SPENCER MCCORMICK (NPI# 1689068306) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689068306 |
| Entity Type | Individual |
| Full Name | SPENCER MCCORMICK |
| Practice Address |
2208 11th Ave N Grand Forks ND 58203-2225 |
| Practice Telephone | 2072142421 |
| Enumeration Date | 2015-03-19 |
| Last Update Date | 2015-03-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| 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 |
2208 11TH AVE N |
| City | GRAND FORKS |
| State | ND |
| Zip Code | 58203-2225 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326354978 | Valley Med Flight Inc | Ambulance | 2403 Air Cargo Dr, Grand Forks, ND 58203 | 2010-08-20 |
| 1285842765 | Amanda Caroline Ostlie | Physical Therapy Assistant | 1809 5th Ave N, Grand Forks, ND 58203 | 2007-05-18 |
| 1346396314 | Carla Steen | Speech-Language Pathologist | 501 N Columbia Rd Stop 8040, Grand Forks, ND 58203 | 2007-01-25 |
| 1457408239 | Rebecca Ann Westereng | Dietitian, Registered | 725 Hamline St Altru Family Medicine Residency, Grand Forks, ND 58203 | 2007-01-04 |
| 1912063587 | Northridge Counseling Centre Inc | Counselor | 215 N 3rd Street, Suite 202a, Grand Forks, ND 58203 | 2006-12-28 |
| 1245318625 | Charles Lee Bridgeford | Dentist | 117 North Washington Street, Grand Forks, ND 58203 | 2006-11-01 |
| 1497833933 | Casey J Ryan | Internal Medicine | 725 Hamline St - Altru Family Medicine Residency, Grand Forks, ND 58203 | 2006-11-01 |
| 1033217955 | Diane Kay Baumbach | Social Worker | 2755 10th Ave N, Grand Forks, ND 58203 | 2006-09-21 |
| 1841217320 | Heidi J Philpot | Family Medicine | 725 Hamline Street, Grand Forks, ND 58203 | 2006-07-17 |
| 1902415805 | Aura Patricia Ileto Azarcon | Student in an Organized Health Care Education/Training Program | 725 Hamline Street, Altru Family Medicine Residency, Grand Forks, ND 58203 | 2020-07-27 |
| Find all providers in zip 58203 | ||||
| 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 |
|---|---|---|---|---|
| 1043851686 | Young Men's Christian Association of Grand Forks | Specialist/Technologist | 215 N 7th St, Grand Forks, ND 58203-3668 | 2019-10-04 |
| 1306301932 | Sydney Larson | Specialist/Technologist | 2008 Cottonwood St, Grand Forks, ND 58201-7366 | 2019-02-07 |
| 1295203537 | Abigail Grace Sistad | Specialist/Technologist | 520 N 7th St, Grand Forks, ND 58203-3243 | 2018-11-05 |
| 1205339025 | Katie Espe | Specialist/Technologist | 1712 Cottonwood St, Grand Forks, ND 58201-7360 | 2018-03-18 |
| 1720435134 | Cameron Nichols | Specialist/Technologist | 1301 N Columbia Rd Stop 9037, Grand Forks, ND 58202-9037 | 2016-05-16 |
| 1215305990 | Estephania Nunez | Specialist/Technologist | 3450 Ruemmele Rd, Apt 112, Grand Forks, ND 58201-6072 | 2015-09-11 |
| 1528452687 | Janelle Berg | Specialist/Technologist | 2113 5th Ave N, Grand Forks, ND 58203-2923 | 2015-03-26 |
| 1588058218 | Darci Wendeborn | Specialist/Technologist | 3900 S 11th St, Apt 213, Grand Forks, ND 58201-7376 | 2015-03-19 |
| 1871987594 | Rachel Dreibelbeis | Specialist/Technologist | 2202 11th Ave N, Grand Forks, ND 58203-2225 | 2015-03-19 |
| 1013301746 | Kara Wetzel | Specialist/Technologist | 3841 Gardenview Dr Apt 312, Grand Forks, ND 58201-7345 | 2015-03-19 |
| Find all providers in GRAND FORKS | ||||
| City | GRAND FORKS |
| Zip Code | 58203 |
Please comment or provide details below to improve the information on SPENCER MCCORMICK.
| 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.