JONATHAN RANN NELSON-CHAVIS (NPI# 1114525060) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114525060 |
| Entity Type | Individual |
| Full Name | JONATHAN RANN NELSON-CHAVIS |
| Credential | LAT, ATC |
| Practice Address |
3708 Mayfair St Durham NC 27707-6226 |
| Mailing Address |
5902 Tattersall Dr Apt 25 Durham NC 27713-9055 |
| Practice Telephone | 9842154780 |
| Mailing Telephone | 2522135740 |
| Enumeration Date | 2020-10-13 |
| Last Update Date | 2020-10-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
LAT-3630 | NC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 590 Manning Dr, Chapel Hill, NC 275996119 | 9849740210 |
| Street Address |
3708 MAYFAIR ST |
| City | DURHAM |
| State | NC |
| Zip Code | 27707-6226 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649222464 | Valerie Collins | Physical Therapist | 3708 Mayfair St, Durham, NC 27707-6226 | 2006-05-17 |
| 1306198080 | Arlana Eichelle Garvin | Counselor | 3708 Mayfair St, Square 2, Durham, NC 27707-6226 | 2012-10-05 |
| 1801141296 | Wesley Knepper | Counselor | 3708 Mayfair St, South Square 2, Durham, NC 27707-6226 | 2012-07-21 |
| 1093038929 | Providence Healthcare, Inc. | Home Health | 3708 Mayfair St, 100, Durham, NC 27707-6226 | 2010-03-06 |
| 1689909699 | Ulaine Rita Washington | Social Worker | 3708 Mayfair St, South Square 2, Durham, NC 27707-6226 | 2009-10-08 |
| 1699936369 | Jacqueline E Maffett | Counselor | 3708 Mayfair St, South Square 2, Durham, NC 27707-6226 | 2008-06-24 |
| 1285808741 | Justin Allen Lee | Family Medicine | 3708 Mayfair St, Durham, NC 27707-6226 | 2008-04-16 |
| 1154591386 | Triumph, LLC | Counselor | 3708 Mayfair St, South Square 2, Durham, NC 27707-6226 | 2008-03-04 |
| 1407025117 | Carolina Behavioral Care | Psychiatry & Neurology | 3708 Mayfair St, Southsquare 2, Suite 200, Durham, NC 27707-6226 | 2008-02-27 |
| 1740482611 | Lisa Anne Copley | Counselor | 3708 Mayfair St, Durham, NC 27707-6226 | 2007-06-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538785928 | Ceara Smith | Social Worker | 1415 W Nc 54 Buidling 200, Suite 111, Durham, NC 27707 | 2020-06-22 |
| 1114554094 | Lauren Michelle Grosse | Physician Assistant | Fastmed Urgent Care 7010 Nc-751, Durham, NC 27707 | 2020-03-23 |
| 1386289635 | Ashley Bailey | Counselor | 1801 Fayetteville Street, Durham, NC 27707 | 2019-11-11 |
| 1881249886 | Erin Ramona Leger | Physical Therapist | 3706 Mayfair St, Ste 120, Durham, NC 27707 | 2019-08-06 |
| 1417417262 | Carmen Elisabeth Sanchez | Psychologist | 3326 Durham Chapel Hill Blvd Bldg D, Durham, NC 27707 | 2019-03-20 |
| 1477026144 | Pope Behavioral Health and Wellness | Counselor | 5102 Chapel Hill Durham Blvd., Suite 101, Durham, NC 27707 | 2019-01-06 |
| 1043780778 | Jessica Ann Revels | Counselor | 1415 West North Carolina 54, Building 100 Suite # 204, Durham, NC 27707 | 2018-11-26 |
| 1558830125 | Michael Brown | Counselor | 1502 W Nc-54, Suite 505, Durham, NC 27707 | 2018-11-13 |
| 1780152827 | Cassandra Gerwig Shaw | Registered Nurse | 5324 Mcfarland Dr Ste 310, Durham, NC 27707 | 2018-11-07 |
| 1942776232 | Lisa J Keskitalo | Physical Therapist | 3708 Mayfair St Ste 120, Durham, NC 27707 | 2018-10-15 |
| Find all providers in zip 27707 | ||||
| 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 |
|---|---|---|---|---|
| 1770199804 | Sandra Jean Evans | Specialist/Technologist | 405 Farintosh Valley Ln, Durham, NC 27703-8116 | 2020-09-23 |
| 1629688858 | Napoelon Manley | Specialist/Technologist | 4212 Lady Slipper Ln, Durham, NC 27704-6403 | 2020-08-03 |
| 1194346080 | Kristina Hall | Specialist/Technologist | 110 Whitford Dr Murray Athletic Training Room, Durham, NC 27708-0001 | 2020-05-01 |
| 1760018113 | Devin Demyanovich | Specialist/Technologist | 110 Whitford Drive Wd Murray Building Rm 212, Durham, NC 27708-0001 | 2020-03-18 |
| 1407320443 | Erin Paige Lawson | Specialist/Technologist | 17 Barnsdale Ct, Durham, NC 27713-8155 | 2019-01-12 |
| 1154894269 | Theodore Lawson Queen Jr. | Specialist/Technologist | 518 Darby Glen Ln, Durham, NC 27713-9427 | 2019-01-10 |
| 1225536600 | Samantha Anne Champa | Specialist/Technologist | 83 Main St # 3516, Durham, NH 03824-2538 | 2018-01-31 |
| 1922537471 | Stephanie Natasha Davis | Specialist/Technologist | 1216 Kent St, Durham, NC 27707-1236 | 2017-06-08 |
| 1922535970 | Julia Dawn Mcnabb | Specialist/Technologist | Po Box 19705, Durham, NC 27707-0023 | 2017-05-20 |
| 1942740956 | Aleah Kirsch | Specialist/Technologist | 110 Whitford Dr, Durham, NC 27708-9982 | 2017-02-24 |
| Find all providers in DURHAM | ||||
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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.