ANDREA SIMICH (NPI# 1790135655) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790135655 |
| Entity Type | Individual |
| Full Name | ANDREA SIMICH |
| Credential | ATC, LAT |
| Practice Address |
255 Glendale Ave #12 Sparks NV 89431-5775 |
| Practice Telephone | 7753568181 |
| Mailing Telephone | 7753568181 |
| Enumeration Date | 2016-06-21 |
| Last Update Date | 2016-06-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
0506378 | NV | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
255 GLENDALE AVE #12 |
| City | SPARKS |
| State | NV |
| Zip Code | 89431-5775 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679553119 | Arden D Jensen | Physical Therapist | 255 Glendale Ave, Suite 13, Sparks, NV 89431-5775 | 2006-01-19 |
| 1760953103 | Elizabeth Michele Sturgill James | Physical Therapist | 255 Glendale Ave, Sparks, NV 89431-5775 | 2018-12-11 |
| 1598887119 | Sabrina Summers | Physical Therapist | 255 Glendale Ave, Sparks, NV 89431-5775 | 2007-04-04 |
| 1548388929 | Mikel R. Meyer | Preventive Medicine | 255 Glendale Ave, Sparks, NV 89431-5775 | 2007-03-26 |
| 1255458899 | Curtis Gulka | Occupational Therapist | 255 Glendale Ave, Sparks, NV 89431-5775 | 2007-03-26 |
| 1306964879 | Robert C Erwin | Preventive Medicine | 255 Glendale Ave, Sparks, NV 89431-5775 | 2007-03-26 |
| 1669440855 | Warren S Gilbert | Family Medicine | 255 Glendale Ave, Suite 12, Sparks, NV 89431-5775 | 2006-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053958033 | Jerome Johnson II | Behavioral Analyst | 3115 Saltern Way, Sparks, NV 89431 | 2019-12-09 |
| 1528520640 | Dynisha Bernee Richardson | Technician, Other | 616 Victorian Ave, Sparks, NV 89431 | 2019-04-05 |
| 1902376494 | Avalon Care Center-va Reno, LLC | Skilled Nursing Facility | 36 Battle Born Way, Sparks, NV 89431 | 2018-11-28 |
| 1669964128 | Abraham A Arellano | Behavioral Analyst | 2005 Probasco Way, Sparks, NV 89431 | 2018-05-31 |
| 1003335399 | Carresa Greer | Counselor | 390 Freeport Blvd #3, Sparks, NV 89431 | 2017-09-18 |
| 1689197444 | Fred Blauth Jr. | Counselor | 2105 Sullivan Ln, Sparks, NV 89431 | 2017-07-24 |
| 1548719255 | Adolescent Treatment Center | Community Based Residential Treatment Facility, Mental Illness | 480 Galetti Way, Sparks, NV 89431 | 2016-09-23 |
| 1124478862 | Kristina Schneider | Behavioral Analyst | 3230 Wedekind Rd, 50, Sparks, NV 89431 | 2016-06-14 |
| 1336506898 | Rikki Texter | Occupational Therapy Assistant | 1025 Robert Lane, Sparks, NV 89431 | 2016-01-28 |
| 1851760177 | Elizabeth Ojeda | Counselor | 490 Galletti Way, Building 8c, Sparks, NV 89431 | 2015-09-16 |
| Find all providers in zip 89431 | ||||
| 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 |
|---|---|---|---|---|
| 1700483682 | Tetsuro Sueyoshi | Specialist/Technologist | 1 Electric Ave, Sparks, NV 89437-4429 | 2020-10-05 |
| 1619539434 | Rhiannon Broersma | Specialist/Technologist | 6959 Sacred Cir, Sparks, NV 89436-5471 | 2019-07-01 |
| 1619478039 | Brandie Peterson | Specialist/Technologist | 820 15th St, Sparks, NV 89431-0939 | 2018-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376144162 | Michaela Nichole Massa | Specialist/Technologist | 5066 Jeffreys St Unit 202, Las Vegas, NV 89119-7729 | 2020-11-06 |
| 1801495130 | Sarah Corena Smith | Specialist/Technologist | 110 Bishop Manogue Dr, Reno, NV 89511-4809 | 2020-10-19 |
| 1467065987 | Tiffany Mirie Chang | Specialist/Technologist | 4280 Tyndall Ave, Las Vegas, NV 89191-6056 | 2020-08-25 |
| 1023628575 | Jeremy Fred Rice | Specialist/Technologist | 8308 Daventry St, Las Vegas, NV 89123-2332 | 2020-08-07 |
| 1184233108 | Kira Felise | Specialist/Technologist | 7701 W Robindale Rd Unit 131, Las Vegas, NV 89113-4044 | 2020-07-27 |
| 1063020535 | Yuka Shimada | Specialist/Technologist | 98 E Windmill Ln, Las Vegas, NV 89123-1723 | 2020-07-21 |
| 1215545918 | Keigo Ito | Specialist/Technologist | 2670 S Decatur Blvd Apt 4104, Las Vegas, NV 89102-8576 | 2020-07-19 |
| 1134747991 | Alyson Rippingham | Specialist/Technologist | 6433 Valley Wood Dr, Reno, NV 89523-1264 | 2020-07-08 |
| 1093335978 | Michael Blaise Lowe | Specialist/Technologist | 10000 S Maryland Pkwy Apt 1085, Las Vegas, NV 89183-6386 | 2020-04-21 |
| 1245868793 | Carla Flores | Specialist/Technologist | 5880 Boulder Falls St Apt 2099, Henderson, NV 89011-4966 | 2020-03-31 |
| 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.