DARRIN W DEREU (NPI# 1053326520) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053326520 |
| Entity Type | Individual |
| Full Name | DARRIN W DEREU |
| Credential | ATC |
| Practice Address |
N Carolina State University 2500 Warren Carrol Drive, Box 8502 Raleigh NC 27695-8502 |
| Mailing Address |
3404 Sosa Rd Raleigh NC 27610-4097 |
| Practice Telephone | 9195137295 |
| Mailing Telephone | 9195137295 |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
0805 | NC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
N CAROLINA STATE UNIVERSITY 2500 WARREN CARROL DRIVE, BOX 8502 |
| City | RALEIGH |
| State | NC |
| Zip Code | 27695-8502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275677502 | Elizabeth P. Sparrow | Clinical Neuropsychologist | N Carolina State University, Department of Psychology, Box 7650, Raleigh, NC 27695-0001 | 2007-02-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760911150 | Joy Bataille | Pharmacist | 2815 Cates Avenue, Raleigh, NC 27695 | 2017-06-08 |
| 1992334247 | Brianne Lawton | Specialist/Technologist | 1 Reynolds Coliseum, Raleigh, NC 27695-0001 | 2020-04-07 |
| 1164065827 | Whitney Beth Griffin | Psychologist | 2310 Stinson Drive Ncsu Dept of Psychology 640 Poe Hall, Raleigh, NC 27695-0001 | 2019-10-24 |
| 1023523552 | Soo Young Uhm | Dietitian, Registered | 2815 Cates Avenue Campus Box 7304, Raleigh, NC 27695-0001 | 2017-12-06 |
| 1578088316 | Andrew Bagley | Emergency Medicine | 2500 Warren Caroll Drive, Raleigh, NC 27695-0001 | 2017-08-12 |
| 1184149312 | Mianmian Sun | Pharmacist | 2815 Cates Ave Box 7304, Raleigh, NC 27695-0001 | 2017-08-09 |
| 1063952034 | Natalie Murr | Psychologist | 640 Poe Hl, 2310 Katharine Stinson Drive, Raleigh, NC 27695-0001 | 2017-02-24 |
| 1821413519 | Kristen Lyn Mostrom | Specialist/Technologist, Other | 2500 Warren Carroll Dr Box 8502, Raleigh, NC 27695-0001 | 2014-03-04 |
| 1457577975 | Sasha J Fradin | Psychologist | Ncsu Psychoeducational Clinic, Campus Box 7650, Raleigh, NC 27695-0001 | 2007-04-17 |
| 1699390021 | Scott Donald Ensell | Specialist/Technologist | 2500 Warren Carroll Dr, Raleigh, NC 27695-0001 | 2020-06-11 |
| Find all providers in zip 27695 | ||||
| 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 |
|---|---|---|---|---|
| 1033720073 | Anthoni Austin Wedderburn | Specialist/Technologist | 1401 Edwards Mill Rd, Raleigh, NC 27607-0718 | 2020-08-13 |
| 1871110411 | Kayleigh Dolphin | Specialist/Technologist | 6601 Hillsborough St Ste 113, Raleigh, NC 27606-1174 | 2020-06-30 |
| 1992334247 | Brianne Lawton | Specialist/Technologist | 1 Reynolds Coliseum, Raleigh, NC 27695-0001 | 2020-04-07 |
| 1710535018 | Suzanne Marrone | Specialist/Technologist | 1612 Township Cir, Raleigh, NC 27609-5071 | 2019-08-29 |
| 1134685639 | Morgan Lynn Mann | Specialist/Technologist | 5437 Stewartby Dr, Raleigh, NC 27613-5737 | 2019-02-20 |
| 1740746999 | Renee Louise Rightmyer | Specialist/Technologist | 2008 Lacebark Ln, Raleigh, NC 27613-6159 | 2019-02-13 |
| 1023582095 | Joshua Lamont Williams | Specialist/Technologist | 5336 Cog Hill Ct, Raleigh, NC 27604-5894 | 2019-01-14 |
| 1285107938 | Adrienne Maniktala | Specialist/Technologist | 6336 Wrenwood Ave, Raleigh, NC 27607-4826 | 2019-01-05 |
| 1154891018 | Lindsey Croom | Specialist/Technologist | 3480 Wake Forest Rd Ste 204, Raleigh, NC 27609-7376 | 2018-12-04 |
| 1386137735 | Maitlyn Avery Betts | Specialist/Technologist | 8421 Two Courts Drive, Raleigh, NC 27613 | 2018-06-11 |
| Find all providers in RALEIGH | ||||
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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.