SEAN THUESEN (NPI# 1639569585) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639569585 |
| Entity Type | Individual |
| Full Name | SEAN THUESEN |
| Credential | LAT, CSCS |
| Practice Address |
705 S University Ave Beaver Dam WI 53916-3053 |
| Mailing Address |
2594 Leopold Way Apt 111 Sun Prairie WI 53590-7067 |
| Practice Telephone | 6126005596 |
| Enumeration Date | 2015-01-30 |
| Last Update Date | 2016-06-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
1752-39 | WI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
705 S UNIVERSITY AVE |
| City | BEAVER DAM |
| State | WI |
| Zip Code | 53916-3053 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558354068 | Paul R Mcmillan | Family Medicine | 705 S University Ave, Suite 200, Beaver Dam, WI 53916-3053 | 2005-08-30 |
| 1043786296 | Sherry Bisbee | Pharmacist | 705 S University Ave, Beaver Dam, WI 53916-3053 | 2018-10-15 |
| 1831549005 | Natalie Ross | Registered Nurse | 705 S University Ave, Suite 300, Beaver Dam, WI 53916-3053 | 2016-06-17 |
| 1770979650 | Bethany N Perry | Nurse Practitioner | 705 S University Ave, Suite 500, Beaver Dam, WI 53916-3053 | 2015-04-08 |
| 1871847731 | Ronay Bjerke | Pharmacist | 705 S University Ave, Suite 180, Beaver Dam, WI 53916-3053 | 2012-10-30 |
| 1366725541 | Bryant Randall Kearney | Physician Assistant | 705 S University Ave, Ste 150, Beaver Dam, WI 53916-3053 | 2011-09-23 |
| 1578845202 | Peggy A Katsma | Nurse Practitioner | 705 S University Ave, Suite 200, Beaver Dam, WI 53916-3053 | 2011-09-20 |
| 1164712014 | Catherine Em Nelson | Family Medicine | 705 S University Ave, Suite 500, Beaver Dam, WI 53916-3053 | 2011-04-12 |
| 1306146972 | Jessica Ann Nehls-rennhack | Nurse Practitioner | 705 S University Ave, Suite 500, Beaver Dam, WI 53916-3053 | 2010-10-28 |
| 1205143302 | Jayme K Quade | Registered Nurse | 705 S University Ave, Ste 510, Beaver Dam, WI 53916-3053 | 2010-09-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538718283 | Paulette Neibauer | Technician | N7262 Farwell Rd., Beaver Dam, WI 53916 | 2019-09-05 |
| 1902336597 | Tricounty Homecare Inc | In Home Supportive Care | 140 Corporate Dr Ste 2, Beaver Dam, WI 53916 | 2017-06-15 |
| 1528502754 | Jessica Marie Blatz | Counselor | 809 Park Aveune, Beaver Dam, WI 53916 | 2016-12-07 |
| 1376090886 | Beaver Dam Hearing Care, LLC | Hearing Aid Equipment | 705 University Ave, Suite 170, Beaver Dam, WI 53916 | 2016-09-01 |
| 1275902546 | Beaver Dam Community Hospitals Inc | Pharmacy | 705 S University Ave Ste 180, Beaver Dam, WI 53916 | 2015-09-17 |
| 1609242825 | Tami Joe Delisle | Counselor | 207 North Spring Street, Beaver Dam, WI 53916 | 2015-08-12 |
| 1366833394 | Beaver Dam Community Hospitals, Inc | Surgery | 705 S University Ave Ste 350, Beaver Dam, WI 53916 | 2015-02-12 |
| 1326471608 | Raquel Rodriguez-guzman | Pharmacist | 205 La Crosse Street, Beaver Dam, WI 53916 | 2013-08-09 |
| 1558608828 | Mary Y Kunz | Licensed Practical Nurse | 6550 N Highway 151 Lot 63, Beaverdam, WI 53916 | 2013-01-07 |
| 1881938454 | Brock Holden Slinger | Physical Therapist | 205 Monroe St. #13, Beaver Dam, WI 53916 | 2012-11-20 |
| Find all providers in zip 53916 | ||||
| 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 |
|---|---|---|---|---|
| 1689164402 | Joshua George Stibb | Specialist/Technologist | W10437 County Road G, Beaver Dam, WI 53916-9552 | 2018-05-16 |
| 1124569694 | Nikita Fetter | Specialist/Technologist | 914 N Spring St, Beaver Dam, WI 53916-1752 | 2017-03-16 |
| 1336529296 | Chancelor Lucas Hernandez | Specialist/Technologist | 707 S University Ave, Beaver Dam, WI 53916-3027 | 2015-06-05 |
| 1992140925 | Michelle Woods | Specialist/Technologist | 707 S University Ave, Beaver Dam, WI 53916-3027 | 2013-05-03 |
| 1851404248 | Elizabeth A Hansmann | Specialist/Technologist | 118 W Maple Ave, Beaver Dam, WI 53916-2104 | 2006-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427657329 | Tyler John Friis | Specialist/Technologist | 1514 E Keystone Ln, Appleton, WI 54913-7162 | 2020-10-21 |
| 1184222085 | Ryan James Mcnamara | Specialist/Technologist | 28914 Golden Cir, Waterford, WI 53185-1197 | 2020-10-13 |
| 1770198699 | Tanner Sterling | Specialist/Technologist | 2538 E Garrison Rd, Foxboro, WI 54836-9507 | 2020-09-09 |
| 1922626670 | Eric William Brostrom | Specialist/Technologist | 3305 Lilly Rd, Brookfield, WI 53005-7608 | 2020-07-09 |
| 1174146690 | Brycen Valiga | Specialist/Technologist | 4477 S 113th St, Greenfield, WI 53228-2566 | 2020-05-19 |
| 1104448307 | Xeing Randy Yang | Specialist/Technologist | 2207 Namekagon St, Hudson, WI 54016-9426 | 2020-05-11 |
| 1073134615 | Brian Wood | Specialist/Technologist | 1950 Washington St, Grafton, WI 53024-2103 | 2020-05-06 |
| 1124649751 | Cody Scott Tesch | Specialist/Technologist | 6680 N Teutonia Ave, Milwaukee, WI 53209-3117 | 2020-05-05 |
| 1659992642 | Kelley Potila | Specialist/Technologist | 255 Maggilu Ct, Jefferson, WI 53549-2095 | 2020-04-30 |
| 1366070708 | Claire Duwell | Specialist/Technologist | 9111 W Bluemound Rd, Milwaukee, WI 53226-4506 | 2020-03-31 |
| Find all providers with the same taxonomy | ||||
| City | BEAVER DAM |
| Zip Code | 53916 |
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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.