DEAN J BEAUCHAMP (NPI# 1205872652) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205872652 |
| Entity Type | Individual |
| Full Name | DEAN J BEAUCHAMP |
| Credential | ATC |
| Practice Address |
518 W Locust St Davenport IA 52803-2829 |
| Mailing Address |
1822 29th St Moline IL 61265-4257 |
| Practice Telephone | 5633336235 |
| Mailing Telephone | 3097810731 |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
00369 | IA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
518 W LOCUST ST |
| City | DAVENPORT |
| State | IA |
| Zip Code | 52803-2829 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679189146 | Matthew Theodore Wieskamp | Physician Assistant | 518 W Locust St, Davenport, IA 52803-2829 | 2020-09-21 |
| 1346856846 | Caitlyn Clare Honan | Physician Assistant | 518 W Locust St, Davenport, IA 52803-2829 | 2020-09-20 |
| 1437765005 | Kara Breanne Wesner | Physician Assistant | 518 W Locust St, Davenport, IA 52803-2829 | 2020-09-19 |
| 1861008443 | Justyna Wojtyczka | Physician Assistant | 518 W Locust St, Davenport, IA 52803-2829 | 2020-09-19 |
| 1558977165 | Benjamin Trewyn | Physician Assistant | 518 W Locust St, Davenport, IA 52803-2829 | 2020-09-18 |
| 1467068064 | Jacqueline Brine-doyle | Physician Assistant | 518 W Locust St, Davenport, IA 52803-2829 | 2020-09-18 |
| 1972119667 | Ashley Mae Holubar | Physician Assistant | 518 W Locust St, Davenport, IA 52803-2898 | 2020-09-18 |
| 1679189211 | Amber Lynne Leytem | Physician Assistant | 518 W Locust St, Davenport, IA 52803-2829 | 2020-09-18 |
| 1023624707 | Samantha Joann Clarke | Physician Assistant | 518 W Locust St, Davenport, IA 52803-2829 | 2020-09-18 |
| 1982210514 | Carly Kristine Ouverson | Student in an Organized Health Care Education/Training Program | 518 W Locust St, Davenport, IA 52803-2829 | 2020-09-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679189971 | Amber Rae Rupiper | Physician Assistant | 518 Locus Street, Davenport, IA 52803 | 2020-09-22 |
| 1558869321 | Devan Louis Depauw | Physician Assistant | 1227 East Rusholme St., Davenport, IA 52803 | 2018-01-26 |
| 1215383070 | Brittney N Hughes | Nurse Practitioner | 1228 E Rusholme Street, Suite 3020, Davenport, IA 52803 | 2016-05-11 |
| 1992138747 | Sarah Beth Schlickman | Nurse Practitioner | 1228 E Rusholme St Ste 3020, Davenport, IA 52803 | 2013-08-15 |
| 1154763845 | Leslie A Poston | Nurse Practitioner | 1228 E. Rushome Street, Mob I, Suite 2100, Davenport, IA 52803 | 2013-07-23 |
| 1083878896 | Jolene Marie Dague | Dentist | 1905 N. Main St, Davenport, IA 52803 | 2008-07-11 |
| 1952436370 | Joann C Milani | Psychologist | 1503 Brady Street, Davenport, IL 52803 | 2007-02-23 |
| 1942343579 | Lisa Clare Ploehn | Pharmacist | 129 West Locust Street, Davenport, IA 52803 | 2007-02-14 |
| 1366597957 | Cathleen Ann Clark | Social Worker | 1706 N Brady, Suite 204, Davenport, IA 52803 | 2007-01-24 |
| 1184781940 | William Burke Ltd | Durable Medical Equipment & Medical Supplies | 129 West Locust, Davenport, IA 52803 | 2007-01-02 |
| Find all providers in zip 52803 | ||||
| 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 |
|---|---|---|---|---|
| 1790137768 | Teresa Bjurstrom | Specialist/Technologist | 2410 W 58th St, Davenport, IA 52806-2709 | 2016-07-01 |
| 1649636507 | David Timothy Ruiz | Specialist/Technologist | 347 Allison Ave, Davenport, FL 33897-5405 | 2016-01-07 |
| 1023496254 | Elizabeth Vondera | Specialist/Technologist | 6128 Jebens Ave, Davenport, IA 52806-2766 | 2015-05-07 |
| 1508016122 | Craig Stephen Wainwright | Specialist/Technologist | 3385 Dexter Ct Ste 301, Davenport, IA 52807-3471 | 2008-09-19 |
| 1710182753 | Kirsten Anne Reutebuch | Specialist/Technologist | 42719 Highway 27, Suite 103, Davenport, FL 33837-6821 | 2007-06-19 |
| 1538181433 | Daniel Mar Chong | Specialist/Technologist | 702 Grovepark Dr, Davenport, FL 33837-5834 | 2006-07-23 |
| 1831608850 | Anthony Burke | Specialist/Technologist | 6101 Northwest Blvd, Davenport, IA 52806-1861 | 2017-09-21 |
| 1235657198 | Julie Ann Wunder | Specialist/Technologist | 6101 Northwest Blvd, Davenport, IA 52806-1861 | 2017-08-31 |
| 1427575414 | Kaelene Kragenbrink-voorhees | Specialist/Technologist | 6101 Northwest Blvd, Davenport, IA 52806-1861 | 2017-08-29 |
| 1871984963 | Jessica Marie Wooldridge | Specialist/Technologist | 3385 Dexter Ct Ste 301, Davenport, IA 52807-3471 | 2015-02-10 |
| Find all providers in DAVENPORT | ||||
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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.