MS. CARRIE KAY ERICKSON (NPI# 1790800373) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790800373 |
| Entity Type | Individual |
| Full Name | MS. CARRIE KAY ERICKSON |
| Other Name | MS. CARRIE KAY LEBER |
| Credential | ATC |
| Practice Address |
5003 Crogans Way Rd Council Bluffs IA 51501-8616 |
| Practice Telephone | 4023208796 |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2020-01-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
00465 | IA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | IA ATH. TRAINING LICENSE | 00465 | 01 |
| BOC CERTIFICATION | 080202275 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114249281 | Carrie E Erickson | Registered Nurse | 3760 Piper St, Suite Ll139, Anchorage, AK 99508-4665 | 2010-02-17 |
| 1629229075 | Carrie S Erickson | Marriage & Family Therapist | 1621 114th Ave Se, Ste 224, Bellevue, WA 98004-1111 | 2008-10-03 |
| 1437353364 | Carrie Erickson | Pediatrics | 2909 Maplewood Ave, Winston Salem, NC 27103-4009 | 2007-06-13 |
| Street Address |
5003 CROGANS WAY RD |
| City | COUNCIL BLUFFS |
| State | IA |
| Zip Code | 51501-8616 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881204691 | Melissa Sue Sperry | Counselor | Melissa Sperry, 4036 Ramelle Dr, Council Bluffs, IA 51501 | 2020-08-06 |
| 1326689076 | Crc Recovery, Inc. | Clinic/Center | 1750 W Broadway, Council Bluffs, IA 51501 | 2019-10-03 |
| 1518451152 | Naomi Kigondu | Registered Nurse | 2323 W Broadway Ste 100, Council Bluffs, IA 51501 | 2018-06-18 |
| 1710400361 | Travis John Alger | Chiropractor | 3424 W Broadway, Council Bluffs, IA 51501 | 2017-07-25 |
| 1124495692 | Jillian Kahl | Speech-Language Pathologist | 1500 N 16th St, Council Bluffs, IA 51501 | 2015-08-31 |
| 1932584323 | Leigh Healey | Dietitian, Registered | 2323 West Broadway, Council Bluffs, IA 51501 | 2015-07-27 |
| 1942558523 | Karen Irene Godin | Registered Nurse | 1702 N 16th Street, Council Bluffs, IA 51501 | 2012-08-29 |
| 1063787505 | Rebecca F Aboe | Dietitian, Registered | 1702 North 16th St., Council Bluffs, IA 51501 | 2012-03-16 |
| 1972883122 | Sara Ann Lott | Occupational Therapist | 1310 N. 17th St., Council Bluffs, IA 51501 | 2011-08-19 |
| 1700042884 | Shopko Stores Operating Co LLC | Durable Medical Equipment & Medical Supplies | 3271 Marketplace Dr, Council Bluffs, IA 51501 | 2008-07-29 |
| Find all providers in zip 51501 | ||||
| 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 |
|---|---|---|---|---|
| 1790174316 | Matthew Haynie | Specialist/Technologist | 2533 Avenue H, Council Bluffs, IA 51501-0829 | 2015-01-20 |
| 1528468204 | Abraham Ledesma | Specialist/Technologist | 922 16th Ave, Council Bluffs, IA 51501-6381 | 2014-08-29 |
| 1417292335 | Joseph Albert Miller | Specialist/Technologist | 20 S 41st St, Apt 158, Council Bluffs, IA 51501-4701 | 2012-12-04 |
| 1699169391 | Charles Pribyl | Specialist/Technologist | 2700 College Rd, Council Bluffs, IA 51503-1057 | 2015-03-20 |
| 1780073544 | Andrew Robert Mohr | Specialist/Technologist | 2700 College Rd, Council Bluffs, IA 51503-1057 | 2015-01-16 |
| 1821487752 | Jacob Stryker | Specialist/Technologist | 933 E Pierce St, Council Bluffs, IA 51503-4626 | 2015-01-15 |
| 1710281597 | Michael Edward Nicola | Specialist/Technologist | 2700 College Rd, Council Bluffs, IA 51503-1057 | 2011-01-07 |
| 1801073861 | Duane Allen Manzer | Specialist/Technologist | 2700 College Rd, Council Bluffs, IA 51503-1057 | 2008-01-22 |
| 1528267515 | Melissa Troub | Specialist/Technologist | 900 Woodbury Ave, Council Bluffs, IA 51503-7855 | 2007-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073114336 | Bailey Robinson | Specialist/Technologist | 4828 147th St, Urbandale, IA 50323-2646 | 2020-11-03 |
| 1619577178 | Jason Hopp | Specialist/Technologist | 812 University St # 1425, Pella, IA 50219-1902 | 2020-10-26 |
| 1740889724 | Christine Marie Pruismann | Specialist/Technologist | 230 S 6th St, Nevada, IA 50201-2521 | 2020-10-21 |
| 1811594856 | Zachary A. Mcentee | Specialist/Technologist | 7111 Aurora Ave, Urbandale, IA 50322-1741 | 2020-10-02 |
| 1134733025 | Hannah Marie Gardner | Specialist/Technologist | 2894 Coral Ct, Coralville, IA 52241-2812 | 2020-09-08 |
| 1265044861 | Kelli Elizabeth Brockway | Specialist/Technologist | 2501 Hudson Rd, Cedar Falls, IA 50614-0014 | 2020-08-17 |
| 1477164010 | Shaun Cook | Specialist/Technologist | 2215 Iowa St, Cedar Falls, IA 50613-3845 | 2020-08-16 |
| 1659982296 | Haylee Luna | Specialist/Technologist | 324 Daisy St, Dike, IA 50624-7751 | 2020-08-16 |
| 1831700475 | Mckinley Hawe | Specialist/Technologist | 1045 Center Ave, Garner, IA 50438-1743 | 2020-08-16 |
| 1194336735 | Trevor John Huber | Specialist/Technologist | 816 Washington St, Cedar Falls, IA 50613-2959 | 2020-08-16 |
| Find all providers with the same taxonomy | ||||
| City | COUNCIL BLUFFS |
| Zip Code | 51501 |
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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.