MALLORY ANN LORENCE (NPI# 1144762600) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144762600 |
| Entity Type | Individual |
| Full Name | MALLORY ANN LORENCE |
| Credential | MS, AT |
| Practice Address |
3975 Embassy Pkwy Akron OH 44333-8320 |
| Mailing Address |
8784 State Route 44 Ravenna OH 44266-9785 |
| Practice Telephone | 3306684040 |
| Mailing Telephone | 3308021721 |
| Enumeration Date | 2016-11-14 |
| Last Update Date | 2020-01-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AT005388 | OH | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5031 Catherine Ct, Ravenna, OH 442668345 | 3308021721 |
| Street Address |
3975 EMBASSY PKWY |
| City | AKRON |
| State | OH |
| Zip Code | 44333-8320 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104818038 | Crystal Clinic Surgery Center, Inc. | Clinic/Center | 3975 Embassy Pkwy, Suite 202, Akron, OH 44333-8320 | 2005-08-17 |
| 1659980431 | Baylee Marie Burns | Physician Assistant | 3975 Embassy Pkwy, Akron, OH 44333-8320 | 2020-07-28 |
| 1396255766 | Chance William Mitan | Physician Assistant | 3975 Embassy Pkwy, Akron, OH 44333-8320 | 2017-10-11 |
| 1881138063 | Crystal Clinic Orthopaedic Center, LLC | Special Hospital | 3975 Embassy Pkwy, Suite 003, Akron, OH 44333-8320 | 2016-12-07 |
| 1235687161 | Marissa Rokicki | Nurse Anesthetist, Certified Registered | 3975 Embassy Pkwy, Suite 202, Akron, OH 44333-8320 | 2016-09-20 |
| 1952769713 | Nicole D'amico | Physician Assistant | 3975 Embassy Pkwy, Akron, OH 44333-8320 | 2016-02-08 |
| 1831572742 | Blake Schmucker | Specialist/Technologist | 3975 Embassy Pkwy, Akron, OH 44333-8320 | 2015-07-09 |
| 1023434552 | Kodi Veale | Physician Assistant | 3975 Embassy Pkwy, Akron, OH 44333-8320 | 2014-03-07 |
| 1982030326 | Michelle M Kilbane | Physician Assistant | 3975 Embassy Pkwy, Akron, OH 44333-8320 | 2013-09-17 |
| 1336495308 | Brandy M Mansfield | Nurse Practitioner | 3975 Embassy Pkwy, Ste 102, Akron, OH 44333-8320 | 2012-07-27 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083223341 | National Vision Inc | Optometrist | 2665 West Market Street, Fairlawn, OH 44333 | 2020-07-23 |
| 1619468105 | Yellow Creek Primary Care, Inc. | Family Medicine | 3453 Granger Rd, Akron, OH 44333 | 2018-05-21 |
| 1336655984 | Laura Ann Starkey | Nurse Practitioner | 3562 Ridge Park Dr # D1, Fairlawn, OH 44333 | 2017-12-19 |
| 1952814329 | Linda Long | Behavioral Analyst | 3428 W. Market Street, Fairlawn, OH 44333 | 2017-11-08 |
| 1366967325 | Heidi Harper | Behavioral Analyst | 373 Stratford Rd., Fairlawn, OH 44333 | 2017-08-10 |
| 1215459151 | Lisa Marie Kosley | Registered Nurse | 3250 West Market, Suite 2, Fairlawn, OH 44333 | 2017-07-12 |
| 1053764530 | Lindsey Foradis | Nurse Practitioner | 3600 W Market St Ste 200, Fairlawn, OH 44333 | 2016-07-19 |
| 1922484740 | Let's Talk Quality Services, Inc. | Day Training, Developmentally Disabled Services | 462 Gresham Drive, Fairlawn, OH 44333 | 2015-08-04 |
| 1770973240 | Amelia Evans | Licensed Practical Nurse | 3040 West Market St., Interim Healthcare, Akron, OH 44333 | 2015-02-04 |
| 1770908774 | Mary Catherine Boettcher | Speech-Language Pathologist | 150 N. Miller Rd., Suite # 150 A, Akron, OH 44333 | 2014-02-27 |
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| 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 |
|---|---|---|---|---|
| 1245852532 | Ty'asia L Jones | Specialist/Technologist | 380 W Cedar St Apt B7, Akron, OH 44307-2421 | 2020-05-11 |
| 1285267096 | Terrence Shambley | Specialist/Technologist | 333 S Mainst Suite 607, Akron, OH 44308 | 2020-02-20 |
| 1184261836 | Shannon Amstutz | Specialist/Technologist | 2567 Mayfair Rd, Akron, OH 44312-5474 | 2019-12-02 |
| 1013554765 | Tyezhe' L Wilson | Specialist/Technologist | 717 Edgewood Ave, Akron, OH 44307-2021 | 2019-12-02 |
| 1871137802 | Alexa Noelle Brewster | Specialist/Technologist | 3975 Embassy Pkwy Ste A, Akron, OH 44333-8319 | 2019-11-02 |
| 1598228306 | Dandrea Mccall | Specialist/Technologist | 1103 Cumberland Dr, Akron, OH 44306-3815 | 2019-04-09 |
| 1225595465 | Logan Paige Scears | Specialist/Technologist | 193 Davenport Ave, Akron, OH 44312-1609 | 2019-02-25 |
| 1538624754 | Alexis Cooks | Specialist/Technologist | 376 W Cedar St Apt A5, Akron, OH 44307-2428 | 2019-02-01 |
| 1023585882 | John Anthony Adams II | Specialist/Technologist | 956 Peerless Ave, Akron, OH 44320-2841 | 2018-10-30 |
| 1629544986 | India Barclay | Specialist/Technologist | 1052 Peerless Ave, Akron, OH 44320-3664 | 2018-10-15 |
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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.