SHAKALA PETERSON (NPI# 1073050670) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073050670 |
| Entity Type | Individual |
| Full Name | SHAKALA PETERSON |
| Practice Address |
3430 Caruso Pl Oviedo FL 32765-9020 |
| Practice Telephone | 8134079832 |
| Enumeration Date | 2017-01-21 |
| Last Update Date | 2017-01-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
P362794955820 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
3430 CARUSO PL |
| City | OVIEDO |
| State | FL |
| Zip Code | 32765-9020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316576663 | Robby Hoffmann | Physical Therapist | 800 Red Bug Lake Road, Oviedo, FL 32765 | 2020-04-07 |
| 1366096836 | Brian Timothy Lowney | Pharmacist | 2871 Clayton Crossing Way #1001, Oviedo, FL 32765 | 2019-08-01 |
| 1083184634 | Ashley Grace Fuller | Speech-Language Pathologist | 251 Plaza Drive Suite C, Oviedo, FL 32765 | 2018-11-27 |
| 1164904678 | Katharine Albarella | Dietitian, Registered | 905 S. Lake Jessup Ave, Oviedo, FL 32765 | 2018-08-30 |
| 1871082396 | Catherine Victoria Wahl | Behavior Technician | 1350 San Remo Pt Apt 102, Oviedo, FL 32765 | 2018-05-10 |
| 1366943953 | Oviedo Smiles Dentistry, Pa | Dentist | 65 W. Mitchell Hammock Rd., Suite 1511, Oviedo, FL 32765 | 2018-02-28 |
| 1407385792 | Affordable Dentist | Dentist | 3228, W State Road 426, Suite 1000, Oviedo, FL 32765 | 2017-06-08 |
| 1104360221 | Mid Florida Hematology and Oncology Centers Pa | Internal Medicine | 658 Oviedo Medical Drive, Oviedo, FL 32765 | 2016-12-08 |
| 1174078281 | Dermatology and Skin Cancer Surgery Center, LLC | Dermatology | 7250 Red Bug Lake Rd Ste 1020, Oviedo, FL 32765 | 2016-08-18 |
| 1780038463 | Matthew Christo | Counselor | 5076 Sugberry Trail, Oviedo, FL 32765 | 2016-04-19 |
| Find all providers in zip 32765 | ||||
| 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 |
|---|---|---|---|---|
| 1619529252 | Erik Eduardo Del Orbe | Specialist/Technologist | 1008 Pinehurst Ct, Oviedo, FL 32765-5803 | 2019-07-14 |
| 1457817694 | April Dawn Peace | Specialist/Technologist | 4841 Brook Spring Ct, Oviedo, FL 32765-8612 | 2019-02-12 |
| 1689169120 | Alicia Kaye Koromilas | Specialist/Technologist | 3887 Golden Meadow Ct, Oviedo, FL 32765-9207 | 2018-06-27 |
| 1285156596 | Sarah Lufcy | Specialist/Technologist | 3225 Lockwood Blvd, Oviedo, FL 32765-9198 | 2017-07-10 |
| 1972049807 | Alexandria Perez | Specialist/Technologist | 1680 Slash Pine Pl, Oviedo, FL 32765-6270 | 2017-01-17 |
| 1386057503 | James Branch | Specialist/Technologist | 142 Windflower Way, Oviedo, FL 32765-4014 | 2014-06-05 |
| 1871522367 | Gary Glynn Stiles Jr. | Specialist/Technologist | 1890 W County Road 419, Suite 1000, Oviedo, FL 32765-4402 | 2006-06-30 |
| 1114993359 | Catherine M Lowe | Specialist/Technologist | 601 King St, Oviedo, FL 32765-8106 | 2006-02-27 |
| 1780184598 | Breena Mccarthy | Specialist/Technologist | 601 King St, Oviedo, FL 32765-8106 | 2018-02-19 |
| 1811010788 | Cory A Fox | Specialist/Technologist | 1000 W Broadway St, Suite 200, Oviedo, FL 32765-9260 | 2007-04-07 |
| Find all providers in OVIEDO | ||||
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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.