ETHAN SHAY TUTTON


Address: 1000 Misty Mountain Rd Apt 165, Lynchburg, VA 24502-3947
Phone: 8048699950

ETHAN SHAY TUTTON (NPI# 1184287054) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1184287054
Entity Type Individual
Full Name ETHAN SHAY TUTTON
Practice Address 1000 Misty Mountain Rd Apt 165
Lynchburg
VA 24502-3947
Practice Telephone 8048699950
Enumeration Date 2019-04-17
Last Update Date 2019-04-17
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2255A2300X Specialist/Technologist
Specialization: Athletic Trainer
Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 1000 MISTY MOUNTAIN RD APT 165
City LYNCHBURG
State VA
Zip Code 24502-3947

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1811523038 Vivian Tran Student in an Organized Health Care Education/Training Program Liberty University College of Osteopathic Medicine, 306 Liberty View Ln, Lynchburg, VA 24502 2020-03-19
1669005468 Beth Elaine Hammond Nurse Practitioner 132 Frederick Drive, Lynchburg, VA 24502 2020-02-20
1225672348 Pearlren-aye Elizabeth Taylor Case Management 542 Leesville Rd, Apt 127, Lynchburg, VA 24502 2019-10-31
1821553868 Shavonne D Joyner Behavioral Analyst 18697 Forest Road, Lynchburg, VA 24502 2019-02-04
1043794415 Robert Patrick Thomas Private Vehicle 44 Point Drive, Apt 30, Lynchburg, VA 24502 2018-09-20
1023503521 Ptc Wellness Centers PC Family Medicine 2832 Candlers Mtn Rd, Lynchburg, VA 24502 2018-06-27
1548750722 Raymond W Andrews IIi Speech-Language Pathologist 3101 Wards Ferry Road, Lynchburg, VA 24502 2018-05-14
1932697596 Barbara J Frost Nurse Practitioner 906 Westview Dr, Lynchburg, VA 24502 2018-04-28
1619476983 Benjamin Aaron Galley Specialist/Technologist 1971 University Blvd., Lynchburg, VA 24502 2018-02-01
1477076180 Candice Cage Home Health 1002 Wexford Place, Lynchburg, VA 24502 2017-07-25
Find all providers in zip 24502

Taxonomy Information

Taxonomy Code 2255A2300X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Specialist/Technologist
Specialization Athletic Trainer

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1467088278 Carrington Marie Erquiaga Specialist/Technologist 2101 Rivermont Ave, Lynchburg, VA 24503-4122 2020-03-13
1235765058 Hailli Marie Cooke Specialist/Technologist 1000 Misty Mountain Rd, Lynchburg, VA 24502-3946 2020-03-13
1730714551 Alonzo Lopez Specialist/Technologist 2133 Edinboro Ave, Lynchburg, VA 24502-5322 2020-03-12
1013549583 Jacob Gachowski Specialist/Technologist 37 Gloucester Dr, Lynchburg, VA 24501-1127 2020-02-12
1528608759 Candace Elisabeth Del Vallle Specialist/Technologist 200 Capstone Dr Unit 207, Lynchburg, VA 24502-5198 2020-01-15
1396395661 Allyson Brantley Specialist/Technologist 102 Stonemill Dr Apt H, Lynchburg, VA 24502-2064 2019-09-18
1114581774 Reed Worthington Specialist/Technologist Liberty University 1971 University Blvd, Lynchburg, VA 24515-0001 2019-04-29
1770147019 Mayowa David Aribisala Specialist/Technologist 7612 Timberlake Rd Apt 1312, Lynchburg, VA 24502-2490 2019-04-23
1457814055 Kristina Overholt Specialist/Technologist 88 Briarwood Ln, Lynchburg, VA 24501-7202 2019-04-10
1780144949 Christopher Jerry Rosenborough Specialist/Technologist 204b Stonemill Dr # B, Lynchburg, VA 24502-5049 2019-03-23
Find all providers in LYNCHBURG

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City LYNCHBURG
Zip Code 24502

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Dataset Information

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.

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