RICHARD BOMGARDNER (NPI# 1912365792) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912365792 |
| Entity Type | Individual |
| Full Name | RICHARD BOMGARDNER |
| Credential | ATC |
| Practice Address |
1845 Fairmount St Wichita KS 67260-0016 |
| Mailing Address |
3147 N Inwood St Wichita KS 67226-2206 |
| Practice Telephone | 3169785981 |
| Practice Fax Number | 3169785451 |
| Mailing Telephone | 3169785981 |
| Mailing Fax Number | 3169785451 |
| Enumeration Date | 2016-02-08 |
| Last Update Date | 2016-02-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
24-00424 | KS | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1845 FAIRMOUNT ST |
| City | WICHITA |
| State | KS |
| Zip Code | 67260-0016 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558367755 | Cynthia M Walker | Registered Nurse | 1845 Fairmount St, Wichita, KS 67260-0092 | 2005-06-22 |
| 1518565985 | Kathie Lanette Hollowell | Physical Therapy Assistant | 1845 Fairmount St, Wichita, KS 67260-0001 | 2020-10-16 |
| 1154932705 | Katherine Renee' Burkhart | Specialist/Technologist | 1845 Fairmount St, Wichita, KS 67260-9700 | 2020-08-16 |
| 1699253302 | Victoria Annette Mcgrady | Psychologist | 1845 Fairmount St, Wichita, KS 67260-9700 | 2018-08-03 |
| 1063912319 | Whitney Bailey | Specialist/Technologist | 1845 Fairmount St, Wichita, KS 67260-9700 | 2018-02-13 |
| 1699291963 | Stephen Tyler Brown | Psychologist | 1845 Fairmount St, Wichita, KS 67260-9700 | 2017-08-18 |
| 1225583834 | Katherine Judd | Psychologist | 1845 Fairmount St, Box 91, Wichita, KS 67260-0091 | 2016-08-24 |
| 1053779744 | Judith Gariepy | Nurse Practitioner | 1845 Fairmount St, 209 Ahlberg Hall, Wichita, KS 67260-0092 | 2016-02-09 |
| 1578929030 | Lisa S. Wiebe | Registered Nurse | 1845 Fairmount St, 209 Ahlberg Hall, Wichita, KS 67260-0092 | 2016-01-13 |
| 1417357393 | Jason Beyer | Psychologist | 1845 Fairmount St, Box 91, Wichita, KS 67260-0091 | 2014-08-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154876084 | Briana Snype | Student in an Organized Health Care Education/Training Program | 1845 Fairmont, Wichita, KS 67260-0001 | 2016-08-21 |
| 1528426129 | Linda Zollars | Nurse Practitioner | 1845 Fairmount 209 Ahlberg Hl, Wichita, KS 67260-0001 | 2016-02-10 |
| 1699719203 | Alicia A. Huckstadt | Nurse Practitioner | 1845 Fairmount St, Box 41, Wichita, KS 67260-0001 | 2006-06-15 |
| 1588692867 | Daniel Stephen Cahill | Specialist/Technologist | 1845 Fairmount, Box 18, Wichita, KS 67260-0018 | 2006-06-28 |
| 1063938850 | Lindsey Marie Backer-fulghum | Psychologist | Wichita State University, Counseling & Testing Center, 1845 Fairmount St., Wichita, KS 67260-0091 | 2017-08-14 |
| 1114303336 | Grace Kallimel | Psychologist | Wichita State University Counseling & Ctr, 1845 Fairmount St., Wichita, KS 67260-0091 | 2015-08-11 |
| 1003225947 | Wichita State University | Community/Behavioral Health | 1845 Fairmount Box 91, Wichita, KS 67260-0091 | 2014-08-05 |
| 1053691600 | Dempsey D White | Psychologist | Wichita State University Counseling And, 1845 Fairmount St, Wichita, KS 67260-0091 | 2011-08-26 |
| 1174019293 | Wichita State University Student Health Services | Clinic/Center | 1845 Fairmount, Ahlberg Hall 209, Wichita, KS 67260-0092 | 2018-07-02 |
| 1245587807 | David W. Downs | Audiologist | 1845 Fairmount, Wichita, KS 67260-0099 | 2012-08-13 |
| Find all providers in zip 67260 | ||||
| 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 |
|---|---|---|---|---|
| 1346841749 | Mick Emerson Harris | Specialist/Technologist | 523 N Birkdale Ct, Wichita, KS 67230-1532 | 2020-11-03 |
| 1922611201 | Kylie Alexis Roberts | Specialist/Technologist | 7610 E 32nd St N Apt 702, Wichita, KS 67226-1284 | 2020-08-26 |
| 1467084947 | Alex Milby | Specialist/Technologist | 1043 N Post Oak Rd, Wichita, KS 67206-3829 | 2020-02-12 |
| 1457996001 | Haleigh Raeann Owens | Specialist/Technologist | 3100 W Mccormick Ave, Wichita, KS 67213-2008 | 2019-11-07 |
| 1801375183 | Joshua Gerard Elmer | Specialist/Technologist | 500 E Waterman St, Wichita, KS 67202-4509 | 2018-08-08 |
| 1689151227 | Serena Lynn Lytle | Specialist/Technologist | 620 S Richmond St, Wichita, KS 67213-2644 | 2018-07-26 |
| 1386162683 | Karlee Dawn Gluszek | Specialist/Technologist | 1947 S Lulu St, Wichita, KS 67211 | 2017-09-07 |
| 1649716069 | Weston Bucher | Specialist/Technologist | 1437 N Rochester St, Wichita, KS 67203-2647 | 2017-01-09 |
| 1487197000 | Dennis John Munk | Specialist/Technologist | 7903 W 19th St N, Wichita, KS 67212-1499 | 2016-11-30 |
| 1174987218 | Cris Dooley | Specialist/Technologist | 1999 N Amidon Ave Ste 100, Wichita, KS 67203-2122 | 2016-04-05 |
| Find all providers in WICHITA | ||||
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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.