SHELBY BERNARD (NPI# 1831163773) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831163773 |
| Entity Type | Individual |
| Full Name | SHELBY BERNARD |
| Credential | ATC |
| Practice Address |
1453 Ridge Dr Sycamore IL 60178-2671 |
| Practice Telephone | 8157618182 |
| Mailing Telephone | 8157618182 |
| Enumeration Date | 2006-02-16 |
| Last Update Date | 2010-03-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
096002134 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1453 RIDGE DR |
| City | SYCAMORE |
| State | IL |
| Zip Code | 60178-2671 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578113387 | Susanne Dewey | Technician | 2158 W. Vance St., Sycamore, IL 60178 | 2019-09-13 |
| 1730745332 | Nan Chinratana Phillips | Registered Nurse | 427 Spartan Trail Shs Nurse Office, Sycamore, IL 60178 | 2019-05-20 |
| 1427517846 | Association for Individual Development | Clinic/Center | 180 E. Exchange St., #202a, Sycamore, IL 60178 | 2019-03-15 |
| 1528508884 | Mary Elizabeth Kelley | Counselor | 920 S Prairie Dr., F, Sycamore, IL 60178 | 2017-03-06 |
| 1366824005 | Dekalb Hearing Services, LLC | Audiologist | 1630 Gateway Drive, Sycamore, IL 60178 | 2015-06-18 |
| 1629458625 | Friedrichs Eye Ltd. | Ophthalmology | 2670 Dekalb Avenue, Sycamore, IL 60178 | 2015-06-04 |
| 1275912057 | Sara Haug | Counselor | 324 E. Exchange St, Sycamore, IL 60178 | 2015-05-26 |
| 1144607862 | Dekalb Surgical Services, LLC | Clinic/Center | 2515 Klein Road, Sycamore, IL 60178 | 2015-05-01 |
| 1720476963 | Jennifer Calderala | Registered Nurse | 165 E. Plank Road, Sycamore, IL 60178 | 2014-12-22 |
| 1114262656 | Teresa Kay Farris | Nurse Practitioner | 1850 Gateway Drive, Sycamore, IL 60178 | 2012-12-11 |
| Find all providers in zip 60178 | ||||
| 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 |
|---|---|---|---|---|
| 1568929412 | Amanda Kay Ryan | Specialist/Technologist | 1612 Gingercreek Ct, Sycamore, IL 60178-2722 | 2019-02-27 |
| 1013318658 | Michael Walker | Specialist/Technologist | 913 Penny Ln, Sycamore, IL 60178-1250 | 2014-09-15 |
| 1972725992 | Christina Marie Swanson | Specialist/Technologist | 555 Spartan Trail, Sycamore, IL 60178 | 2007-05-02 |
| 1972005452 | Shaina Marie Kastler | Specialist/Technologist | 2111 Midlands Court, Sycamore, IL 60178 | 2018-03-01 |
| 1205344215 | Matthew Kraft | Specialist/Technologist | 2111 Midlands Ct, Sycamore, IL 60178-3125 | 2018-01-12 |
| 1003214206 | Rebecca Walker | Specialist/Technologist | 913 Penny Ln, Sycamore, IL 60178-1250 | 2014-12-21 |
| 1679801674 | David Gramer | Specialist/Technologist | 2111 Midlands Ct, Sycamore, IL 60178-3125 | 2009-12-02 |
| 1104056316 | David Bartelt | Specialist/Technologist | 2111 Midlands Ct, Sycamore, IL 60178-3125 | 2009-07-22 |
| 1932257110 | Stacie Nichole Woodworth | Specialist/Technologist | 2128 Midlands Ct, Sycamore, IL 60178-3199 | 2007-01-06 |
| 1447317383 | Amanda R Pollnow | Specialist/Technologist | 2111 Midlands Ct, Suite 100, Sycamore, IL 60178-3125 | 2007-01-02 |
| Find all providers in SYCAMORE | ||||
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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.