LINDA I GIBBENS (NPI# 1730217225) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730217225 |
| Entity Type | Individual |
| Full Name | LINDA I GIBBENS |
| Credential | ATC, LAT |
| Practice Address |
2112 Cleveland Blvd Caldwell ID 83605-4432 |
| Mailing Address |
902 Linfield Pl Caldwell ID 83605-5197 |
| Practice Telephone | 2084595873 |
| Practice Fax Number | 2084595854 |
| Mailing Telephone | 2084548001 |
| Mailing Fax Number | 2084548001 |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
2255A2300X | ID | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
2112 CLEVELAND BLVD |
| City | CALDWELL |
| State | ID |
| Zip Code | 83605-4432 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144377854 | Julene Dillehay | Counselor | 2112 Cleveland Blvd, Caldwell, ID 83605-4432 | 2007-01-04 |
| 1740614437 | Jamie Lynn Jolliffe | Specialist/Technologist | 2112 Cleveland Blvd, Athletics, Caldwell, ID 83605-4432 | 2013-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518585660 | Laurie Bernstein | Occupational Therapist | 2205 Sunset Avenue, Caldwell, ID 83605 | 2020-07-06 |
| 1881249316 | Elevate Academy | Local Education Agency (LEA) | 114 W. Chicago St., Caldwell, ID 83605 | 2019-08-01 |
| 1669025359 | James Smith | Pharmacist | 2809 E Caldwell Blvd, Caldwell, ID 83605 | 2019-07-22 |
| 1164910824 | Michelle Stoddard | Physician Assistant | 315 E Elm St Ste 200, Caldwell, ID 83605 | 2018-04-27 |
| 1215430483 | Amy E Rudolf | Pharmacist | 315 E Elm St Ste 150, Caldwell, ID 83605 | 2018-03-14 |
| 1871044883 | Kool Ridez LLC | Case Management | 1803 Ellis Ave., Caldwell, ID 83605 | 2016-10-14 |
| 1932550795 | Chris Torgerson | Social Worker | 3402 Franklin Blvd, Caldwell, ID 83605 | 2016-06-23 |
| 1609237742 | Peggy A Mcfarland | Counselor | 534 Cleveland Suite 230, Caldwell, ID 83605 | 2016-03-17 |
| 1720468101 | Devin Douglas Dredge | Emergency Medicine | 1717 Arlington Ave Dept Of, Caldwell, ID 83605 | 2015-06-01 |
| 1578950168 | Trinidad Bridge | Licensed Practical Nurse | 2909 S. 10th Avenue, Caldwell, ID 83605 | 2015-04-21 |
| Find all providers in zip 83605 | ||||
| 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 |
|---|---|---|---|---|
| 1285162354 | Ali Lee | Specialist/Technologist | 1249 S Anson Rd, Caldwell, KS 67022-8337 | 2017-06-01 |
| 1518097526 | Eric Ray Burfeind | Specialist/Technologist | 3401 S Indiana Ave, Caldwell, ID 83605-6464 | 2007-03-07 |
| 1619007903 | Mandy R Redmond | Specialist/Technologist | 1407 E Homedale Rd, Caldwell, ID 83607-1848 | 2007-03-06 |
| 1588206650 | Claire M'lynn Young | Specialist/Technologist | 309 E Logan St, Caldwell, ID 83605-4863 | 2019-10-10 |
| 1740614437 | Jamie Lynn Jolliffe | Specialist/Technologist | 2112 Cleveland Blvd, Athletics, Caldwell, ID 83605-4432 | 2013-08-29 |
| 1326263179 | Kira Ann Skroh | Specialist/Technologist | 1407 E Homedale Rd, Caldwell, ID 83607-1848 | 2007-04-16 |
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| 1174149389 | Santiago A Segura Barron | Specialist/Technologist | Holt Arena 550 Memorial Drive Building 50, Pocatello, ID 83209-0001 | 2020-06-23 |
| 1942824545 | Maya S Gough | Specialist/Technologist | 10284 W Virginia City St, Star, ID 83669-5619 | 2020-05-31 |
| 1013531680 | Dalton Tanner Pitts | Specialist/Technologist | 1433 W A St, Moscow, ID 83843-3274 | 2020-05-29 |
| 1083238646 | Shyla Marie Flavel | Specialist/Technologist | 1022 W Recess Way, Kuna, ID 83634-2459 | 2020-05-29 |
| 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.