MS. SUSAN LYNNE CABBAGE (NPI# 1487641205) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487641205 |
| Entity Type | Individual |
| Full Name | MS. SUSAN LYNNE CABBAGE |
| Credential | ATC |
| Practice Address |
Gundersen Lutheran Sports Medicine 3111 Gundersen Dr Onalaska WI 54650 |
| Mailing Address |
3111 Gundersen Dr Gundersen Lutheran Sports Medicine Onalaska WI 54650 |
| Practice Telephone | 6087759412 |
| Practice Fax Number | 6087758416 |
| Mailing Telephone | 6087759412 |
| Mailing Fax Number | 6087758416 |
| Enumeration Date | 2005-10-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
193-039 | WI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
GUNDERSEN LUTHERAN SPORTS MEDICINE 3111 GUNDERSEN DR |
| City | ONALASKA |
| State | WI |
| Zip Code | 54650 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568824027 | Kyle Quillin | Student in an Organized Health Care Education/Training Program | 236 Kevin Ct, Onalaska, WI 54650 | 2016-03-24 |
| 1831577881 | Katelyn Nicole Patten | Counselor | 575 Lester Ave, Onalaska, WI 54650 | 2015-05-11 |
| 1619369758 | Amelia Vruble | Registered Nurse | 1047 Terrace Drive, Onalaska, WI 54650 | 2015-02-26 |
| 1699186528 | C. Nathan Vannatta | Physical Therapist | 3111 Gunersen Dr, Onalaska, WI 54650 | 2014-05-13 |
| 1770867640 | Claire Sweet | Pharmacist | 9400 Hwy 16, Target T-0620, Onalaska, WI 54650 | 2011-10-10 |
| 1306140439 | Jared I Darveaux | Internal Medicine | 311 Gundersen Dr, Onalaska, WI 54650 | 2011-01-04 |
| 1326299488 | Demetrios Spyridon Theodoropoulos | Allergy & Immunology | 2727 Midwest Drive, Onalaska, WI 54650 | 2008-10-08 |
| 1114190618 | Nancy Ellen Reithel | Physical Therapist | 610 Westwood Drive, Onalaska, WI 54650 | 2008-04-07 |
| 1902972896 | Maplewood Dental | Dentist | 1202 County Trunk Ph, Suite 300, Onalaska, WI 54650 | 2006-11-24 |
| 1245309327 | Benjamin John Breidenbach | Chiropractor | 1640 George St, Lacrosse, WI 54650 | 2006-11-06 |
| Find all providers in zip 54650 | ||||
| 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 |
|---|---|---|---|---|
| 1417428269 | Austin Robert Mihalovic | Specialist/Technologist | N5021 Sunset Vista Rd, Onalaska, WI 54650-9105 | 2018-12-05 |
| 1962972869 | Katlin Grapes | Specialist/Technologist | N5445 Circle Dr E, Onalaska, WI 54650-9203 | 2018-12-04 |
| 1003271453 | Charles John Gillette | Specialist/Technologist | 605 Herman Ct, Onalaska, WI 54650-2421 | 2015-12-29 |
| 1598044331 | Joel Luedke | Specialist/Technologist | 1620 Well St, Onalaska, WI 54650-2452 | 2011-08-10 |
| 1184646770 | William Lamar Ward | Specialist/Technologist | 3111 Gunderson Rd, Onalaska, WI 54650-8447 | 2006-07-24 |
| 1073177705 | Sam Adam Mason | Specialist/Technologist | 3111 Gundersen Dr, Onalaska, WI 54650-8447 | 2019-04-29 |
| 1699264911 | Dustin Billups | Specialist/Technologist | 3111 Gundersen Dr, Onalaska, WI 54650-8447 | 2018-05-02 |
| 1568969681 | Leisha Helgerson | Specialist/Technologist | 3111 Gundersen Dr, Onalaska, WI 54650-8447 | 2018-04-06 |
| 1700393451 | Kristin Mull | Specialist/Technologist | 3111 Gundersen Dr, Onalaska, WI 54650-8447 | 2018-01-03 |
| 1427448372 | Laura Hudson | Specialist/Technologist | 3111 Gundersen Dr, Onalaska, WI 54650-8447 | 2015-01-30 |
| Find all providers in ONALASKA | ||||
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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.