MR. MATTHEW S WILLIAMS (NPI# 1013254960) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013254960 |
| Entity Type | Individual |
| Full Name | MR. MATTHEW S WILLIAMS |
| Credential | ATC |
| Practice Address |
1 Hayden Dr Athletic Department Petersburg VA 23806-1000 |
| Mailing Address |
42 Rollingwood Dr Lawrenceville VA 23868-2125 |
| Practice Telephone | 8045246798 |
| Practice Fax Number | 8045248344 |
| Mailing Telephone | 4345325039 |
| Enumeration Date | 2013-01-12 |
| Last Update Date | 2013-01-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
0126000297 | VA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891392643 | Matthew Thomas Williams | Physician Assistant | Adventist Health Hanford, 115 Mall Dr., Hanford, CA 93230 | 2020-10-05 |
| 1720646540 | Matthew Dillion Williams | Clinic/Center | 963 Saint Christopher Ln, New Madrid, MO 63869-1022 | 2019-06-05 |
| 1417511239 | Matthew Chase Williams | Registered Nurse | 12378 Strong Heart Trl, Arlington, TN 38002-4063 | 2019-04-26 |
| 1487124608 | Matthew Williams | Specialist/Technologist | 1880 Wyndham Hill Dr, Hastings, MN 55033-8590 | 2018-11-30 |
| 1598255598 | Matthew Anthony Williams | Registered Nurse | 746 Township Road 276 N, South Point, OH 45680-8936 | 2018-05-15 |
| 1366946774 | Matthew J Williams | Massage Therapist | 142 E Jefferson St, Bluffton, OH 45817-1330 | 2018-03-20 |
| 1164966305 | Matthew Z Williams | Student in an Organized Health Care Education/Training Program | 2101 S Ocean Dr, Apt 1604, Hollywood, FL 33019-2529 | 2016-12-07 |
| 1578005716 | Matthew Brent Williams | Physical Therapist | 321 S 3rd St Ste B, Danville, KY 40422-2090 | 2016-11-04 |
| 1790198950 | Matthew R Williams | Audiologist | 1323 West Hunter St., Logan, OH 43138 | 2014-06-05 |
| 1215364690 | Matthew Gregory Williams | Specialist/Technologist | 5201 Mid America Plz Ste 2600, Saint Louis, MO 63129-0002 | 2013-10-01 |
| Street Address |
1 HAYDEN DR ATHLETIC DEPARTMENT |
| City | PETERSBURG |
| State | VA |
| Zip Code | 23806-1000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003476219 | Debra Spicely Jones | Health Educator | 1 Hayden Dr, Petersburg, VA 23803-2520 | 2019-06-19 |
| 1881118933 | Steven White | Nurse Practitioner | 1 Hayden Dr, Petersburg, VA 23806-4245 | 2017-07-31 |
| 1265883862 | Imann Rollins | Specialist/Technologist | 1 Hayden Dr, Petersburg, VA 23803-2520 | 2016-06-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902390982 | Haneefah Omega Henry Rhodes | Nurse Practitioner | Vsu Health Center 1 Hayden Dr, Petersburg, VA 23806-0001 | 2018-06-21 |
| 1548411879 | Lynette Galloway Branch | Nurse Practitioner | Virginia State University Student Health, 1 Hayden Drive, Petersburg, VA 23806-0001 | 2008-10-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174124663 | Vets Aide | Home Health Aide | 49 Walnut Blvd, Petersburg, VA 23805-2109 | 2020-11-03 |
| 1720688419 | Kimberly Dawn Runion | Technician | 791 Cave Mtn Rd, Petersburg, WV 26847 | 2020-10-30 |
| 1740889872 | Tandrea Graham | Community Health Worker | 628 Old Wagner Rd, Petersburg, VA 23805-9319 | 2020-10-20 |
| 1235738394 | Hl Transportation Services LLC | Non-emergency Medical Transport (VAN) | 210 Walnut Blvd Apt 19, Petersburg, VA 23805-2054 | 2020-10-20 |
| 1265030217 | Alisha Rose Powell | Technician | 216 Clifftop Dr Apt 84, Petersburg, WV 26847-8893 | 2020-10-13 |
| 1063010155 | Kourtney Hendricks | Home Health Aide | 1641 Darby Dr, Petersburg, VA 23803-5331 | 2020-10-12 |
| 1396342895 | Stacey Reynolds Dahl | Nurse Practitioner | 103 Fram Treet, Petersburg, AK 99833-0589 | 2020-10-07 |
| 1174130397 | Upscale Home Care, LLC | Home Health | 325 Brown St Ste 131, Petersburg, VA 23803-4234 | 2020-09-30 |
| 1295341675 | Logan Mackenzie Willis | Technician | 216 Clifftop Dr Apt 86, Petersburg, WV 26847-8893 | 2020-09-21 |
| 1336755917 | Leap of Faith Adult Services LLC | Day Training, Developmentally Disabled Services | 528 Virginia Ave, Petersburg, VA 23803-5759 | 2020-09-19 |
| Find all providers in PETERSBURG | ||||
| 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 |
|---|---|---|---|---|
| 1427556364 | Cadey Joyceann Cole | Specialist/Technologist | 17315 Ida Center Rd, Petersburg, MI 49270 | 2018-01-25 |
| 1043758352 | Jed Michael Crots | Specialist/Technologist | 8908 Sylvania Petersburg Rd, Petersburg, MI 49270-9338 | 2017-02-07 |
| 1033545355 | Matthew Ryan Newsome | Specialist/Technologist | 5 Lindsay Lane, Petersburg, NJ 08270 | 2013-09-18 |
| 1265883862 | Imann Rollins | Specialist/Technologist | 1 Hayden Dr, Petersburg, VA 23803-2520 | 2016-06-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295335487 | Sukyoon Chang | Specialist/Technologist | 6001 Grove Ave, Richmond, VA 23226-2603 | 2020-10-28 |
| 1912507302 | Madeline Joanna Bills | Specialist/Technologist | 308 Locust Grove Dr, Purcellville, VA 20132-3391 | 2020-10-27 |
| 1679171193 | Camden Oakes Bentley | Specialist/Technologist | 634 Treys Dr, Winchester, VA 22601-3230 | 2020-10-16 |
| 1932707437 | Madison Dobscha | Specialist/Technologist | 1706 Revere Ct Ne, Leesburg, VA 20176-6634 | 2020-10-15 |
| 1710584792 | Melvin Enderes | Specialist/Technologist | 42678 Frontier Dr, Brambleton, VA 20148-7207 | 2020-10-02 |
| 1285249755 | Amy Virostek | Specialist/Technologist | 1015 Heathercroft Cir Ste 200, Crozet, VA 22932-3370 | 2020-09-11 |
| 1255942264 | Xavier Thompson | Specialist/Technologist | 210 Emmet St S Rm 222, Charlottesville, VA 22903-2455 | 2020-08-13 |
| 1225647969 | Madison Polk | Specialist/Technologist | 9229 Arnie Ct, Manassas Park, VA 20111-3071 | 2020-07-29 |
| 1760090955 | Alymaris O'reilly | Specialist/Technologist | 5211 Duncan Trl, Reva, VA 22735-2016 | 2020-07-14 |
| 1740808377 | Aimee Gardanier | Specialist/Technologist | 2526 24th St N Lowr Unit, Arlington, VA 22207-4907 | 2020-07-09 |
| Find all providers with the same taxonomy | ||||
| City | PETERSBURG |
| Zip Code | 23806 |
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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.