NICOLE A DEVLIEGER (NPI# 1033654843) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1033654843 |
Entity Type | Individual |
Full Name | NICOLE A DEVLIEGER |
Practice Address |
4539 S Dale Mabry Hwy Ste 110 Tampa FL 33611 |
Mailing Address |
11526 Leda Ln New Port Richey FL 34654-6237 |
Practice Telephone | 8132501208 |
Mailing Telephone | 7272650995 |
Enumeration Date | 2017-01-03 |
Last Update Date | 2019-08-01 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AL4899 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PHONE | 7272650995 | 01 |
Address | Telephone Number | Fax Number |
---|---|---|
4325 Seagull Dr, New Port Richey, FL 346522006 | 7272650995 |
Street Address |
4539 S DALE MABRY HWY STE 110 |
City | TAMPA |
State | FL |
Zip Code | 33611 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982262069 | Tyler Eisenbacher | Physical Therapist | 4539 S Dale Mabry Hwy Ste 110, Tampa, FL 33611-1404 | 2019-06-03 |
1134785280 | Jillian Surridge | Physical Therapist | 4539 S Dale Mabry Hwy Ste 110, Tampa, FL 33611-1404 | 2019-05-14 |
1508348640 | James Francis Haughney IIi | Physical Therapist | 4539 S Dale Mabry Hwy Ste 110, Tampa, FL 33611-1404 | 2018-09-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912519224 | Health & Glow Primary Care & Med Spa LLC | Internal Medicine | 4331 S Manhattan Ave, Tampa, FL 33611 | 2020-08-18 |
1245867597 | Susannah M Bultron | Home Health | 1663 Williambrg Sq, 1663 Williambrg Sq, Tampa, FL 33611 | 2020-03-26 |
1265077499 | Jenna Davis | Counselor | 4517 S Shamrock Rd, Tampa, FL 33611 | 2019-11-12 |
1023585114 | Samantha Lee Hamlin | Dietitian, Registered | 4003 S West Shore Blvd, Apt 4810, Tampa, FL 33611 | 2018-10-27 |
1023502572 | Sunset Chiropractic P.a. | Chiropractor | 3826 South Dale Mabry Hwy, South Tampa, FL 33611 | 2018-06-19 |
1740633064 | Charles Lindsey | Case Manager/Care Coordinator | 5215 South Westshore Blvd. #31, Tampa, FL 33611 | 2016-07-21 |
1699145078 | Sarah Milam | Physical Therapist | 3111 W.martin Luther King Jr Blvd, Suite # 500, Tampa, FL 33611 | 2015-09-29 |
1912399163 | Robert Robertson | Pharmacist | 4317 Gandy Blvd, Tampa, FL 33611 | 2015-02-25 |
1730514225 | Charles Samuel Mahan | Obstetrics & Gynecology | 3111 E. Fletcher Av., Tampa, FL 33611 | 2013-09-04 |
1518217850 | Sicily George | Case Manager/Care Coordinator | 4815 W. Bayvilla Avenue, Tampa, FL 33611 | 2012-09-13 |
Find all providers in zip 33611 |
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 |
---|---|---|---|---|
1740889377 | Ryan Michael Hill | Specialist/Technologist | 314 S Habana Ave, Tampa, FL 33609-3223 | 2020-10-24 |
1225643240 | Megan Marisa Fox | Specialist/Technologist | 5803 Marta Dr, Tampa, FL 33617-1125 | 2020-09-15 |
1053929240 | Aldenceise Smith | Specialist/Technologist | 3320 W Napoleon Ave, Tampa, FL 33611-5407 | 2020-07-14 |
1245854173 | Merlande Felizor | Specialist/Technologist | 9320 Crescent Loop Cir Apt 310, Tampa, FL 33619-7651 | 2020-06-06 |
1003435603 | Jose Guzman-ramos | Specialist/Technologist | 3602 Data Dr Apt 101, Tampa, FL 33613-2792 | 2020-04-13 |
1437778255 | Ai Ai La | Specialist/Technologist | 6406 W Paris St, Tampa, FL 33634-5009 | 2020-04-12 |
1760016489 | Francis L Johnson IIi | Specialist/Technologist | 7201 Sheldon Rd, Tampa, FL 33615-2328 | 2020-03-03 |
1295369916 | Skylar Jo Stevens | Specialist/Technologist | 5000 S Himes Ave Apt 312, Tampa, FL 33611-3675 | 2020-03-03 |
1174156400 | Jessica Styles | Specialist/Technologist | The University of Tampa, 401 W. Kennedy Blvd, Tampa, FL 33606 | 2020-02-14 |
1902449234 | Kendra Richardson | Specialist/Technologist | 4541 S Dale Mabry Hwy Ste 200, Tampa, FL 33611-1407 | 2019-10-18 |
Find all providers in TAMPA |
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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.