TAYLOR BEAVERS (NPI# 1124579008) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124579008 |
| Entity Type | Individual |
| Full Name | TAYLOR BEAVERS |
| Credential | LAT, ATC |
| Practice Address |
11200 Governor Manly Way Raleigh NC 27614-8599 |
| Mailing Address |
429 Fowlkes St Wendell NC 27591-7763 |
| Practice Telephone | 3308197243 |
| Mailing Telephone | 3308197243 |
| Enumeration Date | 2016-10-17 |
| Last Update Date | 2016-10-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
LAT-2837 | NC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
11200 GOVERNOR MANLY WAY |
| City | RALEIGH |
| State | NC |
| Zip Code | 27614-8599 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194708263 | Edgar Xavier Correa | Podiatrist | 11200 Governor Manly Way, Suite 309, Raleigh, NC 27614-8599 | 2005-11-22 |
| 1437769080 | Jerrell Parker | Physical Therapy Assistant | 11200 Governor Manly Way, Raleigh, NC 27614-8599 | 2020-08-07 |
| 1255997086 | Kendra Rae Potter | Physician Assistant | 11200 Governor Manly Way, Raleigh, NC 27614-8599 | 2019-05-16 |
| 1942719752 | Lisa Susanna Izzi | Specialist/Technologist | 11200 Governor Manly Way, Raleigh, NC 27614-8599 | 2017-09-25 |
| 1053843664 | Brooke Graves | Physician Assistant | 11200 Governor Manly Way, Raleigh, NC 27614-8599 | 2017-04-02 |
| 1356881528 | John Michael Ablan | Prevention Professional | 11200 Governor Manly Way, Raleigh, NC 27614-8599 | 2017-03-07 |
| 1174074769 | Kelsey Leigh Mancini | Specialist/Technologist | 11200 Governor Manly Way, Suite 309, Raleigh, NC 27614-8599 | 2016-10-18 |
| 1215483540 | Nicole Emilia Renfroe | Student in an Organized Health Care Education/Training Program | 11200 Governor Manly Way, Raleigh, NC 27614-8599 | 2016-08-28 |
| 1649725177 | Chelsea Christine Sorensen | Specialist/Technologist | 11200 Governor Manly Way, Raleigh, NC 27614-8599 | 2016-08-25 |
| 1942652839 | Chris Cardella | Specialist/Technologist | 11200 Governor Manly Way, Raleigh, NC 27614-8599 | 2016-07-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215419379 | Patrick Orion Finn | Family Medicine | 10010 Falls of The Neuse Rd, Suite 11, Raleigh, NC 27614 | 2018-09-05 |
| 1538652557 | Amn Medical Group Pllc | General Practice | 13200 Falls of Neuse Rd Ste 113, Raleigh, NC 27614 | 2018-06-13 |
| 1497201727 | Kelsey Scheerer | Student in an Organized Health Care Education/Training Program | 11200 Governor Way, Raleigh, NC 27614 | 2016-08-28 |
| 1538521463 | Liane Rudd | Speech-Language Pathologist | 4700 Norbury Place, Raleigh, NC 27614 | 2016-03-21 |
| 1891088068 | Michelle Lynn Thompson | Pharmacist | 10930 Raven Ridge Road, Raleigh, NC 27614 | 2011-05-22 |
| 1821396185 | Bettye Jo Johnson | Physical Medicine & Rehabilitation | 11200 Governor Manly Way, Suite 305, Orhopaedic Specialists of North Carolina, Pa, Raleigh, NC 27614 | 2011-03-09 |
| 1982900650 | Blake Jennings Lamm | Pharmacist | 14460 New Falls of Neuse Rd, Suite 165, Raleigh, NC 27614 | 2011-01-28 |
| 1013223023 | Lauren S Lawler | Pharmacist | 11201 Durant Road, Raleigh, NC 27614 | 2010-08-27 |
| 1588985378 | Kashif Mazhar | General Acute Care Hospital | 10010 Falls of Neuse Road, Suite #12, Raleigh, NC 27614 | 2010-06-16 |
| 1922240100 | Harris Teeter, LLC | Durable Medical Equipment & Medical Supplies | 14520 John Rex Blvd, Raleigh, NC 27614 | 2009-04-02 |
| Find all providers in zip 27614 | ||||
| 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 |
|---|---|---|---|---|
| 1033720073 | Anthoni Austin Wedderburn | Specialist/Technologist | 1401 Edwards Mill Rd, Raleigh, NC 27607-0718 | 2020-08-13 |
| 1871110411 | Kayleigh Dolphin | Specialist/Technologist | 6601 Hillsborough St Ste 113, Raleigh, NC 27606-1174 | 2020-06-30 |
| 1992334247 | Brianne Lawton | Specialist/Technologist | 1 Reynolds Coliseum, Raleigh, NC 27695-0001 | 2020-04-07 |
| 1710535018 | Suzanne Marrone | Specialist/Technologist | 1612 Township Cir, Raleigh, NC 27609-5071 | 2019-08-29 |
| 1134685639 | Morgan Lynn Mann | Specialist/Technologist | 5437 Stewartby Dr, Raleigh, NC 27613-5737 | 2019-02-20 |
| 1740746999 | Renee Louise Rightmyer | Specialist/Technologist | 2008 Lacebark Ln, Raleigh, NC 27613-6159 | 2019-02-13 |
| 1023582095 | Joshua Lamont Williams | Specialist/Technologist | 5336 Cog Hill Ct, Raleigh, NC 27604-5894 | 2019-01-14 |
| 1285107938 | Adrienne Maniktala | Specialist/Technologist | 6336 Wrenwood Ave, Raleigh, NC 27607-4826 | 2019-01-05 |
| 1154891018 | Lindsey Croom | Specialist/Technologist | 3480 Wake Forest Rd Ste 204, Raleigh, NC 27609-7376 | 2018-12-04 |
| 1386137735 | Maitlyn Avery Betts | Specialist/Technologist | 8421 Two Courts Drive, Raleigh, NC 27613 | 2018-06-11 |
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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.