MS. MELISSA BETH BROUSSEAU (NPI# 1063036291) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063036291 |
| Entity Type | Individual |
| Full Name | MS. MELISSA BETH BROUSSEAU |
| Credential | L., ATC. |
| Practice Address |
19 Payson Ave Easthampton MA 01027-2246 |
| Mailing Address |
220 Main St Apt 1 Easthampton MA 01027-2025 |
| Practice Telephone | 4135293089 |
| Mailing Telephone | 4136269709 |
| Enumeration Date | 2020-06-03 |
| Last Update Date | 2020-06-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
1004 | MA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
19 PAYSON AVE |
| City | EASTHAMPTON |
| State | MA |
| Zip Code | 01027-2246 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669034526 | Elite Home Care Agency & Training Enterprises | In Home Supportive Care | 184 Northampton Street, Building 3 Suite 301, Easthampton, MA 01027 | 2019-07-01 |
| 1275018848 | Micah Jacob Feldman | Social Worker | 99 East, Easthampton, MA 01027 | 2018-09-30 |
| 1063930642 | Victoria Lynn Hesse | Counselor | 203 East Street, Easthamptom, MA 01027 | 2017-09-05 |
| 1356690770 | Erin Neil Kolasinski | Social Worker | 179 Northampton Street, Easthampton, MA 01027 | 2012-08-30 |
| 1619245784 | Marina Kantarovich Rodriguez | Counselor | 108 Union St, Easthampton, MA 01027 | 2011-12-05 |
| 1205104239 | Sima Mansouri | Pharmacist | 16 Pine Hill Rd, Easthampton, MA 01027 | 2011-12-05 |
| 1063711331 | John Daniel Ritchie | Social Worker | 181 Northampton St Ste B3, Easthampton, MA 01027 | 2011-03-25 |
| 1427359272 | All About You LLC | Home Health | 2 Mechanic Street, Suite 7, Easthampton, MA 01027 | 2010-11-10 |
| 1386972263 | Hannah Lord | Counselor | 123 Union Street, Suite 201, Easthampton, MA 01027 | 2009-12-03 |
| 1174786321 | Diane M Debenedetto | Internal Medicine | 132 Cottage Street, Easthampton, MA 01027 | 2008-07-08 |
| Find all providers in zip 01027 | ||||
| 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 |
|---|---|---|---|---|
| 1659407880 | Kimberly Ann O'leary | Specialist/Technologist | 28 Holly Cir, Easthampton, MA 01027-2737 | 2007-02-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184225682 | Jacob Hebert | Specialist/Technologist | 177 Wenonah Rd, Longmeadow, MA 01106-1929 | 2020-11-03 |
| 1700486693 | Mark Comstock | Specialist/Technologist | 74 Union Park St, Boston, MA 02118-2142 | 2020-10-29 |
| 1962000422 | Allison Damigella | Specialist/Technologist | 20 Cobblestone Ln, Bridgewater, MA 02324-2277 | 2020-10-15 |
| 1669088712 | Ryan Donovan | Specialist/Technologist | 4 Paul Ave, Peabody, MA 01960-2620 | 2020-09-23 |
| 1619583119 | Seth Travers | Specialist/Technologist | 179 Wimbleton Dr, Longmeadow, MA 01106-2744 | 2020-09-20 |
| 1306451091 | Stephanie Wilson | Specialist/Technologist | 315 Turnpike St Stop 2247, North Andover, MA 01845-5800 | 2020-09-10 |
| 1467067116 | Devon Choi | Specialist/Technologist | Merrimack College, 315 Turnpike St, North Andover, MA 01845-0184 | 2020-09-10 |
| 1295349140 | Katelyn Charlotte Richardson | Specialist/Technologist | 2002 Lords Ct, Wilmington, MA 01887-4514 | 2020-09-08 |
| 1386256360 | William Conrad Desjardins | Specialist/Technologist | 20 Manhattan Dr, Burlington, MA 01803-1905 | 2020-08-20 |
| 1942812128 | Samantha Norman Kheboian | Specialist/Technologist | 71 Lakeshore Ave, Beverly, MA 01915-1907 | 2020-08-19 |
| Find all providers with the same taxonomy | ||||
| City | EASTHAMPTON |
| Zip Code | 01027 |
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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.