MR. JACOB TYLER DEPEW (NPI# 1033402474) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033402474 |
| Entity Type | Individual |
| Full Name | MR. JACOB TYLER DEPEW |
| Credential | MS, ATC, LAT, PES |
| Practice Address |
833 Montlieu Ave High Point NC 27262-4221 |
| Practice Telephone | 3368414500 |
| Practice Fax Number | 3368419182 |
| Mailing Telephone | 3368414500 |
| Mailing Fax Number | 3368419182 |
| Enumeration Date | 2011-05-18 |
| Last Update Date | 2011-05-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
1828 | NC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
833 MONTLIEU AVE |
| City | HIGH POINT |
| State | NC |
| Zip Code | 27262-4221 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710903224 | Marnie S Marlette | Family Medicine | 833 Montlieu Ave, High Point, NC 27262-4221 | 2006-07-15 |
| 1851673974 | High Point University | Clinic/Center | 833 Montlieu Ave, High Point, NC 27262-4221 | 2011-09-14 |
| 1003101452 | Geoffrey Staton | Specialist/Technologist | 833 Montlieu Ave, High Point, NC 27262-4221 | 2011-06-14 |
| 1871886218 | Samantha Diane Streit | Specialist/Technologist | 833 Montlieu Ave, High Point, NC 27262-4221 | 2011-05-18 |
| 1215220652 | Hillary Elizabeth Malmberg | Specialist/Technologist | 833 Montlieu Ave, Drawer 9, High Point, NC 27262-4221 | 2011-05-18 |
| 1164743431 | Kristen M Sager | Social Worker | 833 Montlieu Ave, High Point, NC 27262-4221 | 2010-06-21 |
| 1366764912 | Melanie Warren | Specialist/Technologist | 833 Montlieu Ave, Dept. of Athletic Training, High Point, NC 27262-4221 | 2010-02-24 |
| 1457531220 | Joshua Thomas Geruso | Specialist/Technologist | 833 Montlieu Ave, High Point, NC 27268-0001 | 2007-11-09 |
| 1528189370 | Brian Michael Gerlach | Specialist/Technologist | 833 Montlieu Ave, High Point University, High Point, NC 27262-4221 | 2007-04-02 |
| 1437270287 | Lindsay Lianne Adams | Specialist/Technologist | 833 Montlieu Ave, High Point University, High Point, NC 27262-4221 | 2007-04-02 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821623620 | Lane and Associates Xxxviii Dds Pa | Dentist | 101 Northpoint Avenue, High Point, NC 27262 | 2020-03-12 |
| 1043869936 | Norma Mechelle Cox | Technician | 1145 Hawick Dr, High Point, NC 27262 | 2019-09-04 |
| 1417514910 | Jennifer A. Loveland Dmd II Pllc | Dentist | 1007 Phillips Avenue, Suite 103, High Point, NC 27262 | 2019-05-21 |
| 1982175196 | World Relief Corp of National Association of Evangelicals | Marriage & Family Therapist | 155 Northpoint Avenue, Suite 102, High Point, NC 27262 | 2018-12-16 |
| 1538679907 | Zackary Daniel Rogers | Physician Assistant | 1814 Westchester Dr #301, High Point, NC 27262 | 2017-10-11 |
| 1184164162 | Publix North Carolina, Lp | Durable Medical Equipment & Medical Supplies | 2005 N Main St., Suite 101, High Point, NC 27262 | 2017-02-24 |
| 1225483951 | Randall Godette | Physician Assistant | 611 Lindsay Street, High Point, NC 27262 | 2016-05-02 |
| 1336537356 | Optics, Inc. | Durable Medical Equipment & Medical Supplies | 1105 Lindsay Street, High Point, NC 27262 | 2014-12-29 |
| 1871902346 | Isha Bangura | Counselor | 910 Mill Ave., High Point, NC 27262 | 2014-08-08 |
| 1831478833 | Jenny Susan Mason | Specialist/Technologist | 922 West College Dr, High Point, NC 27262 | 2011-08-08 |
| Find all providers in zip 27262 | ||||
| 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 |
|---|---|---|---|---|
| 1518592757 | Angela Talaganis | Specialist/Technologist | 1 University Pkwy # 9, High Point, NC 27268-4260 | 2020-03-09 |
| 1336774579 | Katherine Mary Yakel | Specialist/Technologist | One University Parkway Drawer 9, High Point, NC 27268-0001 | 2020-03-09 |
| 1881253227 | Joseph Paul Hall Casedonte | Specialist/Technologist | 5220 Samet Dr Apt 3f, High Point, NC 27265-3531 | 2019-06-10 |
| 1568926574 | Alexander Best | Specialist/Technologist | 4006 Stillbrook Ln, High Point, NC 27265-9554 | 2019-01-23 |
| 1487147831 | Kylie Edwards | Specialist/Technologist | 4031 Triton Trl Apt 3j, High Point, NC 27265-3674 | 2018-06-11 |
| 1306353784 | Katherine Henriques | Specialist/Technologist | 1802 Dantzler Rd, High Point, NC 27265-9690 | 2018-01-06 |
| 1700316395 | Jennifer George | Specialist/Technologist | 3988 Clubhouse Court Apt. 2h, High Point, NC 27265 | 2017-06-15 |
| 1487183935 | Nicholas Richard Saul | Specialist/Technologist | 163 W Hartley Dr Apt H, High Point, NC 27265-3906 | 2017-06-08 |
| 1972925865 | Anh-dung Nguyen | Specialist/Technologist | 3908 Wesseck Rd, High Point, NC 27265-9373 | 2014-01-10 |
| 1831478833 | Jenny Susan Mason | Specialist/Technologist | 922 West College Dr, High Point, NC 27262 | 2011-08-08 |
| Find all providers in HIGH POINT | ||||
| City | HIGH POINT |
| Zip Code | 27262 |
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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.