BRAEDEN CHASE CARROLL (NPI# 1194280446) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1194280446 |
Entity Type | Individual |
Full Name | BRAEDEN CHASE CARROLL |
Practice Address |
636 Madison Ave Morgantown WV 26501 |
Mailing Address |
636 Madison Ave Morgantown WV 26501-6720 |
Practice Telephone | 3042386141 |
Mailing Telephone | 3042386141 |
Enumeration Date | 2019-01-31 |
Last Update Date | 2019-01-31 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Address | Telephone Number | Fax Number |
---|---|---|
636 Madison Ave, Morgantown, WV 26501 | 3042386141 |
Street Address |
636 MADISON AVE |
City | MORGANTOWN |
State | WV |
Zip Code | 26501 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114528718 | Billie Jane Shrout | Technician | #4 Ami Dr, Morgantown, WV 26501 | 2020-11-02 |
1932668852 | Donald Brubaker | Student in an Organized Health Care Education/Training Program | Wvu Medicine, University Town Centre, 6040 University Town Centre Drive, Morgantown, WV 26501 | 2019-03-19 |
1629541545 | Key Learning Autism Center Inc | Community/Behavioral Health | Mountaineer Mall, 5000 Greenbag Road Space A-1, Morgantown, WV 26501 | 2019-01-03 |
1922575463 | Heather Lynne Oneal | Midwife | 864 Vandalia Rd, Morgantown, WV 26501 | 2018-11-01 |
1609252634 | Nathan Robert Tomasik | Physical Therapist | 746 Fairmont Road, Westover, WV 26501 | 2015-07-31 |
1174922462 | Shelly Cummings | Nurse Practitioner | 5000 Greenbag Rd Ste E08, Morgantown, WV 26501 | 2014-08-22 |
1841609419 | Christine A Sutch | Family Medicine | 6040 University Town Center, Morgantown, WV 26501 | 2014-08-08 |
1073808432 | Megan B Darrah | Occupational Therapist | 6 Edwin Street, Morgantown, WV 26501 | 2011-06-14 |
1831325729 | Carol M. Kisner Mcgraw | Occupational Therapist | 26 Commerce Drive, Westover, WV 26501 | 2009-06-05 |
1235398827 | Sheryl Ann Saunders | Speech-Language Pathologist | 391 National Church Hollow, Morgantown, WV 26501 | 2008-06-09 |
Find all providers in zip 26501 |
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 |
---|---|---|---|---|
1093352296 | Jayde Shaianne Vanriper | Specialist/Technologist | 102 Birch Ln, Morgantown, WV 26505-2509 | 2019-12-06 |
1801433008 | Kailee Selders | Specialist/Technologist | 1111 Valley View Ave Trlr 12, Morgantown, WV 26505-3682 | 2019-12-06 |
1073087565 | Caroline Noelle Thornburg | Specialist/Technologist | 124 Creekside Dr, Morgantown, WV 26508-9095 | 2019-01-17 |
1245704287 | Gabriella Merse | Specialist/Technologist | 407 Tupelo Dr, Morgantown, WV 26508-9157 | 2019-01-13 |
1790271443 | Brandon Joseph Herr | Specialist/Technologist | 114 Twin County Rd, Morgantown, PA 19543-9462 | 2018-07-05 |
1194229435 | Adam James Morrison | Specialist/Technologist | 5000 Station St Apt 531, Morgantown, WV 26508-7442 | 2018-03-21 |
1427556653 | Sakura Konno | Specialist/Technologist | 478 Harding Ave Apt 24, Morgantown, WV 26505-3449 | 2018-01-23 |
1821506122 | William Logan Rumbaugh | Specialist/Technologist | 3450 Monongahela Blvd., Morgantown, WV 26507-0877 | 2018-01-21 |
1477091973 | Erin White | Specialist/Technologist | 205 Bent Tree Ct, Morgantown, WV 26505-4688 | 2017-02-03 |
1982141651 | Titi Korbariyachit | Specialist/Technologist | 380 Baldwin St, Apt 9, Morgantown, WV 26505-3251 | 2017-01-19 |
Find all providers in MORGANTOWN |
City | MORGANTOWN |
Zip Code | 26501 |
Please comment or provide details below to improve the information on BRAEDEN CHASE CARROLL.
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.