MR. DEREK CARL STEBBINS (NPI# 1386608479) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386608479 |
| Entity Type | Individual |
| Full Name | MR. DEREK CARL STEBBINS |
| Credential | ATC |
| Practice Address |
2709 Lander Ln Waukesha WI 53188-4554 |
| Practice Telephone | 2625421036 |
| Mailing Telephone | 2625421036 |
| Enumeration Date | 2006-04-14 |
| 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 |
470-39 | WI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
2709 LANDER LN |
| City | WAUKESHA |
| State | WI |
| Zip Code | 53188-4554 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336787126 | Nicole Lee Berg-johnson | Nurse Practitioner | 820 Crestwood Dr., Waukesha, WI 53188 | 2019-12-12 |
| 1013475706 | Rachel Mueller | Occupational Therapist | 29667 Summit Ave, S11, Waukesha, WI 53188 | 2019-03-12 |
| 1861962649 | Emily Elizabeth Seefeld | Occupational Therapy Assistant | 29667 Summit Ave S11, Waukesha, WI 53188 | 2018-12-05 |
| 1003393307 | Ashley Susan Callahan | Dental Hygienist | 711 W. Moreland Blvd., Suite 204, Waukesha, WI 53188 | 2018-07-19 |
| 1245741321 | Melissa Weir | Case Manager/Care Coordinator | 514 Riverview Avenue, Waukesha, WI 53188 | 2017-10-17 |
| 1093233629 | Patricia Marie Sombrio | Dental Hygienist | 711 Moreland Blvd 204, Waukesha, WI 53188 | 2017-09-04 |
| 1134660244 | Bdg of Wisconsin, Inc. | Behavioral Analyst | N19w2309 Riverwood Drive, Suite 350 Pmb 314, Waukesha, WI 53188 | 2017-03-09 |
| 1255888731 | Lynne Sarah Alva | Dental Hygienist | 711 Moreland Blvd, Suite 204, Waukesha, WI 53188 | 2016-09-01 |
| 1881069730 | Michelle Koch | Occupational Therapist | 29667 Summit Ave. S11, Waukesha, WI 53188 | 2015-12-03 |
| 1952711012 | Rhonda Schroeder | Dental Hygienist | W286 N991 Shepherds Way, Waukesha, WI 53188 | 2014-04-29 |
| Find all providers in zip 53188 | ||||
| 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 |
|---|---|---|---|---|
| 1093346041 | Ashley Caitlin Kenar | Specialist/Technologist | 2114 Woodburn Rd Unit H, Waukesha, WI 53188-7502 | 2020-01-29 |
| 1205346996 | Kyla Ann Lichtenwalner | Specialist/Technologist | 2422 Fox River Pkwy Unit I, Waukesha, WI 53189-5803 | 2017-10-06 |
| 1124569603 | Callie Elizabeth Sitter | Specialist/Technologist | W319s3250 Squire Rd, Waukesha, WI 53189-9293 | 2017-03-16 |
| 1396291829 | Kevin Kelenic | Specialist/Technologist | S32w27721 Daleview Dr, Waukesha, WI 53189-6023 | 2016-08-25 |
| 1265823173 | Michael Werner Reinker | Specialist/Technologist | 1936 Tree Line Ct, Waukesha, WI 53188-2655 | 2015-02-13 |
| 1306243563 | Cornell Smith | Specialist/Technologist | 2103 Summit Ave, Waukesha, WI 53188-3106 | 2014-12-03 |
| 1740275601 | Michael Mcelroy | Specialist/Technologist | 1111 Delafield St Ste 120, Waukesha, WI 53188-3402 | 2005-09-16 |
| 1215542303 | Rhianna Rene Roskopf | Specialist/Technologist | 725 American Ave, Waukesha, WI 53188-5031 | 2020-09-15 |
| 1356804892 | Francesca Vittoria Catalano | Specialist/Technologist | 100 N East Ave, Waukesha, WI 53186-3103 | 2019-04-11 |
| 1235692781 | Brooke Dietsche | Specialist/Technologist | 100 N East Ave, Waukesha, WI 53186-3103 | 2019-04-11 |
| Find all providers in WAUKESHA | ||||
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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.