BROOKSY LEE HALTERMAN (NPI# 1548502800) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548502800 |
| Entity Type | Individual |
| Full Name | BROOKSY LEE HALTERMAN |
| Credential | ATHLETIC TRAINER |
| Practice Address |
1706 Prospect Dr Macon MO 63552-2615 |
| Practice Telephone | 6603851006 |
| Practice Fax Number | 6603851028 |
| Mailing Telephone | 6603851006 |
| Mailing Fax Number | 6603851028 |
| Enumeration Date | 2013-03-25 |
| Last Update Date | 2013-03-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
2011028292 | MO | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1706 PROSPECT DR |
| City | MACON |
| State | MO |
| Zip Code | 63552-2615 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902812407 | Midwest Bone & Joint Center PC | Durable Medical Equipment & Medical Supplies | 1706 Prospect Dr, Macon, MO 63552-2615 | 2006-08-01 |
| 1477913192 | Midwest Surgical Specialties PC | Clinic/Center | 1706 Prospect Dr, Macon, MO 63552-2615 | 2016-02-24 |
| 1376885632 | Kalen Scott Linneman | Specialist/Technologist | 1706 Prospect Dr, Macon, MO 63552-2615 | 2013-03-25 |
| 1598881971 | Janet C Ancell | Occupational Therapist | 1706 Prospect Dr, Suite B, Macon, MO 63552-2615 | 2007-03-21 |
| 1184740581 | Cynthia Marie Seiler | Physical Therapist | 1706 Prospect Dr, Suite B, Macon, MO 63552-2615 | 2007-03-21 |
| 1063529006 | Nola F. Moore | Nurse Practitioner | 1706 Prospect Dr, Macon, MO 63552-2615 | 2006-08-24 |
| 1861409625 | Donet Christopher Main | Orthopaedic Surgery | 1706 Prospect Dr, Macon, MO 63552-2615 | 2006-08-02 |
| 1114934205 | Center for Surgical Specialties, PC | Clinic/Center | 1706 Prospect Dr, Macon, MO 63552-2615 | 2006-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891194783 | Dialysis Clinic Inc | Clinic/Center | 1203 N. Missouri St, Macon, MO 63552 | 2014-08-18 |
| 1477624161 | Charles Edgar Averill Jr. | Occupational Therapist | 704a South Missouri, Macon, MO 63552 | 2006-11-13 |
| 1629035084 | Missouri Cvs Pharmacy, L.L.C. | Pharmacy | 1105 N Rutherford St, Macon, MO 63552 | 2006-04-28 |
| 1659560688 | Iris Ladawn Gaerditz | Speech-Language Pathologist | 702 N Missouri St, Macon, MO 63552 | 2007-10-16 |
| 1841316296 | Paul Vincent Lane | Physical Therapist | 2005 N. Missouri St., Suite D, Macon, MO 63552-0381 | 2007-03-21 |
| 1891908612 | Mid Missouri Physical Therapy | Physical Therapist | 2005 N. Missouri St., Suite D, Macon, MO 63552-0381 | 2007-05-08 |
| 1366568735 | Lara Beth Jones | Physical Therapist | 2005 N. Missouri St., Suite D., Macon, MO 63552-0381 | 2007-03-21 |
| 1871619262 | Abby M Lane | Physical Therapist | 2005 N. Missouri St., Suite D, Macon, MO 63552-0387 | 2007-03-21 |
| 1457715906 | Kimberly Oroke | Social Worker | 821 Charles St, Columbia, MO 63552-1064 | 2016-04-11 |
| 1679100507 | Macon County Sheltered Workshop | Private Vehicle | 1103 Enterprise Rd, Macon, MO 63552-1305 | 2020-03-23 |
| Find all providers in zip 63552 | ||||
| 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 |
|---|---|---|---|---|
| 1669004693 | Andrew Jeremy Mariscal | Specialist/Technologist | 1045 Ashford Chase Ct, Macon, GA 31210-8027 | 2020-02-07 |
| 1558993535 | Kathryn E Curtin | Specialist/Technologist | 4150 Arkwright Rd Apt 60, Macon, GA 31210-1727 | 2020-02-07 |
| 1316583644 | Jazmine Nichole Washington | Specialist/Technologist | 3960 Dorothy Dr, Macon, GA 31217-5426 | 2019-11-21 |
| 1336701325 | Marissa Ashley Hatem | Specialist/Technologist | 296 Orange St Apt 5, Macon, GA 31201-1688 | 2019-07-01 |
| 1043794258 | Hunter Leigh Martin | Specialist/Technologist | 127 Saint Croix Dr, Macon, GA 31210-8605 | 2018-09-24 |
| 1093227282 | Peyton Kayley M'lyn Braunstein | Specialist/Technologist | 233 Chadwick Cir, Macon, GA 31210-8836 | 2017-10-29 |
| 1164898771 | Stephanie Luecke Schneider | Specialist/Technologist | 1111 Valley View Ct, Macon, MO 63552-2128 | 2015-08-18 |
| 1124409883 | Ryan Stuart | Specialist/Technologist | 1300 Coleman Ave, Macon, GA 31207-4642 | 2015-06-17 |
| 1174925416 | William Holcomb | Specialist/Technologist | 1501 Mercer University Drive Mercer University, Macon, GA 31207-0001 | 2014-09-18 |
| 1205236635 | Amanda Windon | Specialist/Technologist | 851 Orange St, Macon, GA 31201-2164 | 2014-09-04 |
| Find all providers in MACON | ||||
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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.