ANDREW JAMES VANDE BERG (NPI# 1093363392) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093363392 |
| Entity Type | Individual |
| Full Name | ANDREW JAMES VANDE BERG |
| Credential | ATC |
| Practice Address |
1301 E Arlington Blvd Greenville NC 27858-5868 |
| Practice Telephone | 2525658812 |
| Enumeration Date | 2019-08-29 |
| Last Update Date | 2019-08-29 |
| Gender Code | M |
| 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 |
1301 E ARLINGTON BLVD |
| City | GREENVILLE |
| State | NC |
| Zip Code | 27858-5868 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952833014 | Alexis Solomon | Emergency Medical Technician, Intermediate | 1301 E Arlington Blvd, Greenville, NC 27858 | 2017-03-29 |
| 1811507627 | Mason Smith | Physical Therapist | 1301 E Arlington Blvd, Greenville, NC 27858-5868 | 2020-08-06 |
| 1801406582 | Kaitlyn Nicole Reese | Physical Therapist | 1301 E Arlington Blvd, Greenville, NC 27858-5868 | 2020-08-06 |
| 1437706819 | Taylor Nolan | Physical Therapist | 1301 E Arlington Blvd, Greenville, NC 27858-5868 | 2019-08-21 |
| 1992351555 | Virginia Renn Shearin | Physical Therapist | 1301 E Arlington Blvd, Greenville, NC 27858-5868 | 2019-08-09 |
| 1053899625 | Richard Austin Mcphail | Physical Therapist | 1301 E Arlington Blvd, Greenville, NC 27858-5868 | 2018-08-05 |
| 1639657539 | Justin Foell | Physical Therapist | 1301 E Arlington Blvd, Greenville, NC 27858-5868 | 2018-08-02 |
| 1831613983 | Eric Steven Kosco | Physical Therapist | 1301 E Arlington Blvd, Greenville, NC 27858-5868 | 2017-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740890797 | Kari Melissa Carr | Counselor | 4410 Health Sciences Building, Greenville, NC 27858 | 2020-08-05 |
| 1518584705 | Apriann Marchelle Sutton | Social Worker | 2050 Eastgate Dr., # E, Greenville, NC 27858 | 2020-07-03 |
| 1174145338 | Matthew Charles Whited | Psychologist | Pass Clinic Rawl Building Room 311, East Carolina University, Greenville, NC 27858 | 2020-05-11 |
| 1760025043 | Brooke Elizabeth Wallace | Occupational Therapist | 740 Greenville Blvd, Ste 400 #133, Greenville, NC 27858 | 2019-10-19 |
| 1770141699 | Andrew Pickett | Specialist/Technologist | 130b Scales Field House, Ecu, Greenville, NC 27858 | 2019-06-05 |
| 1659836591 | Advanced Regenerative Care, Pllc | Physical Medicine & Rehabilitation | 504 C Red Banks Road, Greenville, NC 27858 | 2019-02-05 |
| 1316410996 | East Carolina Acupuncture Inc | Acupuncturist | 211 Commerce Street, Suite A, Greenville, NC 27858 | 2019-01-07 |
| 1922597368 | Kevin Westbrook | Respiratory Therapist, Registered | 513 Abington Court, Greenville, NC 27858 | 2018-05-01 |
| 1871090167 | Faith Based Counseling Services, LLC | Counselor | 235 Commerece Street, Greenville, NC 27858 | 2018-04-12 |
| 1639677800 | Marcus Brian Ward, Dmd, Pa | Clinic/Center | 3912 East 10th St., Greenville, NC 27858 | 2018-01-23 |
| Find all providers in zip 27858 | ||||
| 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 |
|---|---|---|---|---|
| 1427681055 | Iesha Mccassling | Specialist/Technologist | 107 Columbia Ave, Greenville, NC 27834-3966 | 2020-02-21 |
| 1770141699 | Andrew Pickett | Specialist/Technologist | 130b Scales Field House, Ecu, Greenville, NC 27858 | 2019-06-05 |
| 1710444682 | Mandolyn Mae Peterson | Specialist/Technologist | 1979 County Road 3327, Greenville, TX 75402-8607 | 2019-02-26 |
| 1265997795 | Brandi Dawn Grothman | Specialist/Technologist | 1606 S Pear Ln, Greenville, MS 38703-7814 | 2019-02-08 |
| 1861988743 | Rachel Hoover | Specialist/Technologist | 7481 S Grow Rd, Greenville, MI 48838 | 2018-07-03 |
| 1669965018 | Evanna Lonnique Evans | Specialist/Technologist | 402 S Texas Ave, Greenville, SC 29611-5619 | 2018-06-11 |
| 1376036939 | Tristan Prescott Morrison | Specialist/Technologist | 530a Lake Rd, Greenville, NC 27834-4956 | 2018-06-08 |
| 1144734500 | John Jacob Trundle | Specialist/Technologist | 2006 Worthington Rd, Greenville, NC 27858-8377 | 2017-11-21 |
| 1871002899 | Michael Thompson | Specialist/Technologist | 1504 Manning Forest Dr Apt B5, Greenville, NC 27834-6248 | 2017-09-21 |
| 1225550346 | Matthew Aiello | Specialist/Technologist | 650 N Academy St, Greenville, SC 29601-2246 | 2017-07-11 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 27858 |
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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.