LEESA DURUSSEL (NPI# 1588057616) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588057616 |
| Entity Type | Individual |
| Full Name | LEESA DURUSSEL |
| Practice Address |
7710 S Merrill Rd Saint Charles MI 48655-9774 |
| Practice Telephone | 9896435066 |
| Enumeration Date | 2015-03-13 |
| Last Update Date | 2015-03-13 |
| 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 |
7710 S MERRILL RD |
| City | SAINT CHARLES |
| State | MI |
| Zip Code | 48655-9774 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669837993 | St. Charles Family Clinic Pllc | Family Medicine | 611 W Belle Avenue, Saint Charles, MI 48655 | 2015-12-31 |
| 1023412889 | Rachel Wells | Licensed Practical Nurse | 223 W Belle Ave, St. Charles, MI 48655 | 2014-10-22 |
| 1194140962 | Dcs Management | Assisted Living Facility | 302 Fulton Street, Saint Charles, MI 48655 | 2014-03-03 |
| 1245297415 | St Charles Pharmacy LLC | Pharmacy | 1008 N Saginaw St, St. Charles, MI 48655 | 2006-04-29 |
| 1912391418 | Pat Bashans | Registered Nurse | 10797 Carr Road, Saint Charles, MI 48655-0105 | 2015-03-23 |
| 1841274909 | Ronald Gonzales Jr. | Family Medicine | 1124 N Saginaw St, Saint Charles, MI 48655-1021 | 2005-12-02 |
| 1154368439 | Ronald L Gonzales Md Pllc | Family Medicine | 1124 N Saginaw St, Saint Charles, MI 48655-1021 | 2006-06-02 |
| 1710432836 | Carrie Wilson | Pharmacist | 1008 N Saginaw St, Saint Charles, MI 48655-1022 | 2016-08-18 |
| 1154388320 | Laura Snellenberger | Pharmacist | 1008 N Saginaw St, Saint Charles, MI 48655-1022 | 2006-04-29 |
| 1134512262 | Tricia Douglas | Specialist/Technologist | 881 W Walnut St, Saint Charles, MI 48655-1257 | 2015-03-13 |
| Find all providers in zip 48655 | ||||
| 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 |
|---|---|---|---|---|
| 1164020335 | Taylor Fumagalli | Specialist/Technologist | 1421 Woodstone Dr, Saint Charles, MO 63304-6866 | 2020-10-11 |
| 1992347371 | Brittany Selina Johnson | Specialist/Technologist | 3n709 Herman Melville Ln, Saint Charles, IL 60175-6538 | 2019-10-17 |
| 1881243327 | Kristin E Bauder | Specialist/Technologist | 1030 Howard St, Saint Charles, IL 60174-2654 | 2019-09-07 |
| 1053969063 | Benita Carson | Specialist/Technologist | 205 S Kingshighway St, Saint Charles, MO 63301-1693 | 2019-09-03 |
| 1598229825 | Caroline Bass | Specialist/Technologist | 3254 Meeker St, Saint Charles, MO 63301-8097 | 2019-01-31 |
| 1972030344 | Dan Brennan | Specialist/Technologist | Lindenwood University 209 South Kingshighway, Hyland Arena, Saint Charles, MO 63301-9998 | 2017-05-17 |
| 1750818423 | Amanda Nicole Passaglia | Specialist/Technologist | 1219 S 11th St, Saint Charles, IL 60174-3710 | 2017-05-12 |
| 1134654395 | Richard Aley | Specialist/Technologist | 24a James Dr, Saint Charles, MO 63301-4864 | 2017-04-25 |
| 1346602554 | Erica Witkowski | Specialist/Technologist | 6n 370 Crescent Lane, Saint Charles, IL 60175 | 2016-03-26 |
| 1336519669 | Sarah Martinez | Specialist/Technologist | 40w057 Carl Sandburg Rd, Saint Charles, IL 60175-7785 | 2015-09-29 |
| Find all providers in SAINT CHARLES | ||||
| City | SAINT CHARLES |
| Zip Code | 48655 |
Please comment or provide details below to improve the information on LEESA DURUSSEL.
| 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.