MR. MICHAEL AARON YBARRA (NPI# 1396239133) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396239133 |
| Entity Type | Individual |
| Full Name | MR. MICHAEL AARON YBARRA |
| Credential | ATC |
| Practice Address |
601 Gregory St Normal IL 61790-0001 |
| Mailing Address |
303 Turnberry Dr Apt C Bloomington IL 61701-1484 |
| Practice Telephone | 9569269476 |
| Mailing Telephone | 9569269476 |
| Enumeration Date | 2018-06-15 |
| Last Update Date | 2018-06-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
2000032650 | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BOARD OF CERTIFICATION | 2000032650 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225323132 | Michael Anthony Ybarra | Physical Therapy Assistant | 1800 N Wabash Rd, Suite 202, Marion, IN 46952-1300 | 2011-06-20 |
| 1790944544 | Michael Anthony Ybarra | Emergency Medicine | 110 Irving St Nw, Washington, DC 20010-3017 | 2008-06-06 |
| 1871788661 | Michael C Ybarra | Counselor | 290 I O O F Ave, Gilroy, CA 95020-5204 | 2007-09-13 |
| Street Address |
601 GREGORY ST |
| City | NORMAL |
| State | IL |
| Zip Code | 61790-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124478714 | Noelle Selkow | Specialist/Technologist | 251c Mcormick Hall, Campus Box 5120, Normal, IL 61790 | 2016-06-15 |
| 1679920375 | Yvette Renee Pigman | Nurse Practitioner | 201 North University, Illinois State Studnet Health Services, Normal, IL 61790 | 2016-05-23 |
| 1912263815 | Kelly Haley | Specialist/Technologist | 7130 Horton Fieldhouse, Normal, IL 61790 | 2012-04-04 |
| 1023391331 | Marie Rupert | Pharmacist | 201 N University Street, Normal, IL 61790 | 2011-09-22 |
| 1770615502 | Illinois State University | Psychologist | 408 Fairchild Hall, Campus Box 4625, Normal, IL 61790 | 2007-03-09 |
| 1578161865 | Abigail Hardesty | Nurse Practitioner | 201 Illinois State Univ, Normal, IL 61790-0001 | 2020-10-09 |
| 1245846989 | Susan M Carl | Nurse Practitioner | 201 North University Street, Normal, IL 61790-0001 | 2020-09-18 |
| 1891336277 | Rebecca Ludolph | Registered Nurse | 201 N University, Normal, IL 61790-0001 | 2019-10-07 |
| 1184188633 | Rachel Elizabeth Heinz | Specialist/Technologist | 347 Illinois State Univ, Normal, IL 61790-0001 | 2019-01-29 |
| 1487118063 | Jean Sawyer | Speech-Language Pathologist | Mail Code 4720, Normal, IL 61790-0001 | 2019-01-28 |
| Find all providers in zip 61790 | ||||
| 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 |
|---|---|---|---|---|
| 1063978229 | Elizabeth Rose Geistlinger | Specialist/Technologist | 1241 Hovey Ave Apt 24, Normal, IL 61761-5127 | 2019-02-13 |
| 1184188633 | Rachel Elizabeth Heinz | Specialist/Technologist | 347 Illinois State Univ, Normal, IL 61790-0001 | 2019-01-29 |
| 1760946404 | Khadijah Andrea Williams | Specialist/Technologist | 104 W Cherry St Apt 4, Normal, IL 61761-4595 | 2019-01-28 |
| 1275097917 | Christopher F Johnson Jr. | Specialist/Technologist | 403 Greenbriar Dr Apt 214, Normal, IL 61761-6221 | 2019-01-28 |
| 1801389986 | Ashley Michelle James | Specialist/Technologist | 347 S. University St, Normal, IL 61761 | 2018-06-12 |
| 1801398607 | Juan Fabien Baez | Specialist/Technologist | 100 N University St, Normal, IL 61761-4402 | 2018-03-07 |
| 1205343878 | Karissa Diller | Specialist/Technologist | 1905 Crestmoor Cove Cc Ct, Normal, IL 61761-5352 | 2018-01-04 |
| 1184159576 | Padraic Harty | Specialist/Technologist | 1430 Trumbull Ave, Apt 2, Normal, IL 61761-9488 | 2017-04-24 |
| 1619412053 | Joel Thomas Lockhart | Specialist/Technologist | 9 Traders Cir, Apt 210, Normal, IL 61761-4133 | 2016-12-20 |
| 1013461631 | Elizabeth Ellen Ludwig | Specialist/Technologist | 1530 Trumbull Ave, Apt 10, Normal, IL 61761-9475 | 2016-08-11 |
| Find all providers in NORMAL | ||||
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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.