ALYSSA ROSE TAYLOR (NPI# 1205334190) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205334190 |
| Entity Type | Individual |
| Full Name | ALYSSA ROSE TAYLOR |
| Practice Address |
2104 Northdale Blvd Nw Ste 100 Coon Rapids MN 55433 |
| Mailing Address |
20540 Georgia Ave N Forest Lake MN 55025-8009 |
| Practice Telephone | 7637555495 |
| Mailing Telephone | 6125587932 |
| Enumeration Date | 2018-01-25 |
| Last Update Date | 2018-07-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
2000033575 | MN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3900 Bethel Dr, Saint Paul, MN 551126902 | 6125587932 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093209835 | Alyssa Megan Taylor | Nurse Practitioner | 277 Perry Pkwy Ste C, Perry, GA 31069-8428 | 2018-06-15 |
| 1053825026 | Alyssa Marion Taylor | Behavior Technician | 815 Fairmont St, Latrobe, PA 15650-2044 | 2017-11-28 |
| 1679902969 | Alyssa C Taylor | Social Worker | 4831 Norrisville Rd, White Hall, MD 21161-9678 | 2013-11-06 |
| 1245516772 | Alyssa B Taylor | Midwife | 7500 Town Centre Dr Ste 200, Broadview Heights, OH 44147-4029 | 2011-10-28 |
| 1215567854 | Alyssa Carolyn Taylor | Specialist/Technologist | 245 Memorial Dr, Cullowhee, NC 28723-8911 | 2020-01-23 |
| 1992344022 | Alyssa Taylor | Specialist/Technologist, Other | 24 S Weber St Ste 200, Colorado Springs, CO 80903-1928 | 2020-01-06 |
| 1760032544 | Alyssa M Taylor | Physician Assistant | 1919 E Thomas Rd, Phoenix, AZ 85016-7710 | 2019-09-13 |
| 1790256915 | Alyssa Taylor | Pharmacist | 3615 19th St, Lubbock, TX 79410-1209 | 2018-12-16 |
| 1235618174 | Alyssa Michelle Taylor | Behavior Technician | 4201 N I 10 Service Rd W, Metairie, LA 70006-6713 | 2018-08-10 |
| 1306387295 | Alyssa Taylor | Technician, Other | 2700 Robert T Longway Blvd Ste C, Flint, MI 48503-2190 | 2017-03-13 |
| Street Address |
2104 NORTHDALE BLVD NW STE 100 |
| City | COON RAPIDS |
| State | MN |
| Zip Code | 55433 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821368184 | Ashley S Melbostad | Occupational Therapist | 2104 Northdale Blvd Nw Ste 100, Coon Rapids, MN 55433-3045 | 2012-01-04 |
| 1619312964 | Adam Setten | Specialist/Technologist | 2104 Northdale Blvd Nw Ste 100, Coon Rapids, MN 55433-3045 | 2013-04-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770134793 | Shelley Karee Peterson | Technician | 10311 Bittersweet St Nw, Coon Rapids, MN 55433 | 2019-09-20 |
| 1578122057 | Courtney Gau | Behavior Technician | Fraser Coon Rapids, 9120 Springbrook Dr. Nw, Coon Rapids, MN 55433 | 2019-06-10 |
| 1992275606 | Maliki Fofee Kamara | Licensed Practical Nurse | 2451 109th Ave Nw Apt. 1, Coon Rapids, MN 55433 | 2018-11-26 |
| 1992284541 | Sarah Vennes | Massage Therapist | 6400 Flying Cloud Dr, Suite 240, Eden Prairie, MN 55433 | 2018-08-13 |
| 1538646609 | Paige Prince | Behavior Technician | Fraser Coon Rapids, 9120 Springbrook Drive Nw, Coon Rapids, MN 55433 | 2018-07-23 |
| 1154828242 | Karin Lea Englund | Dentist | 9145 Springbrook Dr Nw Ste 100, Coon Rapids, MN 55433 | 2018-04-06 |
| 1235642513 | Vista Family Eye Care LLC | Optometrist | 9920 Foley Blvd Nw Ste 120, Coon Rapids, MN 55433 | 2017-11-09 |
