MR. LUCAS JOHN KERANEN (NPI# 1922205152) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922205152 |
| Entity Type | Individual |
| Full Name | MR. LUCAS JOHN KERANEN |
| Credential | ATC |
| Practice Address |
86032 County Highway 61 Willow River MN 55795-3216 |
| Mailing Address |
52808 Wild Haven Rd Bruno MN 55712-3082 |
| Practice Telephone | 2183723101 |
| Mailing Telephone | 3208381432 |
| Enumeration Date | 2007-06-29 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
1550 | MN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
86032 COUNTY HIGHWAY 61 |
| City | WILLOW RIVER |
| State | MN |
| Zip Code | 55795-3216 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083972905 | Belinda Rose Prachar | Registered Nurse | 29000 County Road 41, Willow River, MN 55795-3058 | 2012-04-28 |
| 1902294671 | Coral Popowitz | Social Worker | 72351 Pine River Rd, Willow River, MN 55795-3120 | 2015-01-05 |
| 1225662760 | Danielle Rae Wilson | Social Worker | 72351 Pine River Rd, Willow River, MN 55795-3120 | 2020-02-24 |
| 1578129086 | Monarch Counseling Service Inc | Social Worker | 72351 Pine River Rd, Willow River, MN 55795-3120 | 2019-05-10 |
| 1073906798 | Monarch Counseling Service | Community/Behavioral Health | 72351 Pine River Rd, Willow River, MN 55795-3120 | 2015-03-05 |
| 1669757811 | Steven Charles Domagala | Registered Nurse | 3090 Lakeside Dr, Willow River, MN 55795-3327 | 2011-10-19 |
| 1528563830 | Renee Lillian Walker | Registered Nurse | 8045 Park Dr, Willow River, MN 55795-9782 | 2018-03-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528563830 | Renee Lillian Walker | Registered Nurse | 8045 Park Dr, Willow River, MN 55795-9782 | 2018-03-28 |
| 1902294671 | Coral Popowitz | Social Worker | 72351 Pine River Rd, Willow River, MN 55795-3120 | 2015-01-05 |
| 1083972905 | Belinda Rose Prachar | Registered Nurse | 29000 County Road 41, Willow River, MN 55795-3058 | 2012-04-28 |
| 1669757811 | Steven Charles Domagala | Registered Nurse | 3090 Lakeside Dr, Willow River, MN 55795-3327 | 2011-10-19 |
| 1225662760 | Danielle Rae Wilson | Social Worker | 72351 Pine River Rd, Willow River, MN 55795-3120 | 2020-02-24 |
| 1578129086 | Monarch Counseling Service Inc | Social Worker | 72351 Pine River Rd, Willow River, MN 55795-3120 | 2019-05-10 |
| 1073906798 | Monarch Counseling Service | Community/Behavioral Health | 72351 Pine River Rd, Willow River, MN 55795-3120 | 2015-03-05 |
| 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 |
|---|---|---|---|---|
| 1861092165 | Jamie Lynn Erickson | Specialist/Technologist | 43628 374th Ln, Aitkin, MN 56431-4027 | 2020-10-27 |
| 1760082044 | Craig Daniel Merten | Specialist/Technologist | 5045 Division Ave # 5575, White Bear Lake, MN 55110-2663 | 2020-10-27 |
| 1154928927 | Heidi Frey | Specialist/Technologist | 4554 Lake Park Ct, Eagan, MN 55122-2515 | 2020-10-05 |
| 1851906887 | Teddy Ray Gildersleeve | Specialist/Technologist | 37320 Oriole Ave, Lindstrom, MN 55045-9109 | 2020-09-15 |
| 1851906697 | Tadd William Berg | Specialist/Technologist | 2415 W 9th St, Duluth, MN 55806-1150 | 2020-09-09 |
| 1952916793 | Megan Marie Hautajarvi | Specialist/Technologist | 2536 Peace Dr, Duluth, MN 55811-2971 | 2020-09-09 |
| 1871108795 | Bryce Mershon Beamish | Specialist/Technologist | 3501 Lowell St, Wayzata, MN 55391-3411 | 2020-09-09 |
| 1043825961 | Kevin Eskuri | Specialist/Technologist | 8090 172nd St W, Lakeville, MN 55044-6206 | 2020-09-09 |
| 1952916876 | Elizabeth Marie Altendorf | Specialist/Technologist | 1621 397th Ave Ne, Stanchfield, MN 55080-3303 | 2020-09-09 |
| 1699380519 | Kourtney Jean Palmi | Specialist/Technologist | 4922 Howard Gnesen Rd, Duluth, MN 55803-2710 | 2020-09-09 |
| Find all providers with the same taxonomy | ||||
| City | WILLOW RIVER |
| Zip Code | 55795 |
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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.