MRS. AMELIA ALEXANDRA CARLSON (NPI# 1538635396) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538635396 |
| Entity Type | Individual |
| Full Name | MRS. AMELIA ALEXANDRA CARLSON |
| Other Name | AMELIA ALEXANDRA REEK |
| Practice Address |
1108 16th St N Princeton MN 55371-6163 |
| Practice Telephone | 7638437094 |
| Mailing Telephone | 7638437094 |
| Enumeration Date | 2018-10-19 |
| Last Update Date | 2019-08-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
3246 | MN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1200 Kenwood Ave, Duluth, MN 558114199 | 7638437094 |
| Street Address |
1108 16TH ST N |
| City | PRINCETON |
| State | MN |
| Zip Code | 55371-6163 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053962530 | Monica Gail Broten | Technician | 30840 Tiger Street Nw, Princeton, MN 55371 | 2019-09-25 |
| 1215349584 | Stephen Destefano | Pharmacist | 31419 131st Street, Princeton, MN 55371 | 2014-05-21 |
| 1164798948 | Andrew Sudbeck | Counselor | 101 18th Avenue North, Princeton, MN 55371 | 2012-03-27 |
| 1073804803 | Sterling Pointe Senior Living LLC | Assisted Living Facility | 1250 Northland Drive, Princeton, MN 55371 | 2011-04-27 |
| 1568752533 | Rum River Health Services, Inc. | Substance Abuse Rehabilitation Facility | 3079 90th Avenue, Princeton, MN 55371 | 2011-04-12 |
| 1780989038 | Dr. Kynan Westermeyer, Dds, Pllc | Clinic/Center | 404 1st St. N, Princeton, MN 55371 | 2011-01-18 |
| 1275788085 | Cody James Leff | Pharmacist | 1100 11th Avenue South, Princeton, MN 55371 | 2008-11-20 |
| 1164679213 | Rum River Health Services, Inc | Substance Abuse Rehabilitation Facility | 1101 N 5th St, Princeton, MN 55371 | 2008-08-20 |
| 1801059639 | Rum River Health Services, Inc | Substance Abuse Rehabilitation Facility | 1506 1st Street, Princeton, MN 55371 | 2008-07-02 |
| 1497940928 | James Michael Mandt | Pharmacist | 911 Northland Drive, Fairview Northland Medical Center, Princeton, MN 55371 | 2007-09-07 |
| Find all providers in zip 55371 | ||||
| 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 |
|---|---|---|---|---|
| 1427663723 | Kristine Schuerger | Specialist/Technologist | 960 Bois D'arc Dr., Princeton, TX 75407 | 2020-09-14 |
| 1316569866 | Michael Jamison Tremblay | Specialist/Technologist | Caldwell Fieldhouse Princeton University Campus, Princeton, NJ 08544-0001 | 2020-05-07 |
| 1700407228 | Deirdre Chatlos | Specialist/Technologist | Princeton University Caldwell Field House, Princeton, NJ 08544-0001 | 2020-05-06 |
| 1417589987 | Shaylyn Novak | Specialist/Technologist | 650 Great Rd, Princeton, NJ 08540-2598 | 2020-02-12 |
| 1073145397 | Nicollette Roberison | Specialist/Technologist | 1217 Winfield Rd, Princeton, LA 71067-8343 | 2020-02-05 |
| 1184282147 | Laura Jeanne Goldsmith | Specialist/Technologist | 176 Edgerstoune Rd, Princeton, NJ 08540-6799 | 2019-06-04 |
| 1316454143 | Susan Ray Nipps | Specialist/Technologist | 71 University Pl, Princeton, NJ 08540-5122 | 2018-01-02 |
| 1508253535 | Katie Roberts | Specialist/Technologist | 405 Willow Oak Dr, Princeton, WV 24739-8729 | 2015-04-16 |
| 1952687428 | Shannon A. Koch | Specialist/Technologist | 151 Moore St, Princeton, NJ 08540-3312 | 2011-10-28 |
| 1659657278 | William Lynch | Specialist/Technologist | Faculty Rd, Caldwell Fieldhouse, Princeton, NJ 08544-0001 | 2011-10-27 |
| Find all providers in PRINCETON | ||||
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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.