DEIRDRE CHATLOS (NPI# 1700407228) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700407228 |
| Entity Type | Individual |
| Full Name | DEIRDRE CHATLOS |
| Credential | ATC |
| Practice Address |
Princeton University Caldwell Field House Princeton NJ 08544-0001 |
| Practice Telephone | 6092583527 |
| Enumeration Date | 2020-05-06 |
| Last Update Date | 2020-05-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
RT006793 | PA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
25MT00255900 | NJ | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
PRINCETON UNIVERSITY CALDWELL FIELD HOUSE |
| City | PRINCETON |
| State | NJ |
| Zip Code | 08544-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467665554 | Gladys Maria Valdesuso | Internal Medicine | Washington Road, Mccosh Health Center Princeton University, Princeton, NJ 08544 | 2007-05-07 |
| 1932320769 | Donna J Crafford | Registered Nurse | Washington Road, Princeton, NJ 08544 | 2007-05-01 |
| 1316569866 | Michael Jamison Tremblay | Specialist/Technologist | Caldwell Fieldhouse Princeton University Campus, Princeton, NJ 08544-0001 | 2020-05-07 |
| 1659657278 | William Lynch | Specialist/Technologist | Faculty Rd, Caldwell Fieldhouse, Princeton, NJ 08544-0001 | 2011-10-27 |
| 1205040797 | Ellen Kent | Psychologist | Mccosh Health Center Washington Rd, Princeton University, Princeton, NJ 08544-0001 | 2007-05-10 |
| 1336361450 | Peter Edward Johnsen | Pediatrics | Princeton University Health Services, Princeton, NJ 08544-0001 | 2007-05-02 |
| 1689899130 | Olga C Hernandez | Nurse Practitioner | University Health Services Princeton University, Washington Rd, Princeton, NJ 08544-0001 | 2007-04-17 |
| 1275757619 | Sara T Ingraffia | Nurse Practitioner | Princeton University Health Serv Mccosh Health Ctr, Washington Road, Princeton, NJ 08544-0001 | 2007-04-13 |
| 1124242474 | Jennifer Loraine Lister | Specialist | Caldwell Fieldhouse, Faculty Road, Princeton, NJ 08544-0001 | 2007-04-11 |
| 1730241266 | Natalie Lise Senese | Specialist/Technologist | Princeton University, Caldwell Fieldhouse, Princeton, NJ 08544-0001 | 2006-12-14 |
| Find all providers in zip 08544 | ||||
| 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 |
|---|---|---|---|---|
| 1427663723 | Kristine Schuerger | Specialist/Technologist | 960 Bois D'arc Dr., Princeton, TX 75407 | 2020-09-14 |
| 1316569866 | Michael Jamison Tremblay | Specialist/Technologist | Caldwell Fieldhouse Princeton University Campus, Princeton, NJ 08544-0001 | 2020-05-07 |
| 1417589987 | Shaylyn Novak | Specialist/Technologist | 650 Great Rd, Princeton, NJ 08540-2598 | 2020-02-12 |
| 1073145397 | Nicollette Roberison | Specialist/Technologist | 1217 Winfield Rd, Princeton, LA 71067-8343 | 2020-02-05 |
| 1184282147 | Laura Jeanne Goldsmith | Specialist/Technologist | 176 Edgerstoune Rd, Princeton, NJ 08540-6799 | 2019-06-04 |
| 1538635396 | Amelia Alexandra Carlson | Specialist/Technologist | 1108 16th St N, Princeton, MN 55371-6163 | 2018-10-19 |
| 1316454143 | Susan Ray Nipps | Specialist/Technologist | 71 University Pl, Princeton, NJ 08540-5122 | 2018-01-02 |
| 1508253535 | Katie Roberts | Specialist/Technologist | 405 Willow Oak Dr, Princeton, WV 24739-8729 | 2015-04-16 |
| 1952687428 | Shannon A. Koch | Specialist/Technologist | 151 Moore St, Princeton, NJ 08540-3312 | 2011-10-28 |
| 1659657278 | William Lynch | Specialist/Technologist | Faculty Rd, Caldwell Fieldhouse, Princeton, NJ 08544-0001 | 2011-10-27 |
| Find all providers in PRINCETON | ||||
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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.