ALEXIS MIKESELL (NPI# 1487213831) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487213831 |
| Entity Type | Individual |
| Full Name | ALEXIS MIKESELL |
| Practice Address |
901 S National Ave # Prof160 Springfield MO 65897-0027 |
| Practice Telephone | 4178368553 |
| Mailing Telephone | 4178368553 |
| Enumeration Date | 2019-06-10 |
| Last Update Date | 2019-06-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
901 S NATIONAL AVE # PROF160 |
| City | SPRINGFIELD |
| State | MO |
| Zip Code | 65897-0027 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649734385 | Alexis V Zurheide | Specialist/Technologist | 901 S National Ave # Prof160, Springfield, MO 65897-0027 | 2019-01-28 |
| 1669083747 | Finessa Rassel | Specialist/Technologist | 901 S National Ave # Prof160, Springfield, MO 65897-0001 | 2020-08-12 |
| 1922623016 | Jordyn Vrba | Specialist/Technologist | 901 S National Ave # Prof160, Springfield, MO 65897-0027 | 2020-06-15 |
| 1407471725 | Nicolas Helin | Specialist/Technologist | 901 S National Ave # Prof160, Springfield, MO 65897-0027 | 2020-06-11 |
| 1902420748 | Louis D. Bailon | Specialist/Technologist | 901 S National Ave # Prof160, Springfield, MO 65897-0001 | 2020-06-06 |
| 1740804582 | Robert Michael Shifrin | Specialist/Technologist | 901 S National Ave # Prof160, Springfield, MO 65897-0027 | 2020-06-06 |
| 1164046017 | Edgardo Andres Soto Ramirez | Student in an Organized Health Care Education/Training Program | 901 S National Ave # Prof160, Springfield, MO 65897-0027 | 2020-06-05 |
| 1669005591 | Caleb Morlan | Emergency Medical Technician, Basic | 901 S National Ave # Prof160, Springfield, MO 65897-0027 | 2020-02-19 |
| 1588223937 | Nicholas Jess Hostetter | Specialist/Technologist | 901 S National Ave # Prof160, Springfield, MO 65897-0027 | 2019-06-10 |
| 1669031019 | Aaron Durkalski | Specialist/Technologist | 901 S National Ave # Prof160, Springfield, MO 65897-0027 | 2019-06-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467051516 | Kangjun Lee | Specialist/Technologist | 901 S. National Ave., Springfield, MO 65897 | 2020-10-20 |
| 1134743073 | Jared Saylor | Student in an Organized Health Care Education/Training Program | 901 S National Ave, Prof 160, Springfield, MO 65897 | 2020-06-06 |
| 1215597208 | Jangsoo Kim | Student in an Organized Health Care Education/Training Program | 901 S National Ave., Springfield, MO 65897 | 2019-06-20 |
| 1104912542 | Filip John Garrett | Family Medicine | 901 S Nationa Ave, Springfield, MO 65897 | 2006-10-05 |
| 1043306483 | Lawrence Sylvester Shields | Family Medicine | 901 South National Ave, Springfield, MO 65897 | 2006-10-05 |
| 1154677912 | Samantha M Charters | Specialist | 901 S National Ave, Athletic Medical and Rehab, Springfield, MO 65897 | 2012-07-31 |
| 1669543112 | Sally Lynn Hubbard | Family Medicine | 901 S National Ave, Springfield, MO 65897 | 2006-11-13 |
| 1750469102 | Susan Wilson Essman | Family Medicine | 901 South National Avenue, Springfield, MO 65897 | 2006-11-02 |
| 1790862845 | Mary Annette Wardell | Family Medicine | 901 S National Ave, Taylor Health & Wellness Center, Springfield, MO 65897 | 2006-11-01 |
| 1043397169 | Shana Kristin Del Vecchio | Nurse Practitioner | 901 S National Ave, Taylor Health & Wellness Center, Springfield, MO 65897 | 2006-11-01 |
| Find all providers in zip 65897 | ||||
| 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 |
|---|---|---|---|---|
| 1467051516 | Kangjun Lee | Specialist/Technologist | 901 S. National Ave., Springfield, MO 65897 | 2020-10-20 |
| 1740806413 | Megan Herter | Specialist/Technologist | 1513 Old Ivy Dr, Springfield, IL 62711-8156 | 2020-06-18 |
| 1124649702 | Bridget Fenger | Specialist/Technologist | 521 W Central St, Springfield, MN 56087-1213 | 2020-05-05 |
| 1598302846 | Tamanna Kazi | Specialist/Technologist | 6746 Metropolitan Center Dr Apt 204, Springfield, VA 22150-4582 | 2019-12-05 |
| 1861035172 | Kory Matthew Kasper | Specialist/Technologist | 117 N Pittsburg Lndg, Springfield, IL 62711-8208 | 2019-10-21 |
| 1760037691 | Lauren Potter | Specialist/Technologist | 607 Highland Rd, Springfield, VT 05156-8844 | 2019-08-07 |
| 1033763271 | Ariana Nicole Hetland-purna | Specialist/Technologist | 1045 Grand St (art Annex Building), Springfield, MO 65897-0001 | 2019-07-25 |
| 1962968867 | Chad Michael Linck | Specialist/Technologist | 2125 N Glenstone Ave, Springfield, MO 65802 | 2019-02-15 |
| 1669938080 | Corey Michael Ratsch | Specialist/Technologist | 1116 E Cherry St Rm 300, Springfield, MO 65807-1517 | 2019-02-11 |
| 1164987640 | Emilee Pierce | Specialist/Technologist | 2015 W University St Apt E212, Springfield, MO 65807-7890 | 2019-02-08 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 65897 |
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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.