MR. TATE STEPHEN ERICKSON (NPI# 1275524266) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275524266 |
| Entity Type | Individual |
| Full Name | MR. TATE STEPHEN ERICKSON |
| Credential | ATC |
| Practice Address |
580 Court St Keene NH 03431-1715 |
| Mailing Address |
573 West St Keene NH 03431-2809 |
| Practice Telephone | 6033545454 |
| Mailing Telephone | 6039030047 |
| Enumeration Date | 2005-10-31 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
298 | NH | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
580 COURT ST |
| City | KEENE |
| State | NH |
| Zip Code | 03431-1715 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710586854 | Jolana Rae Washburn | Student in an Organized Health Care Education/Training Program | 580 Court St, Keene, NH 03431-1729 | 2020-10-20 |
| 1477190742 | Thatcher Friant | Physician Assistant | 580 Court St, Keene, NH 03431-1729 | 2019-12-05 |
| 1033761739 | Cheshire Medical Center | Pharmacy | 580 Court St, Keene, NH 03431 | 2019-07-12 |
| 1891219218 | Adrienne Jean Williams | Nurse Practitioner | 580 Court St, Keene, NH 03431-1718 | 2017-07-27 |
| 1710419874 | Teresa M Woodside | Nurse Practitioner | 580 Court St, Keene, NH 03431-1718 | 2017-03-29 |
| 1699155754 | Kelli-ann Monroe Abbott | Physical Therapist | 580 Court St, Keene, NH 03431-1718 | 2015-06-04 |
| 1558749432 | Matthew O Nichols | Physician Assistant | 580 Court St, The Cheshire Medical Center (er), Keene, NH 03431-1718 | 2015-05-12 |
| 1922409598 | Timothy William Stilwell | Physician Assistant | 580 Court St, Attn Orthopedics, Keene, NH 03431-1718 | 2014-09-14 |
| 1053759084 | Latasha M. Heape | Nurse Anesthetist, Certified Registered | 580 Court St, Keene, NH 03431-1718 | 2013-06-12 |
| 1710325865 | Stuart P. Murray | Emergency Medicine | 580 Court St, Keene, NH 03431-1718 | 2013-06-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477153443 | County of Cheshire | Case Manager/Care Coordinator | 12 Court Street, Finance Department, Keene, NH 03431 | 2020-10-29 |
| 1316506686 | Lynn Marie Noonan | Dental Hygienist | 69v Island Street, Keene, NH 03431 | 2019-06-11 |
| 1467925164 | Barbara B. Dematteo, Pt | Physical Therapist | 70 Island Street, Keene, NH 03431 | 2019-01-04 |
| 1275065591 | Kyle Harriman James | Emergency Medicine | 590 Court St., Keene, NH 03431 | 2017-03-28 |
| 1932584372 | Sarah Gornall | Occupational Therapist | 298 Main St., Keene, NH 03431 | 2015-07-28 |
| 1457748618 | Cassandra Curtis | Massage Therapist | 103 Roxbury Street, Suite # 200d, Keene, NH 03431 | 2015-04-24 |
| 1518354455 | Allen Penrod | Counselor | 170 Emerald Street, Suite 203, Keene, NH 03431 | 2015-04-17 |
| 1447652615 | Cheshire Health Services Inc | Clinic/Center | 149 Emerald St Ste L, Keene, NH 03431 | 2014-09-19 |
| 1053710541 | Louise Howlett | Marriage & Family Therapist | 19 Federal St., Keene, NH 03431 | 2014-08-20 |
| 1861816076 | Christine Fleming | Physical Therapy Assistant | 197 Water Street, Keene, NH 03431 | 2014-02-07 |
| Find all providers in zip 03431 | ||||
| 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 |
|---|---|---|---|---|
| 1699338384 | Michael Wadsworth | Specialist/Technologist | 18 Appleton St, Keene, NH 03431-4621 | 2019-04-17 |
| 1023551629 | Monique Celine Gassek | Specialist/Technologist | 16 Dunbar St Apt 2, Keene, NH 03431-3724 | 2016-11-30 |
| 1497175731 | Michelle Lynne Crosby | Specialist/Technologist | 48 Russell St, Keene, NH 03431-2345 | 2014-04-25 |
| 1023338050 | Christopher William Tetley | Specialist/Technologist | 127 Meadow Rd, Apt 21, Keene, NH 03431-3971 | 2010-06-01 |
| 1619932183 | Mary Elizabeth Annear | Specialist/Technologist | Cheshire Medical Center, Dartmouth-hitchcock/keene, 580-590 Court St, Keene, NH 03431 | 2006-04-19 |
| 1457326068 | Scot A Ward | Specialist/Technologist | 229 Main Street, Keene, NH 03435-0001 | 2006-02-18 |
| 1154741429 | Kelsie T Hennessey | Specialist/Technologist | 580 Court Street, Orthopaedics, Keene, NH 03431 | 2014-04-24 |
| 1972850642 | Maryjennifer Fice Hammett | Specialist/Technologist | 229 Main St, 150 Spaulding Gym, Keene, NH 03435-0001 | 2012-08-13 |
| 1306116728 | Jason Besse | Specialist/Technologist | 229 Main St, Keene, NH 03435-0001 | 2012-01-02 |
| 1063637767 | Heather Bobbi Lash | Specialist/Technologist | 580 Court St, Keene, NH 03431-1718 | 2007-04-16 |
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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.