JENNIFER A HERDEBU (NPI# 1760701064) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760701064 |
| Entity Type | Individual |
| Full Name | JENNIFER A HERDEBU |
| Credential | ATC |
| Practice Address |
2405 Elbert Ave Baldwin ND 58521 |
| Mailing Address |
2405 Elbert Ave Box 116 Baldwin ND 58521 |
| Practice Telephone | 7014269324 |
| Enumeration Date | 2010-05-26 |
| Last Update Date | 2010-05-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
2405 ELBERT AVE |
| City | BALDWIN |
| State | ND |
| Zip Code | 58521 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184222366 | Victoria Hann | Technician | 27600 Highway 1804, Baldwin, ND 58521-9744 | 2020-10-11 |
| 1174121362 | Debra Davenport | Technician | 27600 Highway 1804, Baldwin, ND 58521-9744 | 2020-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770182164 | Joyann Reid | Counselor | 651 Koelbel Ct, Baldwin, NY 11510-3915 | 2020-10-18 |
| 1659984482 | Lisabeth Gutierrez | Massage Therapist | 2789 Milburn Ave Ste 1, Baldwin, NY 11510-4119 | 2020-08-31 |
| 1518570431 | Nicole Derespiris | Massage Therapist | 2789 Milburn Ave Ste 3, Baldwin, NY 11510-4119 | 2020-08-29 |
| 1700499175 | Marie Azor | Registered Nurse | 2571 Central Ave, Baldwin, NY 11510-3634 | 2020-08-26 |
| 1023628781 | Tracey Hodurski | Pharmacist | 3278 Bertha Dr, Baldwin, NY 11510-5001 | 2020-08-06 |
| 1912515073 | Baldwin Coh, LLC | Assisted Living Facility | 1880 4th Ave, Baldwin, WI 54002-5134 | 2020-07-15 |
| 1083232961 | Sandy Sylvain | Licensed Practical Nurse | 3437 Bertha Dr, Baldwin, NY 11510-5029 | 2020-07-08 |
| 1336767201 | Sonia Somers | Registered Nurse | 2315 Rockwood Ave, Baldwin, NY 11510-3036 | 2020-07-08 |
| 1730702648 | Desiree Mckenzie | Nurse Practitioner | 2707 Wilddale Rd, Baldwin, NY 11510-4128 | 2020-05-26 |
| 1134749658 | Kenneth Yaboh | Emergency Medicine | 1000 Cherrywood Dr, Baldwin, NY 11510-5009 | 2020-04-24 |
| Find all providers in BALDWIN | ||||
| 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 |
|---|---|---|---|---|
| 1730554270 | Lydia Robinson | Specialist/Technologist | 324 Bayou View Dr, Baldwin, LA 70514-1415 | 2015-12-09 |
| 1457751455 | Kalin A Russell | Specialist/Technologist | 962 Mildred Dr, Baldwin, NY 11510-5044 | 2014-08-26 |
| 1750621496 | Vanessa A West | Specialist/Technologist | 18333 Highway 182, Baldwin, LA 70514-1449 | 2013-02-17 |
| 1609815505 | Kathleen Rohn | Specialist/Technologist | 815 Thomas Ave, Baldwin, NY 11510-3921 | 2006-06-06 |
| 1508425356 | Brett Jensen | Specialist/Technologist | 1100 Bergslien St, Baldwin, WI 54002-2600 | 2019-06-06 |
| 1497135313 | Brandon Lorrig | Specialist/Technologist | 730 10th Ave, Baldwin, WI 54002-9416 | 2015-06-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013516269 | Parker Lanoue | Specialist/Technologist | 407 26th Ave W Apt 2, West Fargo, ND 58078-7856 | 2020-10-20 |
| 1225640170 | Jordan Chase Elliott | Specialist/Technologist | 1800 University Dr N, Fargo, ND 58102-2241 | 2020-08-21 |
| 1235769712 | Kathleen Freebern | Specialist/Technologist | 4780 Timber Pkwy S Apt 103, Fargo, ND 58104-4837 | 2020-01-23 |
| 1043851686 | Young Men's Christian Association of Grand Forks | Specialist/Technologist | 215 N 7th St, Grand Forks, ND 58203-3668 | 2019-10-04 |
| 1083274377 | Lance E Shuler | Specialist/Technologist | 824 N 28th St, Bismarck, ND 58501-3130 | 2019-06-18 |
| 1003475674 | Jillian Nicole Fields | Specialist/Technologist | 1025 N 2nd St, Bismarck, ND 58501-3536 | 2019-06-07 |
| 1225697899 | Candace Marie Vander Wal | Specialist/Technologist | 3451 N 14th St Ste C, Bismarck, ND 58503-1611 | 2019-06-07 |
| 1245793330 | Mara Jungels | Specialist/Technologist | 1837 University Dr N, Fargo, ND 58105-2504 | 2019-04-07 |
| 1215493374 | Kayla Marie Hennum | Specialist/Technologist | 1225 2nd St N, Fargo, ND 58102-2722 | 2019-02-13 |
| 1306301932 | Sydney Larson | Specialist/Technologist | 2008 Cottonwood St, Grand Forks, ND 58201-7366 | 2019-02-07 |
| 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.