GRACE JUNGCLAS (NPI# 1619366291) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619366291 |
| Entity Type | Individual |
| Full Name | GRACE JUNGCLAS |
| Practice Address |
102 Spring Bud Dr Cary NC 27513-3543 |
| Practice Telephone | 9196055388 |
| Mailing Telephone | 9196055388 |
| Enumeration Date | 2015-01-20 |
| Last Update Date | 2015-01-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
2263 | NC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
102 SPRING BUD DR |
| City | CARY |
| State | NC |
| Zip Code | 27513-3543 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912525155 | Erikare At Home | In Home Supportive Care | 1750 Nw Maynard Road, Ste 100, Office 103, Cary, NC 27513 | 2020-07-13 |
| 1811527583 | Octavia Shada Allen | Behavior Technician | 15501 Western Parkway Suite 130, Cary, NC 27513 | 2020-01-22 |
| 1790249605 | Carolyn Ann Berlin | Nurse Practitioner | 3600 Northwest Cary Pkwy. Suite 104, Cary, NC 27513 | 2019-01-24 |
| 1346722550 | Wesley B Smith Dds Pa | Dentist | 130 Preston Executive Drive Suite 203, Cary, NC 27513 | 2018-09-04 |
| 1366920852 | Tsua Lor | Dentist | 3122 Lakeside View Ct, Cary, NC 27513 | 2018-08-06 |
| 1184133894 | Rebekah Lee Crisp | Occupational Therapist | Leagacy Healthcare Services At Searstone, 210 Walker Stone Drive, Cary, NC 27513 | 2017-09-26 |
| 1790203354 | Babies On The Move LLC | Physical Therapist | 100 Cavendish Dr, Cary, NC 27513 | 2017-09-05 |
| 1790157881 | Riccobene & Associates Xii, Dds, P.a. | Clinic/Center | 1203 Nw Maynard Road, Cary, NC 27513 | 2015-10-28 |
| 1508237413 | Riccobene & Associates Xv, Dds, P.a. | Clinic/Center | 1203 Northwest Maynard Road, Cary, NC 27513 | 2015-10-19 |
| 1104293356 | Katherine J Gooding | Audiologist-Hearing Aid Fitter | 301 Maynard Crossing Court, Cary, NC 27513 | 2015-08-24 |
| Find all providers in zip 27513 | ||||
| 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 |
|---|---|---|---|---|
| 1598380669 | Robert Assadurian | Specialist/Technologist | 333 Baronet Bend Dr, Cary, NC 27513-3404 | 2020-06-14 |
| 1598299638 | Brian Goodale | Specialist/Technologist | 6770 Mccrimmon Pkwy, Cary, NC 27519-1838 | 2017-04-15 |
| 1932644846 | Rachel Young | Specialist/Technologist | 605 Se Maynard Rd, Cary, NC 27511-5717 | 2016-12-31 |
| 1528423308 | Boston Waltenberger | Specialist/Technologist | 1500 N Harrison Ave, Cary, NC 27513-5549 | 2015-12-22 |
| 1356741367 | Nathan Harris | Specialist/Technologist | 116 W Skyhawk Dr, Cary, NC 27513-2821 | 2014-08-27 |
| 1295167344 | Corrie Lynn Struble | Specialist/Technologist | 111 Skipwyth Cir, Cary, NC 27513-2415 | 2013-07-31 |
| 1255692091 | Jessica Dawn Achatz | Specialist/Technologist | 113 Ribbon Ln Apt M, Cary, NC 27518-6887 | 2012-06-07 |
| 1669522124 | Paul Gerhardt | Specialist/Technologist | 2208 3 Oaks Rd, Cary-grove High School, Cary, IL 60013-1627 | 2007-01-10 |
| 1336213313 | Anthony Horton | Specialist/Technologist | 111 Union Mills Way, Cary, NC 27519-6915 | 2006-11-20 |
| 1750300349 | Christine Anne Hughes | Specialist/Technologist | 2615 Three Oaks Road, Suite 1a, Cary, IL 60013 | 2006-07-18 |
| Find all providers in CARY | ||||
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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.