CASEY CRADDOCK (NPI# 1396296315) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396296315 |
| Entity Type | Individual |
| Full Name | CASEY CRADDOCK |
| Credential | LAT, MAT, ATC |
| Practice Address |
1475 Engineering Dr Madison WI 53706-1607 |
| Mailing Address |
1540 Morrison St Madison WI 53703-3816 |
| Practice Telephone | 6084400363 |
| Mailing Telephone | 9705189071 |
| Enumeration Date | 2016-10-14 |
| Last Update Date | 2016-10-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
1912 | WI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1475 ENGINEERING DR |
| City | MADISON |
| State | WI |
| Zip Code | 53706-1607 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659937100 | Deja Cooper | Student in an Organized Health Care Education/Training Program | 1475 Engineering Dr, Madison, WI 53706-1607 | 2019-05-09 |
| 1437714268 | Jackson R Helf | Specialist/Technologist | 1475 Engineering Dr, Madison, WI 53706-1607 | 2019-05-07 |
| 1699330365 | Cody Michael Anderson | Specialist/Technologist | 1475 Engineering Dr, Madison, WI 53706-1607 | 2019-05-07 |
| 1326603093 | Jordan Smith | Specialist/Technologist | 1475 Engineering Dr, Madison, WI 53706-1607 | 2019-05-07 |
| 1871158543 | Kady Johnson | Specialist/Technologist | 1475 Engineering Dr, Madison, WI 53706-1607 | 2019-05-07 |
| 1356906036 | Brady Gruett | Specialist/Technologist | 1475 Engineering Dr, Madison, WI 53706-1607 | 2019-05-07 |
| 1336630300 | Jordan Mcdermott | Specialist/Technologist | 1475 Engineering Dr, Madison, WI 53706-1607 | 2018-05-24 |
| 1386133072 | Amanda Nicole Flanscha | Specialist/Technologist | 1475 Engineering Dr, Madison, WI 53706-1607 | 2018-05-08 |
| 1780120758 | Emily Dorothy Campbell | Student in an Organized Health Care Education/Training Program | 1475 Engineering Dr, Madison, WI 53706-1607 | 2017-01-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639297344 | Takuya Minami | Psychologist | 305 Education Building, 1000 Bascom Mall, Counseling Psychology, University of Wisconsin-madison, Madison, WI 53706 | 2007-03-27 |
| 1073765202 | Kathern Elizabeth Myrna | Veterinarian | 2015 Linden Dr, Svm Dept Surgical Sciences- Ophthalmology, Madison, WI 53706-1100 | 2008-10-21 |
| 1861831679 | Constance Fazio | Veterinarian | 2015 Linden Dr, Uw Veterinary Care, Madison, WI 53706-1100 | 2013-06-14 |
| 1841546959 | Kenneth Russell Waller IIi | Veterinarian | 2015 Linden Dr, Room 2058, Madison, WI 53706-1100 | 2012-07-25 |
| 1376778829 | Uw-madison Vet Med Hospital Pharmacy | Pharmacy | 2015 Linden Dr, Uw Madison School of Veterinary Medicine Pharmacy, Madison, WI 53706-1100 | 2009-05-27 |
| 1922071083 | Jon C Douglas | Audiologist | 1975 Willow Dr, University of Wisconsin Speech and Hearing Clinic, Madison, WI 53706-1103 | 2006-02-09 |
| 1578730487 | Kimberly Marie Smuda | Audiologist | 1975 Willow Dr, Madison, WI 53706-1103 | 2008-05-09 |
| 1366618787 | Jamie Elizabeth Murray-branch | Speech-Language Pathologist | 1975 Willow Dr, Madison, WI 53706-1103 | 2008-05-06 |
| 1548433956 | Patricia B Schraeder | Speech-Language Pathologist | 1975 Willow Dr, Uw Madison Departmen, Madison, WI 53706-1103 | 2008-04-07 |
| 1073783692 | University Speech and Hearing Clinic | Clinic/Center | 1975 Willow Dr, Madison, WI 53706-1103 | 2008-03-11 |
| Find all providers in zip 53706 | ||||
| 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 |
|---|---|---|---|---|
| 1578196580 | Jerod Keene | Specialist/Technologist | 333 E Campus Mall # 5140, Madison, WI 53715-1365 | 2020-02-18 |
| 1497396428 | Austin Drake | Specialist/Technologist | 201 Planters Cv, Madison, MS 39110-7988 | 2019-10-01 |
| 1407400112 | Zafir Georges-abeyie | Specialist/Technologist | 1920 Kendall Ave Apt 2, Madison, WI 53726-4008 | 2019-07-31 |
| 1023675212 | Kennedy Wayne Germany Jr. | Specialist/Technologist | 813 Seashell Cove, Madison, TN 37115 | 2019-05-22 |
| 1457810673 | Leah Smith | Specialist/Technologist | 1436 Monroe Street, Madison, WI 53711 | 2019-03-18 |
| 1710451927 | Patrick Louis Johnson | Specialist/Technologist | 103 Lynbrook Blvd, Madison, AL 35758-8137 | 2019-01-22 |
| 1518430735 | Jennifer Cecil | Specialist/Technologist | 126 Spring Water Dr, Madison, AL 35758-1391 | 2019-01-10 |
| 1073086336 | John M Spillman | Specialist/Technologist | 1913 Neelys Bend Rd, Madison, TN 37115-5811 | 2019-01-09 |
| 1932677309 | Garrett Hansen | Specialist/Technologist | 402 Northbay Dr, Madison, MS 39110-8859 | 2018-11-05 |
| 1891284303 | Lisbeth Smith | Specialist/Technologist | 920 Spring St, Madison, WI 53715-3603 | 2018-05-09 |
| Find all providers in MADISON | ||||
Please comment or provide details below to improve the information on CASEY CRADDOCK.
| 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.