NICHOLAS NAKAGAMA (NPI# 1417233784) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417233784 |
| Entity Type | Individual |
| Full Name | NICHOLAS NAKAGAMA |
| Credential | A.T.C. |
| Practice Address |
280 N Main St Bountiful UT 84010-6136 |
| Mailing Address |
116 S Main St Apt. 2 Bountiful UT 84010-6285 |
| Practice Telephone | 8012982495 |
| Practice Fax Number | 8012982801 |
| Mailing Telephone | 8015412130 |
| Enumeration Date | 2011-10-31 |
| Last Update Date | 2016-12-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
7786912-4810 | UT | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
280 N MAIN ST |
| City | BOUNTIFUL |
| State | UT |
| Zip Code | 84010-6136 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609845775 | Spencer E. Richards | Neuromusculoskeletal Medicine, Sports Medicine | 280 N Main St, Bountiful, UT 84010-6136 | 2006-03-14 |
| 1811538697 | Tayler Jensen | Speech-Language Pathologist | 280 N Main St, Bountiful, UT 84010-6136 | 2019-10-03 |
| 1063973915 | Hailee Christensen | Speech-Language Pathologist | 280 N Main St, Bountiful, UT 84010-6136 | 2019-03-25 |
| 1033674973 | Jessica Elizabeth Sherman | Physical Therapist | 280 N Main St, Bountiful, UT 84010-6136 | 2019-02-05 |
| 1275004954 | Elaina Scott Gregerson | Physical Therapist | 280 N Main St, Bountiful, UT 84010-6136 | 2018-12-06 |
| 1083079909 | Marie Perkins | Specialist/Technologist | 280 N Main St, Bountiful, UT 84010-6136 | 2015-12-18 |
| 1164802203 | Anna Cole Mctish | Occupational Therapist | 280 N Main St, # 2, Bountiful, UT 84010-6136 | 2015-06-03 |
| 1679952352 | Michelle Nicole Dean | Specialist | 280 N Main St, Bountiful, UT 84010-6136 | 2015-05-27 |
| 1639519549 | Ashley Safsten | Speech-Language Pathologist | 280 N Main St, Bountiful, UT 84010-6136 | 2013-06-25 |
| 1639412208 | Megan Eidenshink Shelly | Occupational Therapist | 280 N Main St, Second Floor, Bountiful, UT 84010-6136 | 2013-04-02 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225699192 | Jessyca K Willie | Behavior Technician | 415 S. Medical Drive Suite D101, Bountiful, UT 84010 | 2019-06-21 |
| 1336634344 | Shanna Joy Jaggers | Social Worker | 2333 S 200 E, Bountiful, UT 84010 | 2018-06-22 |
| 1447773171 | Live Life Alarms | Emergency Response System Companies | 640 South 500 West, Bountiful, UT 84010 | 2017-07-25 |
| 1902328842 | Hailey Embley | Behavior Technician | 415 Medical Drive D 101, Bountiful, UT 84010 | 2017-07-12 |
| 1508318031 | Beverly Nielsen | Psychologist | 1001 Lakeview Drive, Bountiful, UT 84010 | 2016-11-01 |
| 1295287720 | Samantha Oslund | Speech-Language Pathologist | 415 Medical Dr Ste B102, Bountiful, UT 84010 | 2016-11-01 |
| 1750748273 | Jeremy Clark Morris | Dentist | 59 W 1600 N, Suite 110, Bountiful, UT 84010 | 2016-01-28 |
| 1629464706 | Shane James | Speech-Language Pathologist | 425 Medical Dr Ste 122, Bountiful, UT 84010 | 2015-04-15 |
| 1891186102 | Kenton Francis | Social Worker | 1355 North Main Street #1, Bountiful, UT 84010 | 2015-02-09 |
| 1205233855 | Modern Dental Professionals - Utah, PC | Dentist | 24 S. 500 West, #a, Bountiful, UT 84010 | 2014-11-25 |
| Find all providers in zip 84010 | ||||
| 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 |
|---|---|---|---|---|
| 1558796284 | Bruno F Silva | Specialist/Technologist | 615 S. Lakeview Dr., Bountiful, UT 84010 | 2013-09-12 |
| 1962447722 | Natalie Yearsley | Specialist/Technologist | 452 S Medical Dr, Suite 220, Bountiful, UT 84010 | 2006-06-17 |
| 1932733771 | Jordan Lovell Shumway | Specialist/Technologist | 1551 Renaissance Towne Dr Ste 350, Bountiful, UT 84010-7674 | 2020-03-02 |
| 1083079909 | Marie Perkins | Specialist/Technologist | 280 N Main St, Bountiful, UT 84010-6136 | 2015-12-18 |
| 1326475831 | Michelle Horne | Specialist/Technologist | 1551 Renaissance Towne Dr, Suite 420, Bountiful, UT 84010-7667 | 2013-09-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982202875 | Kadie Chadwick | Specialist/Technologist | 11892 S Quarry Ridge Cv, Herriman, UT 84096-7732 | 2020-10-13 |
| 1407462021 | Robert Shelton | Specialist/Technologist | 665 S 2000 W, Syracuse, UT 84075-9623 | 2020-09-18 |
| 1235744632 | Megan Louise Larkins | Specialist/Technologist | 4000 Brinker Ave. The Apartments., Apartment 15, Ogden, UT 84403 | 2020-09-11 |
| 1093329948 | Ryan Patrick Renkiewicz | Specialist/Technologist | 2150 W 4800 S, Roy, UT 84067-1844 | 2020-09-08 |
| 1437761814 | Chris Goodman | Specialist/Technologist | 1371 S 625 E, Springville, UT 84663-2602 | 2020-08-18 |
| 1730798703 | Luis Rosas | Specialist/Technologist | 448 W 13490 S Apt 431, Draper, UT 84020-7262 | 2020-07-27 |
| 1780202978 | Katie Marie Plyer | Specialist/Technologist | 1860 E 250 S, Salt Lake City, UT 84112-4531 | 2020-07-14 |
| 1932727724 | Jose Luis Sandoval De Leon | Specialist/Technologist | 260 S 1850 E Rm 208, Salt Lake City, UT 84112-0910 | 2020-07-08 |
| 1629695929 | John Randall Woodworth | Specialist/Technologist | 383 S Colorow Dr Rm 392, Salt Lake City, UT 84108-1245 | 2020-07-02 |
| 1144847161 | Tara Marquez | Specialist/Technologist | Brigham Young University Sports Medicine 123 Sab, Provo, UT 84602 | 2020-06-26 |
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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.