ALYSSA NOELLE WICKENHAGEN (NPI# 1558896175) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558896175 |
| Entity Type | Individual |
| Full Name | ALYSSA NOELLE WICKENHAGEN |
| Credential | ATC. |
| Practice Address |
106 N 91st Ave Yakima WA 98908 |
| Mailing Address |
106 N 91st Ave Yakima WA 98908-8473 |
| Practice Telephone | 5099615124 |
| Mailing Telephone | 5099615124 |
| Enumeration Date | 2017-04-21 |
| Last Update Date | 2017-04-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
106 N 91ST AVE |
| City | YAKIMA |
| State | WA |
| Zip Code | 98908 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447857941 | Hillary Leigh Frank | Massage Therapist | 607 S 48th Ave Suite A, Yakima, WA 98908 | 2020-10-07 |
| 1255976056 | Olusegun Adesesan Bamgbelu | Pharmacist | Memorial Cornerstone Pharmacy, 4003 Creekside Loop, Yakima, WA 98908 | 2019-11-15 |
| 1699325811 | Sunrise Dental of Yakima | Dentist | 1020 South 40th Avenue, Suite G, Yakima, WA 98908 | 2019-09-19 |
| 1962861591 | Vanessa Roth | Massage Therapist | 10607 Wide Hollow Road, Yakima, WA 98908 | 2016-02-10 |
| 1407214000 | Kristine Mcclure | Counselor | 506 N 40th Ave Ste 201, Yakima, WA 98908 | 2016-02-10 |
| 1245635069 | Harry Williams | Pharmacist | 6600 West Nob Hill Blvd, Yakima, WA 98908 | 2014-10-23 |
| 1508107509 | Richard Paul Bustetter | Registered Nurse | 6513 West Chestnut Ave, Elite Nursing P.l.l.c., Yakima, WA 98908 | 2013-03-15 |
| 1528305331 | Beverly Irene Chandler | Licensed Practical Nurse | 6573 W. Chestnut Ave, Yakima, WA 98908 | 2013-01-14 |
| 1225373764 | Susan Schell | Licensed Practical Nurse | 6513 W.chestnut Ave, Elite Nursing, Yakima, WA 98908 | 2012-12-11 |
| 1366704611 | Jenessa Leigh Hartman | Optometrist | 303 S 72nd Ave, Yakima, WA 98908 | 2012-06-12 |
| Find all providers in zip 98908 | ||||
| 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 |
|---|---|---|---|---|
| 1851990329 | Tina Daniels | Specialist/Technologist | 5104 W Nob Hill Blvd Apt 8, Yakima, WA 98908-5814 | 2020-10-25 |
| 1922473438 | Brice Baggarley | Specialist/Technologist | 6720 Baggarley Dr, Yakima, WA 98903-9486 | 2015-12-09 |
| 1447685011 | Christopher Dennis Thew | Specialist/Technologist | 702 S 40th Ave, Yakima, WA 98908-3331 | 2013-09-13 |
| 1437415098 | Kelsie Loreha Owen | Specialist/Technologist | 1107 S 16th Ave, Yakima, WA 98902-5331 | 2012-04-09 |
| 1114050358 | Christopher David Balm | Specialist/Technologist | 212 S 6th Ave, Yakima, WA 98902-3303 | 2007-03-14 |
| 1245294396 | Jeannie M Martin | Specialist/Technologist | 9206 Zier Rd, Yakima, WA 98908-9243 | 2006-04-14 |
| 1992779821 | Denton Cecil Norwood | Specialist/Technologist | 1704 W Plath Ave, Yakima, WA 98902-5251 | 2006-02-15 |
| 1609408350 | Kent Wilcox | Specialist/Technologist | 1211 N 16th Ave, Yakima, WA 98902-1347 | 2020-02-11 |
| 1881230647 | Noel A Cisneros | Specialist/Technologist | 212 S 6th Ave, Yakima, WA 98902-3303 | 2019-11-26 |
| 1396081923 | Joel E Buffum | Specialist/Technologist | 1470 N 16th Ave, Yakima, WA 98902-1381 | 2013-01-01 |
| Find all providers in YAKIMA | ||||
Please comment or provide details below to improve the information on ALYSSA NOELLE WICKENHAGEN.
| 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.