NICOLE MARIE BERUBE


Address: 3511 Broadrun Dr, Fairfax, VA 22033-2164
Phone: 7033465200

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2255A2300X Specialist/Technologist
Specialization: Athletic Trainer
Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 3511 BROADRUN DR
City FAIRFAX
State VA
Zip Code 22033-2164

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Taxonomy Information

Taxonomy Code 2255A2300X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Specialist/Technologist
Specialization Athletic Trainer

Taxonomy Definition

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]

Providers in the same taxonomy and city

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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
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Competitor

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City FAIRFAX
Zip Code 22033

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Dataset Information

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.

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