JAY ALAN DETERMAN (NPI# 1982100699) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982100699 |
| Entity Type | Individual |
| Full Name | JAY ALAN DETERMAN |
| Practice Address |
855 12th St Nw Apt 206 Valley City ND 58072-2042 |
| Practice Telephone | 6058300603 |
| Mailing Telephone | 6058300603 |
| Enumeration Date | 2018-04-02 |
| Last Update Date | 2018-06-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
718-16 | ND | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | CERTIFIED ATHLETIC TRAINER | 718-16 | 01 |
| Street Address |
855 12TH ST NW APT 206 |
| City | VALLEY CITY |
| State | ND |
| Zip Code | 58072-2042 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376063693 | Casey Skramstad | Adult Companion | 943 13th Ave Sw, Valley City, ND 58072 | 2017-06-27 |
| 1750656310 | Scott Mcneal | Specialist | 1028 West Main St, Valley City, ND 58072 | 2012-03-15 |
| 1447560164 | Lemont William Jahn | Pharmacist | 148 S Central Avenue, Valley City, ND 58072 | 2010-10-15 |
| 1104000124 | Janice Kay Gabriel Johnson | Occupational Therapist | 136 2nd Ave Ne, Valley City, ND 58072 | 2007-12-27 |
| 1194926659 | Barnes County Ambulance Inc | Emergency Medical Technician, Paramedic | 914 11th Ave Sw, Valley City, ND 58072 | 2007-05-30 |
| 1649332461 | Craig A Wagamon | Nurse Anesthetist, Certified Registered | 206 8th St Nw, Valley City, ND 58072 | 2006-12-15 |
| 1235204389 | Open Door Center | Intermediate Care Facility, Mentally Retarded | 209 2nd Street Se, Valley City, ND 58072 | 2006-11-22 |
| 1215001706 | Barbara E Owen | Speech-Language Pathologist | Sheyenne Care Center, 979 No Central Ave, Valley City, ND 58072 | 2006-11-17 |
| 1891877239 | Central Avenue Chiropractic PC | Chiropractor | 323 Central Avenue North, Suite 202, Valley City, ND 58072 | 2006-10-19 |
| 1831271287 | Larry Edwin Sayler | Chiropractor | 323 North Central Avenue, Suite 202, Valley City, ND 58072 | 2006-10-19 |
| Find all providers in zip 58072 | ||||
| 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 |
|---|---|---|---|---|
| 1326545120 | Austin Alexander Rinas | Specialist/Technologist | 101 College Street Sw, Valley City, ND 58072-5807 | 2018-04-09 |
| 1124522131 | Mary Anna Spengler | Specialist/Technologist | 6920 Country View Dr, Valley City, OH 44280-9451 | 2018-03-23 |
| 1841696218 | Sharon Robin Bratrud | Specialist/Technologist | 811 10th St Nw, Valley City, ND 58072-2050 | 2014-11-13 |
| 1407133390 | Rachelle Hunt | Specialist/Technologist | 101 College St Sw, Valley City, ND 58072-4024 | 2011-11-07 |
| 1417454216 | Kaisa Morstad | Specialist/Technologist | 101 College St Sw, Valley City, ND 58072-4024 | 2018-04-09 |
| 1316442387 | Rachel Reichel | Specialist/Technologist | 101 College St Sw, Valley City, ND 58072-4024 | 2018-03-29 |
| 1194264473 | Maddie Anne Hansen | Specialist/Technologist | 101 College St Sw, Valley City, ND 58072-4024 | 2017-02-19 |
| 1689027682 | Angela Poole | Specialist/Technologist | 514 3rd St Sw, Valley City, ND 58072-3212 | 2016-07-14 |
| 1235549767 | Patrick S Callahan | Specialist/Technologist | 570 Chautauqua Blvd, Valley City, ND 58072-3145 | 2014-05-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013516269 | Parker Lanoue | Specialist/Technologist | 407 26th Ave W Apt 2, West Fargo, ND 58078-7856 | 2020-10-20 |
| 1225640170 | Jordan Chase Elliott | Specialist/Technologist | 1800 University Dr N, Fargo, ND 58102-2241 | 2020-08-21 |
| 1235769712 | Kathleen Freebern | Specialist/Technologist | 4780 Timber Pkwy S Apt 103, Fargo, ND 58104-4837 | 2020-01-23 |
| 1043851686 | Young Men's Christian Association of Grand Forks | Specialist/Technologist | 215 N 7th St, Grand Forks, ND 58203-3668 | 2019-10-04 |
| 1083274377 | Lance E Shuler | Specialist/Technologist | 824 N 28th St, Bismarck, ND 58501-3130 | 2019-06-18 |
| 1003475674 | Jillian Nicole Fields | Specialist/Technologist | 1025 N 2nd St, Bismarck, ND 58501-3536 | 2019-06-07 |
| 1225697899 | Candace Marie Vander Wal | Specialist/Technologist | 3451 N 14th St Ste C, Bismarck, ND 58503-1611 | 2019-06-07 |
| 1245793330 | Mara Jungels | Specialist/Technologist | 1837 University Dr N, Fargo, ND 58105-2504 | 2019-04-07 |
| 1215493374 | Kayla Marie Hennum | Specialist/Technologist | 1225 2nd St N, Fargo, ND 58102-2722 | 2019-02-13 |
| 1306301932 | Sydney Larson | Specialist/Technologist | 2008 Cottonwood St, Grand Forks, ND 58201-7366 | 2019-02-07 |
| Find all providers with the same taxonomy | ||||
| City | VALLEY CITY |
| Zip Code | 58072 |
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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.