STACI MARIE GRUENKE MS, LAT, CSCS
NPI 1861534232
Specialist/Technologist - Athletic Trainer in Green Bay, WI

NPI Status: Active since February 13, 2007

Contact Information

1160 KEPLER DR
GREEN BAY, WI
ZIP 54311
Phone: (920) 288-5482

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  • Individual
  • Female
  • Specialist/Technologist
  • Athletic Trainer

About STACI GRUENKE

This page provides the complete NPI Profile along with additional information for Staci Gruenke, a provider established in Green Bay, Wisconsin with a medical specialization in Specialist/technologist, focusing in athletic trainer . The healthcare provider is registered in the NPI registry with number 1861534232 assigned on February 2007. The practitioner's primary taxonomy code is 2255A2300X with license number 670-039 (WI). The provider is registered as an individual and her NPI record was last updated 9 years ago.

NPI
1861534232
Provider Name
STACI MARIE GRUENKE MS, LAT, CSCS
Gender
Female
Entity Type
Individual
Location Address
1160 KEPLER DR GREEN BAY, WI 54311
Location Phone
(920) 288-5482
Mailing Address
1160 KEPLER DR GREEN BAY, WI 54311
Is Sole Proprietor?
No
Enumeration Date
02-13-2007
Last Update Date
09-01-2016
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Specialist/Technologist Athletic Trainer

Taxonomy Code
2255A2300X
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
License No.
670-039
License State
WI
Taxonomy Description
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.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1861534232
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
28121103826
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 1 + 2 + 1 + 1 + 0 + 3 + 8 + 2 + 6 + 24 = 58
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 58 = 22

The NPI number 1861534232 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1316959083 BRIAN R RAGUSE PA
Individual
Physician Assistant1160 KEPLER DR
GREEN BAY, WI 54311
(920) 288-5555
1285068650 JOSEPH M WOLDT DPT
Individual
Physical Therapist1160 KEPLER DR
GREEN BAY, WI 54311
(920) 288-5400
1427464403DR. PAUL JONES D.P.T.
Individual
Physical Therapist1160 KEPLER DR
GREEN BAY, WI 54311
(920) 288-5400
1811394877AURORA BAYCARE
Organization
Rehabilitation Hospital1160 KEPLER DR
GREEN BAY, WI 54311
(920) 288-5459
1811394810 MITCHELL VOSS
Individual
Occupational Therapist1160 KEPLER DR
GREEN BAY, WI 54311
(920) 288-5424
1306237995 DANIEL HARRIS LAT
Individual
Specialist/Technologist (Athletic Trainer)1160 KEPLER DR
GREEN BAY, WI 54311
(920) 288-5400
1316330319 JOSEPH DI BIASE
Individual
Specialist/Technologist (Athletic Trainer)1160 KEPLER DR
GREEN BAY, WI 54311
(920) 288-5400
1619359601MR. JOSHUA DANIEL PIERCE ATC, LAT
Individual
Specialist/Technologist (Athletic Trainer)1160 KEPLER DR
GREEN BAY, WI 54311
(920) 288-5400
1811298508 MEGAN M HARRIS
Individual
Dietitian, Registered1160 KEPLER DR
GREEN BAY, WI 54311
(920) 288-5500
1811322845 LACEY MCROY PT
Individual
Physical Therapist1160 KEPLER DR
GREEN BAY, WI 54311
(920) 288-8000
1922401595MR. KYLE J SENN PA-C
Individual
Physician Assistant1160 KEPLER DR
GREEN BAY, WI 54311
(920) 288-5555
1659722122 DEREK MANZ OT
Individual
Occupational Therapist1160 KEPLER DR
GREEN BAY, WI 54311
(920) 288-8450
1760638886 SUSAN TRAN MD
Individual
Psychiatry & Neurology (Child & Adolescent Psychiatry)1160 KEPLER DR
GREEN BAY, WI 54311
(920) 288-5500
1063786556DR. KATIE ROLLIN PSY.D.
Individual
Psychologist (Clinical)1160 KEPLER DR
GREEN BAY, WI 54311
(920) 288-5500
1992139364 REBECCA L DONNAY DPT
Individual
Physical Therapist1160 KEPLER DR
GREEN BAY, WI 54311
(920) 288-5400
1235647876MS. JORDAN ROBINSON LAT, ATC
Individual
Specialist/Technologist (Athletic Trainer)1160 KEPLER DR
GREEN BAY, WI 54311
(920) 288-5400
1477052553 KRISTIN KIEKHAEFER
Individual
Specialist/Technologist (Athletic Trainer)1160 KEPLER DR
GREEN BAY, WI 54311
(920) 288-5400
1518031764MRS. OLGA LUCIA MENDEZ-STANKEVICH RPT
Individual
Physical Therapist1160 KEPLER DR
GREEN BAY, WI 54311
(920) 288-4712
1942776919DR. NATHAN SEITZ DPT
Individual
Physical Therapist1160 KEPLER DR
GREEN BAY, WI 54311
(920) 288-5563
1619448727 MELISSA MARY THOMPSON
Individual
Physical Therapist1160 KEPLER DR
GREEN BAY, WI 54311
(920) 288-5575

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1861534232, enumerated in the NPI registry as an "individual" on February 13, 2007

The provider is located at 1160 Kepler Dr Green Bay, Wi 54311 and the phone number is (920) 288-5482

The provider's speciality is Specialist/Technologist with taxonomy code 2255A2300X with a focus in Athletic Trainer

This NPI record was last updated on February 13, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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