MR. MATTHEW JEROME BUSSMAN (NPI# 1235376369) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235376369 |
| Entity Type | Individual |
| Full Name | MR. MATTHEW JEROME BUSSMAN |
| Credential | A.T.C. |
| Practice Address |
901 12th Ave Athletics Building Seattle WA 98122-4411 |
| Mailing Address |
901 12th Avenue Po Box 222000 Seattle WA 98122 |
| Practice Telephone | 2062965432 |
| Practice Fax Number | 2062962154 |
| Mailing Telephone | 2062965432 |
| Mailing Fax Number | 2062962154 |
| Enumeration Date | 2009-01-12 |
| Last Update Date | 2009-01-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
A1 60047682 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
901 12TH AVE ATHLETICS BUILDING |
| City | SEATTLE |
| State | WA |
| Zip Code | 98122-4411 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952308520 | Michael L Huggins | Registered Nurse | 901 12th Ave, Seattle University College of Nursing, Seattle, WA 98122-4411 | 2005-06-28 |
| 1831700194 | Sara Hall | Registered Nurse | 901 12th Ave, Seattle, WA 98122-4411 | 2020-08-11 |
| 1831725423 | Kilted Counseling | Clinic/Center | 901 12th Ave, Seattle, WA 98122 | 2020-03-16 |
| 1649835257 | Susan Marie Henderson | Registered Nurse | 901 12th Ave, Seattle, WA 98122-4411 | 2019-05-08 |
| 1699290932 | Ariela-kristabelle Loeun Sem | Student in an Organized Health Care Education/Training Program | 901 12th Ave, Seattle, WA 98122-4411 | 2017-08-08 |
| 1447782180 | Amanda Jenkins | Registered Nurse | 901 12th Ave, Seattle, WA 98122-4411 | 2017-03-31 |
| 1639552573 | Nicole Wright | Specialist/Technologist | 901 12th Ave, Seattle, WA 98122-4411 | 2015-07-08 |
| 1225166416 | Gwen E Johnson | Specialist/Technologist | 901 12th Ave, Seattle, WA 98122-4411 | 2007-03-01 |
| 1205993789 | Lane A Gerber | Psychologist | 901 12th Ave, Seattle University, Dept of Psychology, Seattle, WA 98122-1090 | 2007-01-03 |
| 1942302443 | Barbara Alice Anderson | Registered Nurse | 901 12th Ave, Garrand Hall 200c, Seattle, WA 98122-4411 | 2006-09-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053938506 | Quality Counseling and Consultation Service LLC | Counselor | 1525 Harvard Ave #509, Seattle, WA 98122 | 2020-07-01 |
| 1912535626 | Cesar Andrade | Student in an Organized Health Care Education/Training Program | 550 16th Avenue #400, Seattle, WA 98122 | 2020-03-29 |
| 1366089666 | Peter Nguyen | Pharmacy Technician | 914 East Jefferson Street, Campion Hall, Seattle, WA 98122 | 2019-12-05 |
| 1356903140 | Jason Dandino | Specialist/Technologist | 550 14th Avenue, Seattle, WA 98122 | 2019-07-02 |
| 1962066415 | Seattle Colleges | Local Education Agency (LEA) | Mainstay At Seattle Central College, 1701 Broadway Ms Be3210, Seattle, WA 98122 | 2019-04-30 |
| 1538621412 | Mitchell R Ornelas | Student in an Organized Health Care Education/Training Program | Swedish Family Medicine Residency Cherry Hill; 550 16th, Avenue #400, Seattle, WA 98122 | 2019-04-01 |
| 1003374265 | Michael Russell | Surgery | 747 Broadway Heath Building 10th Floor, Seattle, WA 98122 | 2019-03-06 |
| 1639646821 | Maritza E Cajiao | Doula | 747 Broadway, Seattle, Seattle, WA 98122 | 2018-10-25 |
| 1336616762 | Suzanna M Lovin | Social Worker | 401 Broadway, 1st Floor, Seattle, WA 98122 | 2018-10-24 |
| 1184137770 | Walter Franklin Krengel Jr. | Orthopaedic Surgery | 2000 1st Ave Suite 2201, Seattle, WA 98122 | 2017-11-06 |
| Find all providers in zip 98122 | ||||
| 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 |
|---|---|---|---|---|
| 1063030583 | Elizabeth Kakos | Specialist/Technologist | 528 Pontius Ave N Unit 431, Seattle, WA 98109-5821 | 2020-07-10 |
| 1104467059 | Julie Agel | Specialist/Technologist | 3251 47th Ave Sw, Seattle, WA 98116-3316 | 2019-10-02 |
| 1932759990 | Katoya Unique Kinsey | Specialist/Technologist | 2033 6th Ave Fl 9, Seattle, WA 98121-2573 | 2019-09-12 |
| 1356903140 | Jason Dandino | Specialist/Technologist | 550 14th Avenue, Seattle, WA 98122 | 2019-07-02 |
| 1871151480 | Kendall Delaney Baker | Specialist/Technologist | 4155 14th Ave S, Seattle, WA 98108-1433 | 2019-05-30 |
| 1225591712 | Juan Felipe Villegas-sotelo | Specialist/Technologist | 1124 S Dawson St, Seattle, WA 98108-2326 | 2019-04-10 |
| 1902387012 | Rick Griffin | Specialist/Technologist | 1250 1st Ave S, Seattle, WA 98134-1216 | 2018-08-27 |
| 1477054013 | Tori Mulitauaopele | Specialist/Technologist | 10848 4th Ave Sw, Seattle, WA 98146-2245 | 2018-02-27 |
| 1558877571 | Elinora Gallogly | Specialist/Technologist | 123 N 103rd St Unit W301, Seattle, WA 98133-9136 | 2017-12-28 |
| 1073039988 | Steven Mosher-stockinger | Specialist/Technologist | University of Washington Graves Building Box 354070, Seattle, WA 98195-0001 | 2017-08-22 |
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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.