ALEX KENDRICK BLACK (NPI# 1083124556) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083124556 |
| Entity Type | Individual |
| Full Name | ALEX KENDRICK BLACK |
| Credential | ATC |
| Practice Address |
150 Jamerson Center (0502) 21 Beamer Way Blacksburg VA 24061-0001 |
| Mailing Address |
834 Patrick Henry Dr Blacksburg VA 24060-3141 |
| Practice Telephone | 5402316410 |
| Mailing Telephone | 5137281141 |
| Enumeration Date | 2017-10-10 |
| Last Update Date | 2017-10-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
0126002567 | VA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699061358 | Alex Black | Pharmacist | 1400 S Havana St, Aurora, CO 80012-4014 | 2011-06-21 |
| 1861781536 | Alex B. Black | Emergency Medicine | 6451 Brentwood Stair Rd, #200, Fort Worth, TX 76112-3200 | 2011-04-04 |
| 1689867806 | Alex Ren Black | Marriage & Family Therapist | 2540 Charleston St, Oakland, CA 94602-2508 | 2007-08-21 |
| Street Address |
150 JAMERSON CENTER (0502) 21 BEAMER WAY |
| City | BLACKSBURG |
| State | VA |
| Zip Code | 24061-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104373463 | Alaina Locus | Specialist/Technologist | 21 Beamer Way, Blacksburg, VA 24061 | 2016-09-04 |
| 1962872663 | Virginia Tech Adult Day Services | Clinic/Center | 102 Wallace Hall (0416), Blackburg, VA 24061 | 2015-10-07 |
| 1497374953 | Julie Kuhlman | Specialist/Technologist | 21 Beamer Way 150 Jamerson Athletic Center, Blacksburg, VA 24061-0001 | 2020-04-14 |
| 1962068510 | Ashlee Humphries | Specialist/Technologist | 25 Beamer Way, Blacksburg, VA 24061-0001 | 2019-05-18 |
| 1760969034 | Carlin Rafie | Dietitian, Registered | 321 Wallace Hall (0430) 295 West Campus Drive, Blacksburg, VA 24061-0001 | 2018-07-19 |
| 1306354642 | Kyle Ambrose Staggers | Specialist/Technologist | Jamerson Athletic Center Room 160 21 Beamer Way, Blacksburg, VA 24061-0001 | 2018-01-22 |
| 1982129391 | Lonnie Gross Jr. | Specialist/Technologist | 325 Stranger St, Blacksburg, VA 24061-0001 | 2017-08-07 |
| 1952704397 | Frederick Purnell | Specialist/Technologist | 160 Jamerson Athletic Ctr, Blacksburg, VA 24061-0001 | 2014-09-30 |
| 1609275742 | Morgan Thomson | Specialist/Technologist | 112 Merryman Athletic Ctr, Blacksburg, VA 24061-0001 | 2014-08-14 |
| 1194130310 | David Dietter | Specialist/Technologist | 160 Jamerson Ctr, Blacksburg, VA 24061-0001 | 2014-06-26 |
| Find all providers in zip 24061 | ||||
| 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 |
|---|---|---|---|---|
| 1497374953 | Julie Kuhlman | Specialist/Technologist | 21 Beamer Way 150 Jamerson Athletic Center, Blacksburg, VA 24061-0001 | 2020-04-14 |
| 1689223471 | David Parmer | Specialist/Technologist | 1480 S Main St Ste 116, Blacksburg, VA 24060-5572 | 2019-09-05 |
| 1962068510 | Ashlee Humphries | Specialist/Technologist | 25 Beamer Way, Blacksburg, VA 24061-0001 | 2019-05-18 |
| 1073076154 | Hannah Kelly | Specialist/Technologist | 1691 Innovation Dr, Blacksburg, VA 24060-6828 | 2019-04-07 |
| 1306354642 | Kyle Ambrose Staggers | Specialist/Technologist | Jamerson Athletic Center Room 160 21 Beamer Way, Blacksburg, VA 24061-0001 | 2018-01-22 |
| 1982129391 | Lonnie Gross Jr. | Specialist/Technologist | 325 Stranger St, Blacksburg, VA 24061-0001 | 2017-08-07 |
| 1104373463 | Alaina Locus | Specialist/Technologist | 21 Beamer Way, Blacksburg, VA 24061 | 2016-09-04 |
| 1891241071 | Shanna Ramsey | Specialist/Technologist | 178 Lookout Tower Rd, Blacksburg, SC 29702-9573 | 2016-08-29 |
| 1952704397 | Frederick Purnell | Specialist/Technologist | 160 Jamerson Athletic Ctr, Blacksburg, VA 24061-0001 | 2014-09-30 |
| 1447659271 | Ernest Gregory Eugene | Specialist/Technologist | 605 Washington St Sw, Blacksburg, VA 24061-1064 | 2014-08-18 |
| Find all providers in BLACKSBURG | ||||
| City | BLACKSBURG |
| Zip Code | 24061 |
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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.