NICOLE MARIE BERUBE (NPI# 1063075588) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1063075588 |
Entity Type | Individual |
Full Name | NICOLE MARIE BERUBE |
Practice Address |
3511 Broadrun Dr Fairfax VA 22033-2164 |
Practice Telephone | 7033465200 |
Mailing Telephone | 7033465200 |
Enumeration Date | 2019-04-19 |
Last Update Date | 2019-04-19 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
3511 BROADRUN DR |
City | FAIRFAX |
State | VA |
Zip Code | 22033-2164 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366074320 | Han S Yoo | Pharmacist | 12200 West Ox Road, Fairfax, VA 22033 | 2020-02-07 |
1386137271 | Ammar Orthodontics Pllc | Dentist | 11702 Fiar Oaks Mall, Upper Floor, Fairfax, VA 22033 | 2018-06-14 |
1013360940 | Kellyn Patricia Dodd | Nurse Practitioner | 3903 Fair Ridge Dr Ste 209, Fairfax, VA 22033 | 2016-07-15 |
1659721363 | John Du Od PC | Optometrist | 12618 Victoria Station Ct, Fairfax, VA 22033 | 2016-06-14 |
1568861904 | Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 12734 Shoppes Lane, Fairfax, VA 22033 | 2014-08-21 |
1649696295 | Patrisha Lultschik | Nurse Practitioner | 12375 Lee Jackson Memorial Hwy, Fairfax, VA 22033 | 2014-03-06 |
1912321910 | Alyson Huber | Nurse Anesthetist, Certified Registered | 3600 Joseph Siewick Dr., Fairfax, VA 22033 | 2014-02-11 |
1578999314 | Aiatulah Surmaty | Optometrist | 11801 Lee Jackson Memorial Hwy, Fairfax, VA 22033 | 2013-09-25 |
1356780928 | Ayatallah M. Khafagy | Obstetrics & Gynecology | 3650 Joseph Siewick Dr Suite 203, Fairfax, VA 22033 | 2013-06-17 |
1760726665 | Michelle Elise Schwartz | Speech-Language Pathologist | 3507 Curtice Farm Dr, Fairfax, VA 22033 | 2012-11-15 |
Find all providers in zip 22033 |
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 |
---|---|---|---|---|
1134752611 | Jennifer Cooke | Specialist/Technologist | 4707 Olley Ln, Fairfax, VA 22032-2133 | 2020-02-12 |
1891326963 | Alexis Haden | Specialist/Technologist | 12217 Pender Creek Cir Apt A, Fairfax, VA 22033-3921 | 2020-01-28 |
1356988992 | Alyx Bridis | Specialist/Technologist | 4450 Rivanna River Way, Fairfax, VA 22030-4441 | 2019-12-03 |
1316580731 | Sarah Mard | Specialist/Technologist | 3306 Edenvale Rd, Fairfax, VA 22031-2714 | 2019-10-18 |
1275018806 | Ethan Grant | Specialist/Technologist | 11960 Artery Dr, Fairfax, VA 22030-6711 | 2018-09-29 |
1588161251 | Rachael Renee Watkins | Specialist/Technologist | 10131 Dwight Ave, Fairfax, VA 22032-1035 | 2018-04-10 |
1982134250 | Dena Vandagriff | Specialist/Technologist | 4280 Mazarin Pl Apt 206, Fairfax, VA 22033-5790 | 2017-06-19 |
1821538117 | Kelly Fickes | Specialist/Technologist | 4231 Monument Wall Way, Apt 453, Fairfax, VA 22030-8433 | 2017-03-06 |
1427592690 | Samantha Raso | Specialist/Technologist | 3332 Lauriston Pl, Fairfax, VA 22031-4800 | 2016-12-07 |
1316399884 | Kaitlyn Alexandra Graybill | Specialist/Technologist | 11204 Braddock Rd, Fairfax, VA 22030-5405 | 2016-07-08 |
Find all providers in FAIRFAX |
Please comment or provide details below to improve the information on NICOLE MARIE BERUBE.
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.