ELIZABETH NICKLAY (NPI# 1518161868) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518161868 |
| Entity Type | Individual |
| Full Name | ELIZABETH NICKLAY |
| Credential | MA LAT CSCS |
| Practice Address |
700 College Dr Luther College Decorah IA 52101-1041 |
| Practice Telephone | 5633872170 |
| Mailing Telephone | 5633872170 |
| Enumeration Date | 2007-06-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
00517 | IA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
700 COLLEGE DR LUTHER COLLEGE |
| City | DECORAH |
| State | IA |
| Zip Code | 52101-1041 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831393149 | Kristen Marta Agena | Specialist/Technologist | 700 College Dr, Decorah, IA 52101-1041 | 2007-06-12 |
| 1508060484 | Joellen Anderson | Registered Nurse | 700 College Dr, Decorah, IA 52101-1041 | 2007-06-13 |
| 1265636518 | Brian Paul Solberg | Specialist/Technologist | 700 College Dr, Decorah, IA 52101-1041 | 2007-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841757911 | Andrew W Fritz | Specialist/Technologist | 700 College Drive, Regents Center, Decorah, IA 52101 | 2019-02-26 |
| 1265846935 | Amber Lynn Mccarville | Dentist | 501 Sanford, Decorah, IA 52101 | 2014-06-20 |
| 1669893988 | Winneshiek Medical Center | Clinic/Center | 112 East Main St., Ossian, IA 52101 | 2014-01-06 |
| 1467589317 | Brenda Harris | Acupuncturist | 309 West Broadway Street, Decorah, IA 52101 | 2007-02-27 |
| 1487721809 | Mary Christine Atkinson | Counselor | 1111 Paine Street, Decorah, IA 52101 | 2006-11-29 |
| 1578632220 | Kirsten Ann Ludwig | Counselor | 1111 Paine St, Decorah, IA 52101 | 2006-11-07 |
| 1760585350 | Dental Associates of Decorah PC | Dentist | 501 Sanford St, Decorah, IA 52101 | 2006-09-07 |
| 1780634196 | Theresa K Fullhart | Social Worker | 905 Montgomery Street, Decorah, IA 52101 | 2006-05-10 |
| 1487620688 | Mayo Clinic Hospital-rochester | Clinic/Center | 901 Montgomery Street, Decorah, IA 52101 | 2006-02-27 |
| 1205298668 | Benjamin Avi Levinson | Nurse Anesthetist, Certified Registered | 901 Montgomery St, Decorah, IA 52101 | 2016-03-24 |
| Find all providers in zip 52101 | ||||
| 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 |
|---|---|---|---|---|
| 1841757911 | Andrew W Fritz | Specialist/Technologist | 700 College Drive, Regents Center, Decorah, IA 52101 | 2019-02-26 |
| 1780102079 | Joseph Knoke | Specialist/Technologist | 1715 E Hill Rd, Decorah, IA 52101-7577 | 2017-09-06 |
| 1831393149 | Kristen Marta Agena | Specialist/Technologist | 700 College Dr, Decorah, IA 52101-1041 | 2007-06-12 |
| 1821418724 | Derek John Rausch | Specialist/Technologist | 516 Montgomery St, Decorah, IA 52101-2720 | 2014-04-18 |
| 1013294545 | Hannah Gaveske | Specialist/Technologist | 901 Montgomery St, Rehabilitation Services, Decorah, IA 52101-2325 | 2011-11-11 |
| 1124340567 | Chris M Kamm | Specialist/Technologist | 901 Montgomery St, Decorah, IA 52101-2325 | 2010-02-26 |
| 1265636518 | Brian Paul Solberg | Specialist/Technologist | 700 College Dr, Decorah, IA 52101-1041 | 2007-06-12 |
| 1205899473 | Kelli Jo Blum | Specialist/Technologist | 901 Montgomery St, Decorah, IA 52101-2325 | 2006-04-10 |
| 1417919820 | Jessica Sara Starner | Specialist/Technologist | 901 Montgomery St, Decorah, IA 52101-2325 | 2006-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073114336 | Bailey Robinson | Specialist/Technologist | 4828 147th St, Urbandale, IA 50323-2646 | 2020-11-03 |
| 1619577178 | Jason Hopp | Specialist/Technologist | 812 University St # 1425, Pella, IA 50219-1902 | 2020-10-26 |
| 1740889724 | Christine Marie Pruismann | Specialist/Technologist | 230 S 6th St, Nevada, IA 50201-2521 | 2020-10-21 |
| 1811594856 | Zachary A. Mcentee | Specialist/Technologist | 7111 Aurora Ave, Urbandale, IA 50322-1741 | 2020-10-02 |
| 1134733025 | Hannah Marie Gardner | Specialist/Technologist | 2894 Coral Ct, Coralville, IA 52241-2812 | 2020-09-08 |
| 1265044861 | Kelli Elizabeth Brockway | Specialist/Technologist | 2501 Hudson Rd, Cedar Falls, IA 50614-0014 | 2020-08-17 |
| 1477164010 | Shaun Cook | Specialist/Technologist | 2215 Iowa St, Cedar Falls, IA 50613-3845 | 2020-08-16 |
| 1659982296 | Haylee Luna | Specialist/Technologist | 324 Daisy St, Dike, IA 50624-7751 | 2020-08-16 |
| 1831700475 | Mckinley Hawe | Specialist/Technologist | 1045 Center Ave, Garner, IA 50438-1743 | 2020-08-16 |
| 1194336735 | Trevor John Huber | Specialist/Technologist | 816 Washington St, Cedar Falls, IA 50613-2959 | 2020-08-16 |
| Find all providers with the same taxonomy | ||||
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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.