| 1538697818 | Mohammed Nmn Ahmed | Internal Medicine | 9055 Spring Brook Drive, Allina Coon Rapids Clinic 9055, Coon Rapids, MN 55433 | 2017-05-31 |
| 1639531353 | Journi LLC | Nurse Practitioner | 277 Coon Rapids Blvd Suite 308, Coon Rapids, MN 55433 | 2016-03-22 |
| 1821457722 | Honorine Boyce | Licensed Practical Nurse | 2743 111th Ave. Nw, Coon Rapids, MN 55433 | 2016-02-19 |
| Find all providers in zip 55433 | ||||
| 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 |
|---|---|---|---|---|
| 1609254234 | Krista Kautza | Specialist/Technologist | 442 111th Ave Nw, Coon Rapids, MN 55448-3360 | 2015-05-14 |
| 1669741559 | Bethany J Curtis | Specialist/Technologist | 744 Main St Nw, Coon Rapids, MN 55448-1417 | 2011-12-21 |
| 1083641641 | Jessica Beth Linz | Specialist/Technologist | 11200 Mississippi Blvd Nw, Coon Rapids, MN 55433-3470 | 2006-06-27 |
| 1033592472 | Naga Rumicho | Specialist/Technologist | 2104 Northdale Blvd Nw, Coon Rapids, MN 55433-3028 | 2015-07-02 |
| 1356738892 | Emily Eull | Specialist/Technologist | 3111 124th Ave Nw, Coon Rapids, MN 55433-4572 | 2015-04-22 |
| 1497143994 | Maribeth Honomichl | Specialist/Technologist | 2104 Northdale Blvd Nw, 100, Coon Rapids, MN 55433-3028 | 2015-01-06 |
| 1619312964 | Adam Setten | Specialist/Technologist | 2104 Northdale Blvd Nw Ste 100, Coon Rapids, MN 55433-3045 | 2013-04-30 |
| 1942543244 | Alberto Padilla | Specialist/Technologist | 2104 Northdale Blvd Nw, #100, Coon Rapids, MN 55433-3028 | 2013-04-04 |
| 1003987132 | Jeffrey James Carlson | Specialist/Technologist | 2104 Northdale Blvd Nw, Suite 100, Coon Rapids, MN 55433-3005 | 2006-11-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861092165 | Jamie Lynn Erickson | Specialist/Technologist | 43628 374th Ln, Aitkin, MN 56431-4027 | 2020-10-27 |
| 1760082044 | Craig Daniel Merten | Specialist/Technologist | 5045 Division Ave # 5575, White Bear Lake, MN 55110-2663 | 2020-10-27 |
| 1154928927 | Heidi Frey | Specialist/Technologist | 4554 Lake Park Ct, Eagan, MN 55122-2515 | 2020-10-05 |
| 1851906887 | Teddy Ray Gildersleeve | Specialist/Technologist | 37320 Oriole Ave, Lindstrom, MN 55045-9109 | 2020-09-15 |
| 1851906697 | Tadd William Berg | Specialist/Technologist | 2415 W 9th St, Duluth, MN 55806-1150 | 2020-09-09 |
| 1952916793 | Megan Marie Hautajarvi | Specialist/Technologist | 2536 Peace Dr, Duluth, MN 55811-2971 | 2020-09-09 |
| 1871108795 | Bryce Mershon Beamish | Specialist/Technologist | 3501 Lowell St, Wayzata, MN 55391-3411 | 2020-09-09 |
| 1043825961 | Kevin Eskuri | Specialist/Technologist | 8090 172nd St W, Lakeville, MN 55044-6206 | 2020-09-09 |
| 1952916876 | Elizabeth Marie Altendorf | Specialist/Technologist | 1621 397th Ave Ne, Stanchfield, MN 55080-3303 | 2020-09-09 |
| 1699380519 | Kourtney Jean Palmi | Specialist/Technologist | 4922 Howard Gnesen Rd, Duluth, MN 55803-2710 | 2020-09-09 |
| Find all providers with the same taxonomy | ||||
| City | COON RAPIDS |
| Zip Code | 55433 |
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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.