Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1619945888 Individual Practitioner Female Practitioner

Beth Ann Herrell , MS, ATC, LAT, CSCS

Specialist/Technologist - Athletic Trainer • Fort Wayne, IN

Professional Overview & Biography Verified Profile Summary

Beth Herrell, MS, ATC, LAT, CSCS is a registered healthcare professional specializing in Specialist/Technologist - Athletic Trainer in Fort Wayne, IN. Practice services are available at 3946 ICE WAY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3946 Ice Way

Fort Wayne, IN 46808

Telephone 2602664007

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist/Technologist - Athletic Trainer in Fort Wayne, IN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 9.0 Yrs
Regional Practice Density
189 Specialists

Practicing in Fort Wayne, IN (1604 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist/Technologist - Athletic Trainer Primary Specialty

NUCC Taxonomy Code: 2255A2300X

State License IN 36000171A

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.

Secondary Practice Locations

11130 Parkview Circle Dr

Fort Wayne, IN 468451735

Phone: 2603594287

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

22 Associated Practitioners
NPI 1053386474

ATCL

Hannah Detmer

Specialist/Technologist - Athletic Trainer

NPI 1073380341
Evan Jurjevic

Physical Therapist - Sports

NPI 1154990893
Ashley Emerson , LAT, ATC

Specialist/Technologist - Athletic Trainer

NPI 1164924338

Licensed Athletic Trainer, Certified Athletic Trainer

John Velasquez

Specialist/Technologist - Athletic Trainer

NPI 1174234462
Colton Miller , LAT, ATC

Specialist/Technologist - Athletic Trainer

NPI 1245046218

Licensed Athletic Trainer, Certified Athletic Trainer

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
NPI Profile Active January 08, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location January 08, 2018

Registered at 3946 ICE WAY, FORT WAYNE, IN 46808 (Tel: 2602664007)

📍
Updated Business Mailing Address January 08, 2018

Registered at 3946 ICE WAY, FORT WAYNE, IN 46808 (Tel: 2602664007)

👤
Provider Name / Credentials Updated January 08, 2018

Recorded as BETH HERRELL, MS, ATC, LAT, CSCS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 08, 2018

Specialist/Technologist (License #36000171A in IN)

NPI Profile Active March 03, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location March 03, 2016

Registered at 11130 PARKVIEW CIRCLE DR, FORT WAYNE, IN 468451735 (Tel: 2603594287)

📍
Updated Business Mailing Address March 03, 2016

Registered at 3710 W OAK RD, BLUFFTON, IN 467149721 (Tel: 2607589257)

👤
Provider Name / Credentials Updated March 03, 2016

Recorded as BETH HERRELL, MS, ATC, LAT, CSCS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 03, 2016

Specialist/Technologist (License #36000171A in IN)

🟢
Initial NPI Registration & Enumeration March 14, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1619945888
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 14, 2006
Last Update: March 17, 2018
Sole Proprietor: No

Mailing Address

3946 Ice Way

Fort Wayne, IN 46808

Phone: 2602664007

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.