JASON R BERGLUND (NPI# 1750668141) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750668141 |
| Entity Type | Individual |
| Full Name | JASON R BERGLUND |
| Credential | ATC |
| Practice Address |
6050 Tacoma Mall Blvd Ste 300 Tacoma WA 98409-6828 |
| Practice Telephone | 2538515200 |
| Mailing Telephone | 2538515200 |
| Enumeration Date | 2011-11-14 |
| Last Update Date | 2020-08-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
A160590112 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
36002146A | IN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
096.002661 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | WASHINGTON STATE DEPARTMENT OF HEALTH - ATHLETIC TRAINER LICENSE | A160590112 | 01 |
| IL | STATE OF ILLINOIS - DEPARTMENT OF FINANCIAL AND PROFESSIONAL REG | 096.002661 | 01 |
| BOARD OF CERTIFICATION, INC. (NATA) | 090702258 | 01 | |
| IN | INDIANA PROFESSIONAL LICENSING AGENCY ATHLETIC TRAINERS BOARD | 36002146A | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861986796 | Jason Andrew Berglund | Dentist | 7500 Cambridge St Ste 6510, Houston, TX 77054-2032 | 2018-06-14 |
| Street Address |
6050 TACOMA MALL BLVD STE 300 |
| City | TACOMA |
| State | WA |
| Zip Code | 98409-6828 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609493691 | Daniel Trapp | Physical Therapist | 6050 Tacoma Mall Blvd Ste 300, Tacoma, WA 98409-6828 | 2020-06-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053942805 | Terah Jo Barker | Behavior Technician | 4301 South Pine St., Suite 505, Tacoma, WA 98409 | 2020-01-30 |
| 1427526797 | Carrissa Bentley | Social Worker | 3901 S. Fife Street, Tacoma, WA 98409 | 2018-11-05 |
| 1396255972 | Julie Ann Sunada | Nurse Practitioner | 2505 S 38th St Ste 109, Tacoma, WA 98409 | 2017-10-09 |
| 1306389820 | Laura Town | Chiropractor | 3640 S Cedar St, Ste P, Tacoma, WA 98409 | 2016-12-01 |
| 1114476082 | Chelsea Marie Jensen | Massage Therapist | 701 Commerce Street Apartment 307, Tacoma, WA 98409 | 2016-10-03 |
| 1831574730 | Artika Naidu | Optometrist | 4502 South Steele #700, Located Inside Macy's Lenscrafters, Tacoma, WA 98409 | 2015-07-22 |
| 1972918399 | Tacoma Dental and Implant Center Ps | Clinic/Center | 4704 South Oakes St #103, Tacoma, WA 98409 | 2014-06-24 |
| 1457795957 | Ana Amparo Penas Vasquez | Clinical Nurse Specialist | 2505 South 38th St, Bldg A Suite 109, Tacoma, WA 98409 | 2013-04-26 |
| 1033452156 | Richard William Solitaire | Counselor | 4301 S. Pine St., 30-19, Tacoma, WA 98409 | 2013-03-27 |
| 1790042810 | Tara Kerin Garland | Counselor | 5921 S. Verde St., Tacoma, WA 98409 | 2012-04-13 |
| Find all providers in zip 98409 | ||||
| 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 |
|---|---|---|---|---|
| 1407482755 | Audrey Ebert | Specialist/Technologist | 4215 S 30th St Apt G245, Tacoma, WA 98409-3272 | 2020-03-19 |
| 1790339877 | Tristan Jess Turner | Specialist/Technologist | 2516 Mccarver St, Tacoma, WA 98403-3022 | 2019-07-28 |
| 1174177257 | Luana Marjorie Williams | Specialist/Technologist | 720 Violet Meadow St S, Tacoma, WA 98444-3236 | 2019-07-28 |
| 1952896391 | Tim Earl Rubottom I | Specialist/Technologist | 7723 Chambers Creek Rd W, Tacoma, WA 98467-2017 | 2018-06-28 |
| 1538520242 | Seth Miller | Specialist/Technologist | 5006 Center St Ste P, Tacoma, WA 98409-2314 | 2016-03-09 |
| 1336557784 | Anna Fukunaga | Specialist/Technologist | Pacific Lutheran University, Department of Athletics, Tacoma, WA 98447-0001 | 2014-07-29 |
| 1346516630 | Erin Marie Pugh | Specialist/Technologist | 4316 S 41st St, #4, Tacoma, WA 98409-2164 | 2012-03-30 |
| 1568756245 | Denise Renee Lopez | Specialist/Technologist | 140 115th St E, Tacoma, WA 98445-1714 | 2011-05-31 |
| 1275726796 | Patricia Lee Walker | Specialist/Technologist | 3826 Nassau Ave Ne, Tacoma, WA 98422-2242 | 2007-08-20 |
| 1396862546 | Erin Rebecca Rutledge | Specialist/Technologist | 409 119th St S, Tacoma, WA 98444-5209 | 2007-03-23 |
| Find all providers in TACOMA | ||||
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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.