MS. SHANNON A. KOCH (NPI# 1952687428) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1952687428 |
Entity Type | Individual |
Full Name | MS. SHANNON A. KOCH |
Credential | MS, ATC |
Practice Address |
151 Moore St Princeton NJ 08540-3312 |
Practice Telephone | 6098064289 |
Practice Fax Number | 6098064288 |
Mailing Telephone | 6098064289 |
Mailing Fax Number | 6098064288 |
Enumeration Date | 2011-10-28 |
Last Update Date | 2011-10-28 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
25MT00087100 | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447788476 | Shannon M Koch | Psychologist | 350 N Main St Ste 220, Chelsea, MI 48118-1370 | 2017-06-04 |
1730589813 | Shannon Koch | Pharmacist | 3501 Johnson St, Hollywood, FL 33021-5421 | 2014-08-26 |
1770918716 | Shannon Marie Koch | Social Worker | 5130 E Main Street Rd, Suite 2, Batavia, NY 14020-3444 | 2013-09-10 |
Street Address |
151 MOORE ST |
City | PRINCETON |
State | NJ |
Zip Code | 08540-3312 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003420613 | Samantha Beatriz Manzano | Pharmacist | 301 N Harrison Street, Princeton, NJ 08540 | 2020-09-01 |
1306485768 | Allies, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 414 Freedom Blvd, Princeton, NJ 08540 | 2020-01-03 |
1124667589 | Allies, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 415 Freedom Blvd, Princeton, NJ 08540 | 2020-01-03 |
1215576673 | Allies, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 416 Freedom Blvd, Princeton, NJ 08540 | 2020-01-03 |
1508405929 | Allies, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 411 Freedom Blvd, Princeton, NJ 08540 | 2020-01-02 |
1992369698 | Suzanne Haggerty | Social Worker | 716 Executive Drive, Princeton, NJ 08540 | 2019-04-28 |
1700349552 | Pdp Associates LLC | Social Worker | 3490 Us Highway 1, Building 16 Suite 112, Princeton, NJ 08540 | 2019-04-09 |
1245722438 | Kyle Bonner | Social Worker | 166 Bunn Dr Ste 105, Princeton, NJ 08540 | 2018-06-04 |
1942700125 | Lifetouch Behavioral Health, LLC | Community/Behavioral Health | 112 Commons Way, Building 1, Suite 112, Princeton, NJ 08540 | 2018-02-14 |
1912407271 | Princeton Psychiatry & Consulting, LLC | Psychiatry & Neurology | 601 Ewing St, Suite C-10, Princeton, NJ 08540 | 2018-02-13 |
Find all providers in zip 08540 |
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 |
---|---|---|---|---|
1427663723 | Kristine Schuerger | Specialist/Technologist | 960 Bois D'arc Dr., Princeton, TX 75407 | 2020-09-14 |
1316569866 | Michael Jamison Tremblay | Specialist/Technologist | Caldwell Fieldhouse Princeton University Campus, Princeton, NJ 08544-0001 | 2020-05-07 |
1700407228 | Deirdre Chatlos | Specialist/Technologist | Princeton University Caldwell Field House, Princeton, NJ 08544-0001 | 2020-05-06 |
1417589987 | Shaylyn Novak | Specialist/Technologist | 650 Great Rd, Princeton, NJ 08540-2598 | 2020-02-12 |
1073145397 | Nicollette Roberison | Specialist/Technologist | 1217 Winfield Rd, Princeton, LA 71067-8343 | 2020-02-05 |
1184282147 | Laura Jeanne Goldsmith | Specialist/Technologist | 176 Edgerstoune Rd, Princeton, NJ 08540-6799 | 2019-06-04 |
1538635396 | Amelia Alexandra Carlson | Specialist/Technologist | 1108 16th St N, Princeton, MN 55371-6163 | 2018-10-19 |
1316454143 | Susan Ray Nipps | Specialist/Technologist | 71 University Pl, Princeton, NJ 08540-5122 | 2018-01-02 |
1508253535 | Katie Roberts | Specialist/Technologist | 405 Willow Oak Dr, Princeton, WV 24739-8729 | 2015-04-16 |
1659657278 | William Lynch | Specialist/Technologist | Faculty Rd, Caldwell Fieldhouse, Princeton, NJ 08544-0001 | 2011-10-27 |
Find all providers in PRINCETON |
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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.