BREANNE ALICIA LATTIMER (NPI# 1689682692) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689682692 |
| Entity Type | Individual |
| Full Name | BREANNE ALICIA LATTIMER |
| Credential | MED LAT ATC |
| Practice Address |
2310 California Rd Elkhart IN 46514-1228 |
| Practice Telephone | 5742640791 |
| Practice Fax Number | 5749701374 |
| Mailing Telephone | 5742640791 |
| Mailing Fax Number | 5749701374 |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
36001180A LAT | IN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
2310 CALIFORNIA RD |
| City | ELKHART |
| State | IN |
| Zip Code | 46514-1228 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720073521 | Edith M Cullen | Family Medicine | 2310 California Rd, Elkhart, IN 46514-1228 | 2005-09-19 |
| 1194334631 | Candie Books | Nurse Practitioner | 2310 California Rd, Elkhart, IN 46514-1228 | 2020-07-30 |
| 1255949962 | Magdalena Graber-yoder Nowicki | Occupational Therapist | 2310 California Rd, Elkhart, IN 46514-1228 | 2020-07-20 |
| 1326419037 | Lauren Nicole Horvath | Occupational Therapist | 2310 California Rd, Suite A, Elkhart, IN 46514-1228 | 2015-10-08 |
| 1023418811 | Jessica Kase | Physical Therapist | 2310 California Rd, Elkhart, IN 46514-1228 | 2014-08-28 |
| 1639445786 | Jessica Marie Eichorst | Specialist/Technologist | 2310 California Rd, Elkhart, IN 46514-1228 | 2012-03-22 |
| 1730465964 | Deborah Sue Maiden | Nurse Practitioner | 2310 California Rd, Elkhart, IN 46514-1228 | 2011-11-02 |
| 1578869863 | Julie Ann Rheinheimer | Registered Nurse | 2310 California Rd, Suite A, Elkhart, IN 46514-1228 | 2011-02-03 |
| 1679894547 | Ryan P. Foreman | Family Medicine | 2310 California Rd, Elkhart, IN 46514-1228 | 2010-06-15 |
| 1871723296 | Christopher J. Lingle | Physical Therapist | 2310 California Rd, Elkhart, IN 46514-1228 | 2009-07-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891333522 | Adam Collier | Nurse Anesthetist, Certified Registered | 600 Elkhart Boulvard, Elkhart, IN 46514 | 2019-12-12 |
| 1861034688 | Heart City Health Center, Inc. | Obstetrics & Gynecology | 1545 Cassopolis Street, Elkhart, IN 46514 | 2019-10-14 |
| 1982263398 | Fresenius Medical Care North Elkhart, LLC | Clinic/Center | 801 W Bristol St, Elkhart, IN 46514 | 2019-06-10 |
| 1487118220 | Hellenic Senior Living of Elkhart, LLC | Assisted Living Facility | 2528 Bypass Road, Elkhart, IN 46514 | 2019-01-25 |
| 1922595792 | Anna Cornelia Smith | Nutritionist | 51803 Tall Pines Dr, Elkhart, IN 46514 | 2018-04-17 |
| 1114438496 | Erika Lynn Farrell | Counselor | 3120 Suite B Windsor Court, Elkhart, IN 46514 | 2017-10-13 |
| 1740728948 | Michael Scheretie | Nurse Anesthetist, Certified Registered | 52866 Wildflower Ln, Elkhart, IN 46514 | 2017-02-08 |
| 1821355876 | Marcy Lynn Adams | Nurse Practitioner | 1104 W Bristol St, Elkhart, IN 46514 | 2012-04-16 |
| 1053694265 | Paul A. Price | Pharmacist | 1400 Cassopolis St., Elkhart, IN 46514 | 2011-09-23 |
| 1528362647 | Beacon Medical Group, Inc. | Internal Medicine | 500 Arcade Ave., Suite 400, Elkhart, IN 46514 | 2011-01-04 |
| Find all providers in zip 46514 | ||||
| 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 |
|---|---|---|---|---|
| 1750846242 | Hanna Hess | Specialist/Technologist | 56658 Elm Ridge Rd, Elkhart, IN 46516-1721 | 2019-02-08 |
| 1598043846 | Nicole Howe | Specialist/Technologist | 54850 Eisenhower Dr, Elkhart, IN 46514-1031 | 2011-08-03 |
| 1861452013 | Stacy Ann Struble | Specialist/Technologist | 59702 County Road 11, Elkhart, IN 46517-9734 | 2006-03-23 |
| 1639445786 | Jessica Marie Eichorst | Specialist/Technologist | 2310 California Rd, Elkhart, IN 46514-1228 | 2012-03-22 |
| 1447301494 | Amy Whitinger | Specialist/Technologist | 2310 California Rd, Elkhart, IN 46514-1228 | 2007-01-16 |
| 1780692798 | Sara Korin Kristi Atkinson | Specialist/Technologist | 2310 California Rd, Elkhart, IN 46514-1228 | 2006-08-04 |
| 1205844214 | Pamela Lynn Pfail | Specialist/Technologist | 2310 California Road, Elkhart, IN 46514-1228 | 2006-08-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295342988 | Sarah Elizabeth Schiller | Specialist/Technologist | 3499 W 800 S, Fort Branch, IN 47648-8174 | 2020-09-26 |
| 1093321374 | Claire Elizabeth Sayre | Specialist/Technologist | 7764 W County Road 625 N, Middletown, IN 47356-9725 | 2020-09-22 |
| 1386256071 | Dylan A Wirick | Specialist/Technologist | 3547 Mechanicsburg Dr, Indianapolis, IN 46227-9626 | 2020-08-23 |
| 1750993267 | Kathryn Ruark | Specialist/Technologist | 625 Canal View Dr Apt G, Indianapolis, IN 46202-6121 | 2020-08-18 |
| 1679184477 | Zachry Skinner | Specialist/Technologist | 1683 E Hanna Ave, Indianapolis, IN 46227 | 2020-08-14 |
| 1538778139 | Tyralee Frye | Specialist/Technologist | 731 Lincoln Dr, Bloomfield, IN 47424-1023 | 2020-07-29 |
| 1902415508 | Kaitlyn Kendrick | Specialist/Technologist | 2909 Tindall St, Indianapolis, IN 46203-5449 | 2020-07-29 |
| 1063037166 | Ronald Lee Ennis Jr. | Specialist/Technologist | 307 Henley Rd, Richmond, IN 47374-5946 | 2020-06-15 |
| 1235753278 | Lauren Schnell | Specialist/Technologist | 3196 Lakeside Dr, Jasper, IN 47546-9517 | 2020-06-05 |
| 1942824552 | Deni Nicole Roller | Specialist/Technologist | 544 Royalton Dr, New Haven, IN 46774-2658 | 2020-05-31 |
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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.