MR. CAMERON NICHOLS (NPI# 1720435134) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720435134 |
| Entity Type | Individual |
| Full Name | MR. CAMERON NICHOLS |
| Practice Address |
1301 N Columbia Rd Stop 9037 Grand Forks ND 58202-9037 |
| Mailing Address |
1220 55th Ave S Apt 205 Grand Forks ND 58201-9270 |
| Practice Telephone | 5012400317 |
| Mailing Telephone | 5012400317 |
| Enumeration Date | 2016-05-16 |
| Last Update Date | 2020-04-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
ND | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | |
| N | 174H00000X | Health Educator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699201855 | Cameron Nichols | Student in an Organized Health Care Education/Training Program | 1250 E Marshall St., Richmond, VA 23298 | 2017-05-10 |
| 1730411455 | Cameron Nichols | Physician Assistant | 1510 Stockton Hill Rd, Kingman, AZ 86401-5173 | 2010-02-04 |
| Street Address |
1301 N COLUMBIA RD STOP 9037 |
| City | GRAND FORKS |
| State | ND |
| Zip Code | 58202-9037 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679197818 | Jude Christopher Barber | Surgery | 1301 N Columbia Rd Stop 9037, Und Department of Surgery, Grand Forks, ND 58202-9037 | 2020-06-03 |
| 1861049827 | Makoto Tsuchiya | Specialist/Technologist | 1301 N Columbia Rd Stop 9037, Grand Forks, ND 58202-9037 | 2019-08-23 |
| 1033639687 | Chani Marie Taggart | Surgery | 1301 N Columbia Rd Stop 9037, Grand Forks, ND 58202-9037 | 2017-06-26 |
| 1770003329 | Erin Marie Follman | Surgery | 1301 N Columbia Rd Stop 9037, Und Department of Surgery, Grand Forks, ND 58104 | 2017-06-25 |
| 1669992384 | Dustin Nowotny | Surgery | 1301 N Columbia Rd Stop 9037, Grand Forks, ND 58202-9037 | 2017-06-23 |
| 1326568270 | Tyler John Vandevoort | Surgery | 1301 N Columbia Rd Stop 9037, Und Department of Surgery, Grand Forks, ND 58202-9037 | 2017-06-21 |
| 1871013938 | Dwayne Maxwell Hansen Jr. | Surgery | 1301 N Columbia Rd Stop 9037, Und Department of Surgery, Grand Forks, ND 58202-9037 | 2017-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538541958 | Matthew Cziep | Surgery | 1301 N Columbia Rd Rm E270, Grand Forks, ND 58202 | 2015-06-22 |
| 1306836937 | Elizabeth Ann Tyree | Physician Assistant | 5th Avenue North and Harvard Streets, Grand Forks, ND 58202 | 2005-10-25 |
| 1962054171 | Zachery Tyler Staskywicz | Surgery | University of North Dakota Smhs Department of Surgery, 1301 North Columbia Road Stop 9037, Grand Forks, ND 58202 | 2019-07-09 |
| 1013390129 | Seye Adekeye | Surgery | 501 N Columbia Rd Stop 9037, Und Department of Surgery, Grand Forks, ND 58202 | 2015-07-07 |
| 1477894285 | Eva Michelle Beeker | Counselor | Mccannel Hall Room 200, 2891 2nd Ave N Stop 9042, Grand Forks, ND 58202-0798 | 2013-03-05 |
| 1821509274 | Anv Services LLC | Clinic/Center | 4201 James Ray Dr, Grand Forks, ND 58202-6026 | 2017-10-12 |
| 1558759308 | Mayumi Ogino | Specialist/Technologist | 2751 2nd Ave N Rm 115, Mail Stop 9013, Grand Forks, ND 58202-6060 | 2015-01-02 |
| 1255732988 | Alicia Champagne | Specialist/Technologist | 2751 2nd Ave N, Stop 9013, Grand Forks, ND 58202-6060 | 2014-09-12 |
| 1235764432 | Mikala Jo Springer | Student in an Organized Health Care Education/Training Program | 2751 2nd Ave N, Grand Forks, ND 58202-6060 | 2020-03-08 |
| 1790341972 | Katelynn Marie Kostelecky | Physical Therapist | 2751 2nd Ave N Rm 115, Grand Forks, ND 58202-6060 | 2019-05-14 |
| Find all providers in zip 58202 | ||||
| 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 |
| 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 |
| 1689068306 | Spencer Mccormick | Specialist/Technologist | 2208 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 | 58202 |
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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.