NIKOLE DECKER SQUIRES (NPI# 1215493838) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215493838 |
| Entity Type | Individual |
| Full Name | NIKOLE DECKER SQUIRES |
| Credential | LAT, ATC, CPT |
| Practice Address |
6748 W 9500 N Highland UT 84003-3455 |
| Mailing Address |
290 N 1260 W Provo UT 84601-2436 |
| Practice Telephone | 4803183949 |
| Mailing Telephone | 4803183949 |
| Enumeration Date | 2019-02-19 |
| Last Update Date | 2019-02-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2081S0010X |
Physical Medicine & Rehabilitation Specialization: Sports Medicine |
10877423-4810 | UT | Allopathic & Osteopathic Physicians |
| N | 2083S0010X |
Preventive Medicine Specialization: Sports Medicine |
10877423-4810 | UT | Allopathic & Osteopathic Physicians |
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
10877423-4810 | UT | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 405300000X | Prevention Professional | TBA | UT | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NATIONAL ATHLETIC TRAINERS' ASSOCIATION BOARD OF CERTIFICATION, | 2000031617 | 01 | |
| NATIONAL ACADEMY OF SPORTS MEDICINE | TBA | 01 | |
| UT | UT DIVISION OF OCCUPATIONAL & PROFESSIONAL LICENSING | 10877423-4810 | 01 |
| Street Address |
6748 W 9500 N |
| City | HIGHLAND |
| State | UT |
| Zip Code | 84003-3455 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851917496 | Centre Health Group | Clinic/Center | 70 West Main, Suite B, American Fork, UT 84003 | 2020-06-19 |
| 1457902553 | Lactation Link | Health Educator | 5524 Sicily Lane, Highland, UT 84003 | 2019-09-20 |
| 1750805511 | Eric Austin Haws | Physical Therapist | 1184 East 80 North, American Fork, UT 84003 | 2017-08-02 |
| 1578914784 | Ofa Moeai | Social Worker | 315 N 900 E, American Fork, UT 84003 | 2016-06-29 |
| 1639585839 | Carmel Ferreira | Acupuncturist | 42 N 200 E Ste 1, American Fork, UT 84003 | 2014-07-08 |
| 1619305869 | Luke Daren Sterger | Counselor | 995 West 1100 North, American Fork, UT 84003 | 2013-10-25 |
| 1356778252 | Reese & Weaver Dds LLC | Optometrist | 11038 N. Highland Blvd, Suite 200, Highland, UT 84003 | 2013-10-09 |
| 1518308444 | A Balanced Life Med Products | Durable Medical Equipment & Medical Supplies | 291 N 300 E Ste. C, American Fork, UT 84003 | 2013-07-08 |
| 1376981274 | Jesse Lucinda James | Family Medicine | 98 B. 1100 E. Suite #102, American Fork, UT 84003 | 2013-06-13 |
| 1922442904 | Premier Family Medical | Family Medicine | 226 N 100 E, Ste A, American Fork, UT 84003 | 2013-04-22 |
| Find all providers in zip 84003 | ||||
| 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 |
|---|---|---|---|---|
| 1770049595 | Luke Boss | Specialist/Technologist | 3043 Hess Dr, Highland, IN 46322-2127 | 2019-02-17 |
| 1750880837 | Shelby Noel Kaenel | Specialist/Technologist | 30110 Marianne Ln, Highland, CA 92346-5985 | 2018-02-05 |
| 1891203188 | Sarah Katsuko Abe | Specialist/Technologist | 12951 Clarksville Pike, Highland, MD 20777-9710 | 2018-01-20 |
| 1083167316 | Kayla Mann | Specialist/Technologist | 7600 Dunkirk Ave, Highland, CA 92346-6500 | 2016-08-03 |
| 1568915130 | Erin Hoepfner | Specialist/Technologist | 12760 Troxler Ave, Highland, IL 62249-1044 | 2016-07-29 |
| 1235588377 | Rachel C Hill | Specialist/Technologist | 28668 Live Oak Rd, Highland, CA 92346-5218 | 2016-06-09 |
| 1124487871 | Patrick Clark O'donnell IIi | Specialist/Technologist | 3009 98th St, Highland, IN 46322-3343 | 2016-02-22 |
| 1487040069 | Tiffany Carter | Specialist/Technologist | 6704 W Canterbury Ct, Highland, UT 84003-9226 | 2015-04-10 |
| 1659765428 | Thomas John Barkoski | Specialist/Technologist | 8801 Schneider Ave Apt 12, Highland, IN 46322-1898 | 2015-03-19 |
| 1255724498 | Dave Petoskey | Specialist/Technologist | 4190 W Highland Rd, Highland, MI 48357-4008 | 2015-03-12 |
| Find all providers in HIGHLAND | ||||
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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.