AMANDA CARLEN (NPI# 1649738709) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649738709 |
| Entity Type | Individual |
| Full Name | AMANDA CARLEN |
| Practice Address |
7600 County Road 50 Rockford MN 55373-8100 |
| Mailing Address |
4957 Virginia Ave N New Hope MN 55428-4105 |
| Practice Telephone | 7634775846 |
| Mailing Telephone | 3203333469 |
| Enumeration Date | 2019-03-07 |
| Last Update Date | 2019-03-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
2611 | MN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
7600 COUNTY ROAD 50 |
| City | ROCKFORD |
| State | MN |
| Zip Code | 55373-8100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467785832 | Naomi Avis Yanta | Massage Therapist | 7948b Highway 55, Rockford, MN 55373 | 2009-09-16 |
| 1366699365 | Alliance Home Health Care, LLC | Home Health | 8973 Whisper Creek Trail, Greenfield, MN 55373 | 2008-08-20 |
| 1184797896 | Steve Karg | Chiropractor | 8060 Hwy 55, Rockford, MN 55373 | 2006-11-17 |
| 1912967084 | Ann I Fromell-theis | Dentist | 9000 Walnut Street, Rockford, MN 55373 | 2006-03-24 |
| 1598179939 | Lake Sarah Dental Pllc | Dentist | 7500 State Highway 55, Suite 200, Greenfield, MN 55373 | 2014-06-13 |
| 1790796159 | Rockford Chiropractic Corporation | Chiropractor | 9000 Walnut Street, Rockford, MN 55373 | 2006-08-11 |
| 1770651754 | Ind School Dist 883 | Local Education Agency (LEA) | 6051 Ash Street, Rockford, MN 55373-0009 | 2006-11-30 |
| 1558418236 | Buffie Chiropractic Clinic PC | Chiropractor | 8340 Bridge Street, Rockford, MN 55373-0207 | 2007-01-04 |
| 1134106818 | Corey J Brenner | Dentist | 9000 Walnut St, Rockford, MN 55373-0236 | 2005-12-23 |
| 1689824898 | Corey J Brenner Dds Pllc | Clinic/Center | 9000 Walnut St, Box 236, Rockford, MN 55373-0236 | 2008-09-24 |
| Find all providers in zip 55373 | ||||
| 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 |
|---|---|---|---|---|
| 1730746116 | Kelsey Payge Edwards | Specialist/Technologist | 5125 20th St, Rockford, IL 61109-3803 | 2019-05-21 |
| 1861964736 | Britteny Weisensel | Specialist/Technologist | 5797 Kirkwood Dr, Rockford, IL 61109-3762 | 2018-12-17 |
| 1164947933 | Scarlett Waite | Specialist/Technologist | 9040 Courtland Dr Ne, Rockford, MI 49341-7200 | 2017-08-14 |
| 1912429473 | Courtney Leanne Gray | Specialist/Technologist | 319 Brown Ave, Rockford, IL 61103-4102 | 2017-07-16 |
| 1043677099 | Megan Blackburn | Specialist/Technologist | 5022 Arbutus Rd, Rockford, IL 61107-2402 | 2016-01-21 |
| 1124414842 | Jeremy Clausen | Specialist/Technologist | 6626 N Meridian Rd, Rockford, IL 61101-7879 | 2015-04-09 |
| 1861899692 | Erik John Smith | Specialist/Technologist | 321 W Jefferson St, Apt #2, Rockford, IL 61101-1024 | 2014-11-21 |
| 1063853794 | Ashley R Rogers | Specialist/Technologist | 714 Lundvall Ave, Rockford, IL 61107-3321 | 2013-07-10 |
| 1770787509 | Michael P Rose | Specialist/Technologist | 735 Highgrove Pl, Rockford, IL 61108-2520 | 2007-06-14 |
| 1396880183 | Michael Mcfarlane York | Specialist/Technologist | 4100 Kroes Rd., Rockford, MI 49341-0000 | 2007-02-20 |
| Find all providers in ROCKFORD | ||||
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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.