NIKOLAS PORTER LYON (NPI# 1790226280) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790226280 |
| Entity Type | Individual |
| Full Name | NIKOLAS PORTER LYON |
| Credential | ATC |
| Practice Address |
634 Franklin St East Lake B 306-4 Winona MN 55987 |
| Mailing Address |
634 Franklin St East Lake B 306-4 Winona MN 55987-3821 |
| Practice Telephone | 7155542143 |
| Mailing Telephone | 7155542143 |
| Enumeration Date | 2017-03-16 |
| Last Update Date | 2018-05-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
634 FRANKLIN ST EAST LAKE B 306-4 |
| City | WINONA |
| State | MN |
| Zip Code | 55987 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891277232 | Jamie Sanders | Social Worker | 51 East 4th St Suite 307, Winona, MN 55987 | 2018-09-01 |
| 1841727823 | Stacey A Czaplewski | Specialist/Technologist | 175 West Mark Street, Winona State University-139 Memorial Hall, Winona, MN 55987 | 2017-05-22 |
| 1083145361 | Kevin Lee Knack | Counselor | 902 E. Second St. Suite 326, Acumen Counseling, Winona, MN 55987 | 2017-03-27 |
| 1467993865 | Melissa Lee Peterson | Specialist/Technologist | 23559 Co. Rd. 20, Winona, MN 55987 | 2017-03-17 |
| 1821424953 | Sara Beth Borchardt | Chiropractor | 1423 West Service Drive, Winona, MN 55987 | 2013-09-20 |
| 1952614273 | Kristin Janelle Noble | Chiropractor | 117 W. 3rd St., Winona, MN 55987 | 2010-07-15 |
| 1033435615 | Christine E. Clark | Pharmacist | 1122 Hwy 61, Winona, MN 55987 | 2010-04-08 |
| 1346401544 | Andrew Dean Mork | Dentist | 50 W Second Street, Winona, MN 55987 | 2008-06-19 |
| 1508073693 | Lawrence J Green | Psychologist | 61 W 4th St, Winona, MN 55987 | 2007-05-17 |
| 1700098613 | Winona Foot Clinic P.a. | Podiatrist | 350 East Sarnia Street, Winona, MN 55987 | 2007-05-04 |
| Find all providers in zip 55987 | ||||
| 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 |
|---|---|---|---|---|
| 1023640836 | Kristin Kay Houle | Specialist/Technologist | 364 Johnson St, Winona, MN 55987-3217 | 2020-02-10 |
| 1598266397 | Emalee Smith | Specialist/Technologist | 264 W Mark St, Winona, MN 55987-3357 | 2018-02-27 |
| 1225565146 | Kelsey Hansen | Specialist/Technologist | 139 Memorial Hall, Winona, MN 55987-5598 | 2017-05-23 |
| 1841727823 | Stacey A Czaplewski | Specialist/Technologist | 175 West Mark Street, Winona State University-139 Memorial Hall, Winona, MN 55987 | 2017-05-22 |
| 1467993865 | Melissa Lee Peterson | Specialist/Technologist | 23559 Co. Rd. 20, Winona, MN 55987 | 2017-03-17 |
| 1942741418 | Jaran Defries | Specialist/Technologist | 512 Laird St, Winona, MN 55987-4034 | 2017-03-16 |
| 1114291606 | Gabrielle Kremer | Specialist/Technologist | 410 E 8th St, Winona, MN 55987-4044 | 2012-02-29 |
| 1598896615 | Kristin N Stoneberg | Specialist/Technologist | 700 Terrace Hts # 62, Winona, MN 55987-1321 | 2007-03-08 |
| 1629034715 | Ambjor Renee Brown | Specialist/Technologist | 700 Terrace Hts, Winona, MN 55987-1321 | 2006-04-26 |
| 1053374058 | Brian L Zeller | Specialist/Technologist | 175 W Mark St, Winona, MN 55987-3384 | 2006-04-10 |
| Find all providers in WINONA | ||||
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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.