MR. DEAN KEVIN WENNERBERG (NPI# 1730164500) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730164500 |
| Entity Type | Individual |
| Full Name | MR. DEAN KEVIN WENNERBERG |
| Credential | A.T.,C |
| Practice Address |
6491 Barclay Ave Inver Grove Heights MN 55077-2165 |
| Practice Telephone | 6514504588 |
| Enumeration Date | 2005-12-14 |
| Last Update Date | 2014-05-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
1026 | MN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
6491 BARCLAY AVE |
| City | INVER GROVE HEIGHTS |
| State | MN |
| Zip Code | 55077-2165 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679194229 | Suite Living Senior Care of Inver Grove Heights | Assisted Living Facility | 7900 Austin Way, Inver Grove Heights, MN 55077 | 2020-05-05 |
| 1801325402 | Marnie Tuenge | Counselor | 4890 Ashley Lane, 301, Inver Grove Heights, MN 55077 | 2017-06-07 |
| 1104172576 | Amanda Lefler | Pharmacist | 7841 Amana Trail, Inver Grove Heights, MN 55077 | 2012-08-03 |
| 1568743474 | Jw Advantage Care, LLC | Home Health | 1870- 50th Street E., Suite 7, Inver Grove Heights, MN 55077 | 2011-09-06 |
| 1255625737 | Greathomemn | Assisted Living Facility | 8668 A;lvarado Court, Inver Grove Heights, MN 55077 | 2011-06-02 |
| 1760794580 | Inver Grove Heights Wp II, LLC | Alzheimer Center (Dementia Center) | 9058 Buchanan Trail, Inver Grove Heights, MN 55077 | 2010-07-09 |
| 1083847610 | Inverwood Senior Living LLC | Assisted Living Facility | 7260 So. Robert Trail, Inver Grove Heights, MN 55077 | 2009-08-31 |
| 1366822587 | Andrea Elizabeth Larson | Family Medicine | 5625 Cenex Dr, Inver Grove Heights, MN 55077 | 2015-06-03 |
| 1922485598 | Elizabeth Price | Family Medicine | 5625 Cenex Dr, Inver Grove Heights, MN 55077 | 2015-05-01 |
| 1811316730 | Abdirizak Nuno | Psychiatry & Neurology | 5625 Cenex Dr, Inver Grove Heights, MN 55077 | 2014-04-08 |
| Find all providers in zip 55077 | ||||
| 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 |
|---|---|---|---|---|
| 1952804130 | Kari Johnston | Specialist/Technologist | 5836 Blaine Ave Ste 105, Inver Grove Heights, MN 55076-1400 | 2018-03-14 |
| 1972994044 | Megan Martinez | Specialist/Technologist | 3369 Cuneen Trl, Inver Grove Heights, MN 55076-4543 | 2015-02-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861092165 | Jamie Lynn Erickson | Specialist/Technologist | 43628 374th Ln, Aitkin, MN 56431-4027 | 2020-10-27 |
| 1760082044 | Craig Daniel Merten | Specialist/Technologist | 5045 Division Ave # 5575, White Bear Lake, MN 55110-2663 | 2020-10-27 |
| 1154928927 | Heidi Frey | Specialist/Technologist | 4554 Lake Park Ct, Eagan, MN 55122-2515 | 2020-10-05 |
| 1851906887 | Teddy Ray Gildersleeve | Specialist/Technologist | 37320 Oriole Ave, Lindstrom, MN 55045-9109 | 2020-09-15 |
| 1851906697 | Tadd William Berg | Specialist/Technologist | 2415 W 9th St, Duluth, MN 55806-1150 | 2020-09-09 |
| 1952916793 | Megan Marie Hautajarvi | Specialist/Technologist | 2536 Peace Dr, Duluth, MN 55811-2971 | 2020-09-09 |
| 1871108795 | Bryce Mershon Beamish | Specialist/Technologist | 3501 Lowell St, Wayzata, MN 55391-3411 | 2020-09-09 |
| 1043825961 | Kevin Eskuri | Specialist/Technologist | 8090 172nd St W, Lakeville, MN 55044-6206 | 2020-09-09 |
| 1952916876 | Elizabeth Marie Altendorf | Specialist/Technologist | 1621 397th Ave Ne, Stanchfield, MN 55080-3303 | 2020-09-09 |
| 1699380519 | Kourtney Jean Palmi | Specialist/Technologist | 4922 Howard Gnesen Rd, Duluth, MN 55803-2710 | 2020-09-09 |
| Find all providers with the same taxonomy | ||||
| City | INVER GROVE HEIGHTS |
| Zip Code | 55077 |
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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.