AMETHYST SHEPHERD (NPI# 1548645963) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548645963 |
| Entity Type | Individual |
| Full Name | AMETHYST SHEPHERD |
| Practice Address |
6120 Mullen Rd Se Olympia WA 98503-7147 |
| Mailing Address |
1060 Central St Se Olympia WA 98501-1763 |
| Practice Telephone | 4432541149 |
| Mailing Telephone | 4432541149 |
| Enumeration Date | 2015-07-27 |
| Last Update Date | 2015-07-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AT-485 | ID | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
6120 MULLEN RD SE |
| City | OLYMPIA |
| State | WA |
| Zip Code | 98503-7147 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457838989 | Michele Nordgren Bourque | Psychologist | 4329 Concordia Lane Se, Lacey, WA 98503 | 2018-07-26 |
| 1831638675 | Trevor John Marum | Chiropractor | 3945 8th Ave Se, Lacey, WA 98503 | 2017-02-13 |
| 1366993362 | Vanessa Julie Iglesias Mehta | Physician Assistant | 5128 Yelm Hwy Se, Suite E, Lacey, WA 98503 | 2016-10-14 |
| 1144683616 | Millenda Thomas | Registered Nurse | 1233 Firpark Dr. S.e., Lacey, WA 98503 | 2016-04-01 |
| 1609257245 | Erika Charlotte Vonkotzebue | Counselor | 4401 37th Ave. Se #25, Lacey, WA 98503 | 2015-06-09 |
| 1437576196 | Candy Nelson | Registered Nurse | 4410 6th Ave Se, Apt# 115, Lacy, WA 98503 | 2014-03-19 |
| 1134563919 | Alvin Fitzgerald | Pharmacist | 665 Sleater Kinney Rd., S.e, Target Pharmacy #1355, Lacey, WA 98503 | 2013-04-23 |
| 1518200724 | Katherine Mary Marsh | Psychologist | 5191 Corporate Center Court Se, Lacey, WA 98503 | 2013-04-05 |
| 1740530906 | Leanna Marie Mcbroom | Massage Therapist | 1608 Diamond Loop Se, Lacey, WA 98503 | 2012-09-14 |
| 1831445196 | Joyce Emily Christensen Coniff | Counselor | 5706 39th Ave Se., Lacey, WA 98503 | 2012-07-24 |
| Find all providers in zip 98503 | ||||
| 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 |
|---|---|---|---|---|
| 1811541998 | Melissa Ward | Specialist/Technologist | 2233 25th Ln Ne, Olympia, WA 98506-3564 | 2019-07-28 |
| 1982119608 | Britni Jean Wilson | Specialist/Technologist | 2723 46th Ave Nw, Olympia, WA 98502-3010 | 2017-12-04 |
| 1013436484 | Marissa E Ang | Specialist/Technologist | 1110 Northcote St Nw, Olympia, WA 98502-4457 | 2017-09-16 |
| 1083137715 | Cameron Kunkel | Specialist/Technologist | 2512 20th Ave Ne, Olympia, WA 98506 | 2017-07-25 |
| 1376952085 | Amy Nicole Garrison | Specialist/Technologist | 2521 Conger Ave Nw, Olympia, WA 98502-4508 | 2014-08-06 |
| 1053687350 | Taelar A Shelton | Specialist/Technologist | 3010 Amhurst St Se, Olympia, WA 98501-5994 | 2012-03-30 |
| 1770600629 | Rebecca Rae Johnson | Specialist/Technologist | 2700 Evergreen Pkwy Nw, Olympia, WA 98505-0001 | 2007-03-24 |
| 1962530410 | Walter Theodore Putvin | Specialist/Technologist | 1828 Bigelow Ave Ne, Olympia, WA 98506-4604 | 2007-02-28 |
| 1982732376 | Janai Lynn Roberts | Specialist/Technologist | 4333 Cooper Point Rd Nw, Olympia, WA 98502-3613 | 2007-02-28 |
| 1578652558 | Abba M Delker | Specialist/Technologist | 404 Yauger Way Sw Ste 100, Olympia, WA 98502-8152 | 2006-10-11 |
| Find all providers in OLYMPIA | ||||
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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.