BRENT ALAN MELVIN (NPI# 1700928421) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700928421 |
| Entity Type | Individual |
| Full Name | BRENT ALAN MELVIN |
| Credential | ATC |
| Practice Address |
600 Hoyt St Peru NE 68421 |
| Mailing Address |
1908 Park Ave Peru NE 68421-3044 |
| Practice Telephone | 4028722390 |
| Mailing Telephone | 4028727217 |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
400 | NE | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
600 HOYT ST |
| City | PERU |
| State | NE |
| Zip Code | 68421 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811475429 | Melissa Golus | Emergency Medicine | 600 Hoyt St, Peru, NE 68421-3073 | 2018-08-06 |
| 1386187946 | Jessica Norton | Specialist/Technologist | 600 Hoyt St, Peru, NE 68421-3073 | 2016-11-29 |
| 1790175883 | Erin Renee Koch | Specialist/Technologist | 600 Hoyt St, Peru, NE 68421-3073 | 2015-01-28 |
| 1184754020 | Vickie L Melvin | Specialist/Technologist | 600 Hoyt St, Peru, NE 68421 | 2007-03-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699978312 | City of Peru | Ambulance | 518 5th Street, Peru, NE 68421 | 2007-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437750247 | Saida Samedova | Optometrist | 5255 Il-251, Peru, IL 61354 | 2020-11-06 |
| 1386243921 | Alaynah Weisend | Registered Nurse | 315 W Old Key Dr Ste 170, Peru, IN 46970-9058 | 2020-10-24 |
| 1639786395 | Katherine Cantin | Physical Therapist | 168 Hammond Hill Rd, Peru, ME 04290-3228 | 2020-09-28 |
| 1336755941 | Sacred Heart Clinic of Lasalle Inc. | Clinic/Center | 920 West St Ste 214, Peru, IL 61354-2769 | 2020-09-18 |
| 1609481175 | Veronica Spangler | Nurse Practitioner | 1910 Plum St, Peru, IL 61354-1851 | 2020-09-11 |
| 1376152421 | Brandee Lou Barroso | Health Educator | 1226 14th St, Peru, IL 61354-1836 | 2020-07-24 |
| 1396362547 | Kayla M Matheson | Massage Therapist | 2013 4th St, Peru, IL 61354-3208 | 2020-07-02 |
| 1255958740 | Amy Nguyen | Occupational Therapist | 2989 Main St, Peru, NY 12972-2927 | 2020-06-30 |
| 1205469483 | Illinois Valley Community Hospital | Registered Nurse | 1403 Sixth Street, Peru, IL 61354 | 2020-02-17 |
| 1447896311 | Christina M Van Meter | Pharmacist | 930 W Main St., Peru, IN 46970 | 2019-11-26 |
| Find all providers in PERU | ||||
| 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 |
|---|---|---|---|---|
| 1386187946 | Jessica Norton | Specialist/Technologist | 600 Hoyt St, Peru, NE 68421-3073 | 2016-11-29 |
| 1275075590 | Kelsey Janelle Brannan | Specialist/Technologist | 1627 4th St, Peru, IL 61354-3507 | 2016-11-17 |
| 1790175883 | Erin Renee Koch | Specialist/Technologist | 600 Hoyt St, Peru, NE 68421-3073 | 2015-01-28 |
| 1447375258 | Steve Korsan | Specialist/Technologist | 1627 4th St, Peru, IL 61354-3507 | 2007-03-20 |
| 1033241807 | Gina Wiesbrock | Specialist/Technologist | 1627 4th St, Peru, IL 61354-3507 | 2007-03-09 |
| 1932230448 | Richard Gregor Badry | Specialist/Technologist | 401 N Broadway, Peru, IN 46970-1449 | 2007-03-08 |
| 1184754020 | Vickie L Melvin | Specialist/Technologist | 600 Hoyt St, Peru, NE 68421 | 2007-03-07 |
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|---|---|---|---|---|
| 1972101616 | Muriel Kuhl | Specialist/Technologist | 19905 Chicago St, Elkhorn, NE 68022-4903 | 2020-10-14 |
| 1760099014 | Rebecca Ann Ohlson | Specialist/Technologist | 1235 Sw Kelsey Cir, Lincoln, NE 68522-4446 | 2020-09-29 |
| 1033723291 | Donald J Gehr | Specialist/Technologist | 122 Heroes Blvd, Boys Town, NE 68010-7537 | 2020-09-04 |
| 1699388108 | Jennifer Hewitt | Specialist/Technologist | 21015 Cumberland Dr, Elkhorn, NE 68022-4110 | 2020-08-25 |
| 1679184675 | Chris Pavlik Jr. | Specialist/Technologist | 56591 892 Rd # Ne, Fordyce, NE 68736-5011 | 2020-08-12 |
| 1184235673 | Cheyenne Janicek | Specialist/Technologist | 7630 Ontario St, Omaha, NE 68124-4035 | 2020-08-10 |
| 1962012575 | Vanessa Derner | Specialist/Technologist | 710 Eagle View Dr, Papillion, NE 68133-2482 | 2020-08-07 |
| 1780293209 | Kyle Younkin | Specialist/Technologist | 1100 N 56th St, Lincoln, NE 68504-3251 | 2020-07-30 |
| 1235747080 | Mark Allen Kwikkel | Specialist/Technologist | 310 N 10th, Blair, NE 68008 | 2020-07-17 |
| 1922633882 | Amber Menard | Specialist/Technologist | 1013 Day Dr, Bellevue, NE 68005-4425 | 2020-03-10 |
| Find all providers with the same taxonomy | ||||
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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.