333 | 2010-04-28 |
| 1134392376 | Corvallis Physical Therapy Inc | Physical Therapist | 230 Sw 3rd Street Suite 208, Corvallis, OR 97333 | 2008-04-09 |
| 1154529600 | Linda S Lavallee Conniff | Social Worker | 216 Sw Madison Av, #9 10, Corvallis, OR 97333 | 2007-07-06 |
| 1235337056 | Robert R Conniff | Social Worker | 216 Sw Madison Ave, 2, Corvallis, OR 97333 | 2007-07-03 |
| 1619178829 | Trillium Family Services | Residential Treatment Facility, Emotionally Disturbed Children | 4455 Highway North West Highway 20, Corvallis, OR 97333 | 2007-05-29 |
| 1437368867 | Margaret Anne Cooper | Physical Therapist | 230 Sw 3rd Street, Suite 208, Corvallis, OR 97333 | 2007-05-22 |
| 1801009311 | Madeline Elizabeth Rubin | Social Worker | 216 Sw Madison Avenue, Suite 14, Corvallis, OR 97333 | 2007-05-08 |
| 1780707174 | Wheeler John Dale | Internal Medicine | 5060 Sw Philomath Blvd, # 512, Corvallis, OR 97333 | 2007-04-09 |
| Find all providers in zip 97333 | ||||
| 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 |
|---|---|---|---|---|
| 1326670548 | Colin Michael Szabo Mulligan | Specialist/Technologist | 236 Kerr Administration Bldg, Corvallis, OR 97331-8578 | 2020-02-05 |
| 1790316313 | Aidan Linsteadt | Specialist/Technologist | 602 Nw Kings Blvd, Corvallis, OR 97330-5619 | 2020-02-01 |
| 1811459829 | Mark Hoffman | Specialist/Technologist | 745 Nw Calloway Dr, Corvallis, OR 97330-9578 | 2019-04-01 |
| 1922579747 | Kim Hannigan | Specialist/Technologist | 214 Langton Hall, Corvallis, OR 97331-8534 | 2018-12-06 |
| 1457847246 | Kristi Dunn | Specialist/Technologist | 201 Gill Coliseum, Corvallis, OR 97331-8547 | 2018-07-05 |
| 1184122467 | Erika Guadalupe Beserra | Specialist/Technologist | 4016 Nw Witham Hill Dr Apt 67, Corvallis, OR 97330-1634 | 2018-02-01 |
| 1528475092 | Samuel Johnson | Specialist/Technologist | 101 Womens Bldg, Oregon State University, Corvallis, OR 97331-8577 | 2014-07-16 |
| 1619399797 | Holly Fisher | Specialist/Technologist | 1128 Ne 2nd St Ste 201, Corvallis, OR 97330-6298 | 2014-01-09 |
| 1871617019 | David J. Charlton | Specialist/Technologist | 1020 Eastside Highway, Corvallis, MT 59828 | 2007-03-16 |
| 1083744593 | Mindy S Depue | Specialist/Technologist | 4444 Nw Highland Dr, Corvallis, OR 97330-9734 | 2007-03-06 |
| Find all providers in CORVALLIS | ||||
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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.