JULIE IANNICELLI (NPI# 1942690391) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942690391 |
| Entity Type | Individual |
| Full Name | JULIE IANNICELLI |
| Credential | MS, ATC |
| Practice Address |
24 Rivergate Dr Cromwell CT 06416-1522 |
| Practice Telephone | 8608188266 |
| Enumeration Date | 2015-01-23 |
| Last Update Date | 2015-01-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
000959 | CT | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
24 RIVERGATE DR |
| City | CROMWELL |
| State | CT |
| Zip Code | 06416-1522 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104469626 | Anjali Rowe | Developmental Therapist | 162 West Street., Building 2 Suite F, Building 2 Suite F, Cromwell, CT 06416 | 2019-10-28 |
| 1366938110 | Katherine Sluti | Developmental Therapist | 162 West St., Building 2 Suite F, Cromwell, CT 06416 | 2018-07-05 |
| 1821597477 | Sherry Wong | Behavioral Analyst | 162 West St, Bldg 2, Suite F, Cromwell, CT 06416 | 2018-02-09 |
| 1952826828 | Marlene Dejesus | Developmental Therapist | 162 West St, Bldg 2 Suite F, Cromwell, CT 06416 | 2017-08-11 |
| 1689199895 | Amanda Marie Mimande | Developmental Therapist | 162 West Street, Building 2, Suite F, Cromwell, CT 06416 | 2017-08-08 |
| 1912260357 | Ulrich Klaus Rathey | Internal Medicine | 2316 Cromwell Hills Drive, Cromwell, CT 06416 | 2012-06-20 |
| 1801171616 | Leonard J Zgorski | Pharmacist | 4 Hammerhead Place, Cromwell, CT 06416 | 2011-10-13 |
| 1396024725 | Michelle Nwigwe | Nurse Practitioner | 80 Shunpike Rd Ste 101-b2, Cromwell, CT 06416 | 2011-08-16 |
| 1508090028 | Giovanna Maria Cammuso | Social Worker | 22 Tuttle Road, Cromwell, CT 06416 | 2009-05-12 |
| 1992954994 | Connecticut Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 72 Berlin Rd., Cromwell, CT 06416 | 2008-09-15 |
| Find all providers in zip 06416 | ||||
| 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 |
|---|---|---|---|---|
| 1881200962 | Keenan Thomas Love | Specialist/Technologist | 80 Shunpike Rd Unit 202, Cromwell, CT 06416-4402 | 2020-09-23 |
| 1801240668 | Alexis Blunk | Specialist/Technologist | 9239 E Cinderella Dr, Cromwell, IN 46732-9660 | 2016-04-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952901019 | Jessica Handy | Specialist/Technologist | 45 Cottage Rd, Oakdale, CT 06370-1051 | 2020-10-28 |
| 1770183030 | Adrienne Lara Fedyna Dembeck | Specialist/Technologist | 211 New Britain Rd Ste 101, Berlin, CT 06037-3167 | 2020-10-27 |
| 1194324665 | Francesca Chirico | Specialist/Technologist | 34 Farms Village Rd, Simsbury, CT 06070-2344 | 2020-10-25 |
| 1497354401 | Brandon Hallaway | Specialist/Technologist | 2098 Hillside Rd, Storrs, CT 06268 | 2020-10-21 |
| 1427657816 | Riley J Burns | Specialist/Technologist | 49 Farrell Rd, Newtown, CT 06470-1205 | 2020-10-18 |
| 1780283176 | Karl Kochersperger | Specialist/Technologist | 146 Sherwood Farm Rd, Fairfield, CT 06824-2979 | 2020-10-18 |
| 1720686215 | Liana Suarez | Specialist/Technologist | 31 Yates St, West Haven, CT 06516-1142 | 2020-10-15 |
| 1598363095 | Shayna Deluca | Specialist/Technologist | 178 New State Rd Apt 8, Manchester, CT 06042-7941 | 2020-10-15 |
| 1376150045 | Anna E Viscuso | Specialist/Technologist | 201 Regan Rd Apt 35a, Vernon Rockville, CT 06066-2861 | 2020-09-28 |
| 1952917858 | Adam Archer | Specialist/Technologist | 20 Long Meadow Hill Rd, Brookfield, CT 06804-3013 | 2020-09-17 |
| Find all providers with the same taxonomy | ||||
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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.