JENNIFER LYNN LUPER-LARK (NPI# 1548790348) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548790348 |
| Entity Type | Individual |
| Full Name | JENNIFER LYNN LUPER-LARK |
| Credential | ATC |
| Practice Address |
1323 Bia Route 4 Fort Thompson SD 57339 |
| Mailing Address |
647 Simmons Ave Se Huron SD 57350-2955 |
| Practice Telephone | 6052451621 |
| Enumeration Date | 2017-06-14 |
| Last Update Date | 2017-06-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
0490 | SD | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ATHLETIC TRAINING BOARD OF CERTIFICATION | 22 | 01 |
| Street Address |
1323 BIA ROUTE 4 |
| City | FORT THOMPSON |
| State | SD |
| Zip Code | 57339 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801814512 | Marlene A Lacayo | Dentist | 1323 Bia Route 4, Fort Thompson, SD 57339-0200 | 2006-07-18 |
| 1598308074 | Jaime Lynn Spears | Counselor | 1323 Bia Route 4, Fort Thompson, SD 57339 | 2019-10-28 |
| 1396230892 | Kodi Steckelberg | Registered Nurse | 1323 Bia Route 4, Fort Thompson, SD 57339 | 2018-06-27 |
| 1538604723 | Edith S. Hoff | Registered Nurse | 1323 Bia Route 4, Ft. Thompson Indian Health Service Center, Fort Thompson, SD 57339 | 2016-12-27 |
| 1932659539 | Joan Umiker | Dentist | 1323 Bia Route 4, Fort Thompson, SD 57339 | 2016-10-06 |
| 1912453622 | Kyle Weiss | Pharmacist | 1323 Bia Route 4, Fort Thompson, SD 57339-0200 | 2016-09-01 |
| 1518315977 | Christina Marie Odens | Pharmacist | 1323 Bia Route 4, Fort Thompson, SD 57339 | 2016-05-26 |
| 1972973899 | Beth Mcpeak | Registered Nurse | 1323 Bia Route 4, Fort Thompson, SD 57339 | 2015-10-05 |
| 1083050546 | David Alan Zimbrick | Pharmacist | 1323 Bia Route 4, Fort Thompson, SD 57339-0000 | 2013-05-10 |
| 1770825978 | Melinda Maude Hulit | Clinic/Center | 1323 Bia Route 4, Fort Thompson, SD 57339 | 2013-03-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942850862 | Kimberli Mae Hastings | Registered Nurse | 125 Sd Hwy 246, Fort Thompson, SD 57339 | 2019-09-12 |
| 1225411945 | Horizon Health Care Inc | Clinic/Center | 125 Sd Hwy 249, Fort Thompson, SD 57339 | 2015-06-30 |
| 1902286081 | Stephanie Feltman | Nurse Practitioner | 1323 Bia Rd 20, Fort Thompson, SD 57339 | 2015-06-04 |
| 1902203847 | Diana Moore | Psychologist | 1323 Bia Rd. 20, Fort Thomspson, SD 57339 | 2014-11-20 |
| 1952706921 | Denis Lamonte Jones | Dentist | Denis I. Jones Dds, Phs Indian Health Center, Fort Thompson, SD 57339 | 2014-11-03 |
| 1932523644 | Ft Thompson Health Center | Clinic/Center | 1323 Bia Rte #4, Ft. Thompson, SD 57339 | 2014-02-17 |
| 1720402498 | Ft Thompson Ihs Health Center | Clinic/Center | 1323 Bia Rte 4, Ft Thompson, SD 57339 | 2014-02-14 |
| 1265764450 | Aaron Lapointe | Psychologist | 1323 Bia Route, Fort Thompson, SD 57339 | 2010-02-12 |
| 1033248059 | Fort Thompson Ihc Clinic Pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | Hwy 47 and Hwy 34, Fort Thompson, SD 57339 | 2007-03-05 |
| 1154480390 | Cynthia Shirley Wall | Pharmacist | Hwy 47 and 34, Ft. Thompson, SD 57339 | 2006-12-06 |
| Find all providers in zip 57339 | ||||
| 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 |
|---|---|---|---|---|
| 1720685845 | Leah Kroeger | Specialist/Technologist | 2820 Stanley J Marshall Center, Brookings, SD 57006 | 2020-10-01 |
| 1033729520 | Sarah Shippy | Specialist/Technologist | 29359 324th Ave, Colome, SD 57528-6017 | 2020-08-09 |
| 1548878432 | Maranna Caroline Gunnerson | Specialist/Technologist | 1004 Campanile Ave, Brookings, SD 57007-0001 | 2020-07-16 |
| 1184242612 | Turner David Serr | Specialist/Technologist | 5808 W Oakcrest Dr, Sioux Falls, SD 57107-0997 | 2020-07-10 |
| 1275156796 | Megan Rose Ekern | Specialist/Technologist | 816 S Suburban Dr, Sioux Falls, SD 57110-3184 | 2020-05-19 |
| 1982231338 | Brian Fox | Specialist/Technologist | 2900 S Cliff Ave, Sioux Falls, SD 57105-5125 | 2020-03-25 |
| 1295362028 | Mary Beth Zwart | Specialist/Technologist | 1004 Campanile Avenue, Brookings, SD 57007-0001 | 2020-03-23 |
| 1083244636 | Katie Dee Willmott | Specialist/Technologist | 318 S Main Ave Ste 1, Platte, SD 57369-2120 | 2020-01-23 |
| 1013555192 | Zachary Sengelmann | Specialist/Technologist | 29749 340th Ave, Gregory, SD 57533-5018 | 2019-12-19 |
| 1205481389 | Gwyneth Brenna Nell Phillips | Specialist/Technologist | 124 12th Ave S Apt 7c, Brookings, SD 57006-2211 | 2019-08-06 |
| Find all providers with the same taxonomy | ||||
| City | FORT THOMPSON |
| Zip Code | 57339 |
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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.