NATHAN DUFAULT


Address: 305 S. Livingston St., Madison, WI 53703
Phone: 6082501775

NATHAN DUFAULT (NPI# 1518243237) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1518243237
Entity Type Individual
Full Name NATHAN DUFAULT
Credential ATC
Practice Address 305 S. Livingston St.
Madison
WI 53703
Practice Telephone 6082501775
Practice Fax Number 6082501777
Mailing Telephone 6082501775
Mailing Fax Number 6082501777
Enumeration Date 2011-10-26
Last Update Date 2012-03-22
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2255A2300X Specialist/Technologist
Specialization: Athletic Trainer
Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 305 S. LIVINGSTON ST.
City MADISON
State WI
Zip Code 53703

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1043606841 Kevin P Emmerich Emergency Medicine 390 West Johnson St, Madison, WI 53703 2015-04-09
1376983155 Ann Renee Wingate Counselor 16 N. Hancock Street, Hancock Center, Madison, WI 53703 2013-06-26
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Taxonomy Information

Taxonomy Code 2255A2300X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Specialist/Technologist
Specialization Athletic Trainer

Taxonomy Definition

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]

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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
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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
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Competitor

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City MADISON
Zip Code 53703

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Dataset Information

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.

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