NICHOLAS ALLEN PIPPIN (NPI# 1689237554) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689237554 |
| Entity Type | Individual |
| Full Name | NICHOLAS ALLEN PIPPIN |
| Credential | ATC |
| Practice Address |
2300 S 1st St Champaign IL 61820-7661 |
| Practice Telephone | 2173839400 |
| Mailing Telephone | 8155099211 |
| Enumeration Date | 2019-04-17 |
| Last Update Date | 2019-04-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
096004285 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
2300 S 1ST ST |
| City | CHAMPAIGN |
| State | IL |
| Zip Code | 61820-7661 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679530836 | Cathy L Borst | Occupational Therapist | 2300 S 1st St, Champaign, IL 61820-7661 | 2006-04-28 |
| 1720619232 | Jacob Blasingame | Physician Assistant | 2300 S 1st St, Champaign, IL 61820-7661 | 2020-02-03 |
| 1578110607 | Kathleen Morrison | Specialist/Technologist | 2300 S 1st St, Champaign, IL 61820-7661 | 2019-08-22 |
| 1609423904 | Lauren A Henderson | Physical Therapist | 2300 S 1st St, Champaign, IL 61820-7661 | 2019-08-21 |
| 1154803351 | Christopher Nguyen | Physical Therapist | 2300 S 1st St, Champaign, IL 61820-7661 | 2018-09-04 |
| 1902310642 | Julie A Shain | Nurse Practitioner | 2300 S 1st St, Champaign, IL 61820-7661 | 2017-11-16 |
| 1851818942 | April M Shaw | Physical Therapist | 2300 S 1st St, Champaign, IL 61820-7661 | 2017-08-29 |
| 1629594825 | Adam T Carver | Physical Therapist | 2300 S 1st St, Champaign, IL 61820-7661 | 2017-08-18 |
| 1053850586 | Alger Penas | Nurse Practitioner | 2300 S 1st St, Champaign, IL 61820-7661 | 2017-02-16 |
| 1134520539 | Jariah Fulson | Specialist/Technologist | 2300 S 1st St, Champaign, IL 61820-7661 | 2014-09-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982217345 | Costco Wholesale Corporation | Pharmacy | 2002 N. Neil St., Champaign, IL 61820 | 2020-08-26 |
| 1255963583 | Jamey Richard Bailey | Social Worker | 701 Devonshire Drive, Bldg C, Suite 206, C-6, Champaign, IL 61820 | 2020-02-05 |
| 1790247443 | Jason Abrams | Counselor | 201 W Springfield Ave., Suite 1002-1003, Champaign, IL 61820 | 2019-04-02 |
| 1184100273 | Janine Rafferty | Pharmacist | 2002 N Neil St, Champaign, IL 61820 | 2018-07-12 |
| 1417475070 | Brodbeck Counseling, PC | Community/Behavioral Health | 301 N. Neil Street Suite 323, Champaign, IL 61820 | 2017-09-05 |
| 1447773726 | Quanata M Pelmore | Nurse's Aide | 508 E. Vine St, Champaign, IL 61820 | 2017-07-19 |
| 1821518127 | Molly Mclay | Social Worker | 309 W Clark St., Champaign, IL 61820 | 2017-06-27 |
| 1396265849 | Lou Echols Chambers | Audiologist | 901 South Sixth Street, Chamapign, IL 61820 | 2017-06-26 |
| 1962874495 | Luciana Angelica Guardini | Social Worker | 100 North Chestnut Street, Suite 244, Champaign, IL 61820 | 2015-10-23 |
| 1538544465 | Cpo Services, Inc. | Prosthetic/Orthotic Supplier | 410 E University Ave Ste 105, Champaign, IL 61820 | 2015-07-21 |
| Find all providers in zip 61820 | ||||
| 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 |
|---|---|---|---|---|
| 1437778412 | Robert Francis Macfarlane IIi | Specialist/Technologist | 3105 Palmer Dr, Champaign, IL 61822-1366 | 2020-04-10 |
| 1376181602 | Karianne J Gardner | Specialist/Technologist | 4702 Vahalla Dr, Champaign, IL 61822-3334 | 2019-12-17 |
| 1831735851 | Connor Patrick Doherty | Specialist/Technologist | 1207 S Oak St # Mc-574, Champaign, IL 61820-6901 | 2019-11-25 |
| 1063991248 | Haley Holz | Specialist/Technologist | 1700 S 4th St, Champaign, IL 61820-6941 | 2018-08-09 |
| 1578071296 | Brady Baker | Specialist/Technologist | 1206 S 4th St, Champaign, IL 61820-6953 | 2018-01-16 |
| 1346759586 | Autumn Nicole Taylor | Specialist/Technologist | 1750 S 4th St, Champaign, IL 61820-6948 | 2017-09-20 |
| 1972059418 | Rebecca Lynn Kaefring | Specialist/Technologist | 4611 Brittany Trail Dr, Champaign, IL 61822-3547 | 2016-08-25 |
| 1710375712 | Randy Allan Ballard | Specialist/Technologist | 3112 Valerie Dr, Champaign, IL 61822-1831 | 2014-12-30 |
| 1932507779 | Kevin Moehn | Specialist/Technologist | 622 W Clark St Apt 3, Champaign, IL 61820-4665 | 2014-12-10 |
| 1669877866 | Shanti Calabrese | Specialist/Technologist | 302 Hessel Blvd, Champaign, IL 61820-6416 | 2014-10-30 |
| Find all providers in CHAMPAIGN | ||||
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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.