KASEY TRUNK (NPI# 1194194209) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194194209 |
| Entity Type | Individual |
| Full Name | KASEY TRUNK |
| Other Name | KASEY EDERER |
| Practice Address |
W892 Hwy 96 Kaukauna WI 54130 |
| Mailing Address |
417 E Florida Ave Appleton WI 54911-1327 |
| Practice Telephone | 9208098159 |
| Enumeration Date | 2015-09-18 |
| Last Update Date | 2019-01-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
2101-39 | WI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
WI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
W892 HWY 96 |
| City | KAUKAUNA |
| State | WI |
| Zip Code | 54130 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811313760 | Ekin Tongze Yang | Non-emergency Medical Transport (VAN) | 230 W. 12th St, Kaukauna, WI 54130 | 2014-03-14 |
| 1386934834 | Nichole L Huss | Counselor | N9663 Bies Rd, Kaukauna, WI 54130 | 2011-04-17 |
| 1659305878 | Aurora Pharmacy Inc | Pharmacy | 1500 Arbor Way, Suite 100, Kaukauna, WI 54130 | 2006-07-11 |
| 1164471504 | Margaret Ann Roberts | Registered Nurse | 513 Desnoyer Street, Kaukauna, WI 54130 | 2006-05-10 |
| 1578529863 | Gregory A Johnson | Family Medicine | 305 East 12th Street, Kaukauna, WI 54130 | 2006-04-25 |
| 1780646117 | Anita M. Ambrosius | Registered Nurse | 120 Washington St, Kaukauna, WI 54130 | 2006-04-03 |
| 1821614710 | Baycare Aurora Kaukauna Surgery Center LLC | Clinic/Center | 1500 Arbor Way, Kaukauna, WI 54130 | 2020-06-17 |
| 1023438579 | Erin Mae Johnson | Physician Assistant | 2601 Fieldcrest Dr, Kaukauna, WI 54130 | 2014-04-23 |
| 1386978260 | Jennifer Lea Baumgart | Nurse Practitioner | 305 E 12th St, Kaukauna, WI 54130 | 2009-09-25 |
| 1154589448 | Ascension Medical Group-fox Valley Wisconsin, Inc | Clinic/Center | 2601 Fieldcrest Dr, Kaukauna, WI 54130 | 2008-05-23 |
| Find all providers in zip 54130 | ||||
| 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 |
|---|---|---|---|---|
| 1033575782 | Karen Teutschmann | Specialist/Technologist | 1701 County Road Ce, Kaukauna, WI 54130-3916 | 2016-01-11 |
| 1558739045 | Kendra Schmitz | Specialist/Technologist | 2080 Foxland St, Kaukauna, WI 54130-3947 | 2015-09-14 |
| 1295883478 | Gregory James Dejong | Specialist/Technologist | W1910 Sleepy Hollow Ct, Kaukauna, WI 54130-9429 | 2007-01-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427657329 | Tyler John Friis | Specialist/Technologist | 1514 E Keystone Ln, Appleton, WI 54913-7162 | 2020-10-21 |
| 1184222085 | Ryan James Mcnamara | Specialist/Technologist | 28914 Golden Cir, Waterford, WI 53185-1197 | 2020-10-13 |
| 1770198699 | Tanner Sterling | Specialist/Technologist | 2538 E Garrison Rd, Foxboro, WI 54836-9507 | 2020-09-09 |
| 1922626670 | Eric William Brostrom | Specialist/Technologist | 3305 Lilly Rd, Brookfield, WI 53005-7608 | 2020-07-09 |
| 1174146690 | Brycen Valiga | Specialist/Technologist | 4477 S 113th St, Greenfield, WI 53228-2566 | 2020-05-19 |
| 1104448307 | Xeing Randy Yang | Specialist/Technologist | 2207 Namekagon St, Hudson, WI 54016-9426 | 2020-05-11 |
| 1073134615 | Brian Wood | Specialist/Technologist | 1950 Washington St, Grafton, WI 53024-2103 | 2020-05-06 |
| 1124649751 | Cody Scott Tesch | Specialist/Technologist | 6680 N Teutonia Ave, Milwaukee, WI 53209-3117 | 2020-05-05 |
| 1659992642 | Kelley Potila | Specialist/Technologist | 255 Maggilu Ct, Jefferson, WI 53549-2095 | 2020-04-30 |
| 1366070708 | Claire Duwell | Specialist/Technologist | 9111 W Bluemound Rd, Milwaukee, WI 53226-4506 | 2020-03-31 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on KASEY TRUNK.
| 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.