IAN ANDERSON (NPI# 1821508268) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821508268 |
| Entity Type | Individual |
| Full Name | IAN ANDERSON |
| Credential | ATC |
| Practice Address |
4011 Talbot Rd S Ste 300 Renton WA 98055-5791 |
| Practice Telephone | 4256565060 |
| Enumeration Date | 2017-10-11 |
| Last Update Date | 2017-10-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
A160487117 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447769997 | Ian Radford Anderson | Physical Therapist | 315 Medical Pkwy Ste 150, Greer, SC 29650-2456 | 2017-09-28 |
| 1962053314 | Ian Anderson | Counselor | 321 E Main St Ste 418, Bozeman, MT 59715-4702 | 2019-09-26 |
| 1134607534 | Ian Gerard Anderson | Hearing Instrument Specialist | 5602 Cortez Rd W, Bradenton, FL 34210-2819 | 2018-07-30 |
| 1669884433 | Ian Jacob Anderson | Pathology | 22101 Moross Rd # Ccb-sb, Detroit, MI 48236-2148 | 2014-05-28 |
| 1346409109 | Ian P Anderson | Internal Medicine | 825 Barret Ave, Louisville, KY 40204-1743 | 2008-06-06 |
| 1629277678 | Ian Scott Anderson | Anesthesiology | 1236 E Elizabeth St, Suite 1, Fort Collins, CO 80524-4000 | 2007-07-11 |
| 1518055573 | Ian Churchill Anderson | Internal Medicine | 3555 Round Barn Cir, Santa Rosa, CA 95403 | 2006-10-11 |
| Street Address |
4011 TALBOT RD S STE 300 |
| City | RENTON |
| State | WA |
| Zip Code | 98055-5791 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770744625 | Leslie Marie Falch | Optometrist | 4011 Talbot Rd S Ste 300, Renton, WA 98055-5791 | 2008-06-23 |
| 1639675796 | Thomas J Parliament II | Chiropractor | 4011 Talbot Rd S Ste 300, Renton, WA 98055-5791 | 2018-04-05 |
| 1558895219 | Taylor Ann Weber | Specialist/Technologist | 4011 Talbot Rd S Ste 300, Renton, WA 98055-5791 | 2017-04-19 |
| 1477096535 | Brooke Emma Angelo | Physician Assistant | 4011 Talbot Rd S Ste 300, Renton, WA 98055 | 2016-11-22 |
| 1619410891 | Carlin Doyle | Physician Assistant | 4011 Talbot Rd S Ste 300, Renton, WA 98055 | 2016-11-21 |
| 1023550373 | Stephanie Caroline Ouellet | Nurse Practitioner | 4011 Talbot Rd S Ste 300, Renton, WA 98055-5791 | 2016-11-16 |
| 1700336120 | Shane G. Dowling | Physician Assistant | 4011 Talbot Rd S Ste 300, Renton, WA 98055-5791 | 2016-10-10 |
| 1235491135 | Kelsey M. Wulf | Nurse Practitioner | 4011 Talbot Rd S Ste 300, Renton, WA 98055-5791 | 2012-06-15 |
| 1831488550 | Sean Paul Haloman | Orthopaedic Surgery | 4011 Talbot Rd S Ste 300, Renton, WA 98055 | 2011-04-04 |
| 1730404286 | Timothy Bruce Alton | Orthopaedic Surgery | 4011 Talbot Rd S Ste 300, Renton, WA 98055-5791 | 2010-03-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356965750 | Proliance Surgery Center At Valley, LLC | Clinic/Center | 4009 Talbot Road S, Suite 200, Renton, WA 98055 | 2020-06-01 |
| 1851804959 | Talbot Rehabilitation Center, LLC | Skilled Nursing Facility | 4430 Talbot Road South, Renton, WA 98055 | 2017-11-10 |
| 1154878668 | Nelson Family Dentistry | Dentist | 19221 108th Ave Se Suite #2, Renton, WA 98055 | 2016-09-01 |
| 1598182990 | Annie Kyunga Ahn | Otolaryngology | 4033 Talbot Rd S Ste 540, Renton, WA 98055 | 2014-03-24 |
| 1376960138 | Madhuri Gordhan Patel | Registered Nurse | 3501 Mill Place South, Renton, WA 98055 | 2014-03-18 |
| 1912331042 | Karen Dohr | Pharmacist | 400 S. 43 Street, Renton, WA 98055 | 2013-08-26 |
| 1659637668 | Benjamin Reiss | Ophthalmology | 4300 Talbot Rd S Ste 300, Renton, WA 98055 | 2012-04-03 |
| 1205137940 | Duy Ai Quang Hoang | Pharmacist | 9431 S 196th Pl, Renton, WA 98055 | 2010-11-11 |
| 1972823664 | Erica L Ellzey | Physical Therapist | 18623 112th Ave Se, Renton, WA 98055 | 2010-06-04 |
| 1588984587 | Melissa A. Jordan | Nurse Anesthetist, Certified Registered | 4011 Talbot Rd., 5th Floor, Renton, WA 98055 | 2010-06-02 |
| Find all providers in zip 98055 | ||||
| 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 |
|---|---|---|---|---|
| 1063076255 | Breanne Michele Smiley | Specialist/Technologist | 737 Logan Ave N, Renton, WA 98057 | 2019-04-24 |
| 1285168948 | Marisa Ann Manus | Specialist/Technologist | 14520 Se 196th Pl, Renton, WA 98058-9415 | 2017-04-19 |
| 1851746911 | Hailey Anne Wiest | Specialist/Technologist | 15233 Se 175th Pl, Renton, WA 98058-9088 | 2016-04-26 |
| 1508210154 | Lucy Johnson | Specialist/Technologist | 11808 Se 172nd Ln Apt N303, Renton, WA 98058 | 2016-04-20 |
| 1710362967 | Jesse Lee Free | Specialist/Technologist | 737 Logan Ave North, Mc 9c-01, Renton, WA 98057-0000 | 2015-07-29 |
| 1891131397 | Christopher Jon Neumann | Specialist/Technologist | 12 Seahawks Way, Renton, WA 98056-1572 | 2013-05-11 |
| 1174898225 | Geniqua M Harris | Specialist/Technologist | 232 Burnett Ave S, Apt B304, Renton, WA 98057-2107 | 2012-03-21 |
| 1417169970 | Larry Gene Brown | Specialist/Technologist | 16655 Se 136th St, Renton, WA 98059-6950 | 2007-05-04 |
| 1801369368 | Trevor Franklin Merritt | Specialist/Technologist | 12 Seahawks Way, Renton, WA 98056-1572 | 2019-01-08 |
| 1255807319 | Mackenzie Leigh Marques | Specialist/Technologist | 12 Seahawks Way, Renton, WA 98056-1572 | 2018-10-16 |
| Find all providers in RENTON | ||||
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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.