JACOB WHITE


Address: 580 Commonwealth Ave Unit 501, Boston, MA 02215-2509
Phone: 4158477105

JACOB WHITE (NPI# 1194289892) 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) 1194289892
Entity Type Individual
Full Name JACOB WHITE
Practice Address 580 Commonwealth Ave Unit 501
Boston
MA 02215-2509
Practice Telephone 4158477105
Mailing Telephone 4158477105
Enumeration Date 2019-01-27
Last Update Date 2019-01-27
Gender Code M
Is Sole Proprietor Y

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

Other Providers JACOB WHITE

NPI Name Taxonomy Address Enumeration
1386969210 Jacob White Radiology 1264 Saint Nicholas Ave, New York, NY 10033-7263 2010-04-04
1689217044 Jacob White Pharmacist 19300 Sw 65th Ave, Tualatin, OR 97062-7706 2019-10-17
1790343382 Jacob White Behavior Technician 1130 Tabb St, Norfolk, VA 23504-3434 2019-05-30
1295391944 Jacob White IIi Peer Specialist 16 W Long St, Columbus, OH 43215-2815 2019-05-17
1548735079 Jacob Vaughn White Psychologist 3537 W. Front Street, Suite F, Traverse City, MI 49684 2018-10-11
1003304387 Jacob Richard White Student in an Organized Health Care Education/Training Program 3420 Fifth Avenue, Pittsburgh, PA 15213 2018-04-23
1265818884 Jacob Jonathan White Physician Assistant 5645 W Addison St, Chicago, IL 60634-4403 2015-08-05
1073909719 Jacob Matthew White Counselor 213 W Monroe Ave, Suite Q, Lowell, AR 72745-9451 2015-04-09
1831506351 Jacob Christopher White Psychiatry & Neurology 413 N Allumbaugh St Ste 101, Boise, ID 83704-9219 2014-07-16
1205118569 Jacob Garrett White Social Worker 859 Willard St, Quincy, MA 02169 2011-09-13

Office Location

Street Address 580 COMMONWEALTH AVE UNIT 501
City BOSTON
State MA
Zip Code 02215-2509

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1336746775 Lee T Gernon-lakin Physician Assistant 202 Robinson Hall, 360 Huntington Ave, Boston, MA 02215 2020-10-08
1821695933 Matthew John Needham Student in an Organized Health Care Education/Training Program 330 Brookline Ave, Yamins 2nd Floor, Department of Anesthesia, Boston, MA 02215 2020-10-02
1114533866 Cdg Back Bay LLC Clinic/Center 400 Commonwealth Ave 3rd Floor, Boston, MA 02215 2020-09-18
1619595105 Natasha Larocque Radiology 330 Brookline Avenue, Sherman 231, Beth Israel Deacones, Radiology Education Office, Boston, MA 02215 2020-07-10
1538783089 Yutsz Cherng Counselor 870r Commonwealth Avenue, Boston, MA 02215 2020-06-01
1306495924 Anthony Rosellini Psychologist 900 Commonwealth Avenue (east), 2nd Floor, Boston, MA 02215 2019-09-06
1427605278 Liana Zucco Student in an Organized Health Care Education/Training Program Beth Israel Deaconess Medical Centre, Dept Anesthesia, 330 Brookline Ave, Ya-02q02, Boston, MA 02215 2019-08-26
1831759430 Brian William Hayes Radiology 330 Brookline Avenue, Beth Israel Deaconess Medical Cen, Boston, MA 02215 2019-06-17
1396304358 Elizabeth Hai Yen Du Student in an Organized Health Care Education/Training Program Beth Israel Deaconess Medical Center, Department of Rad, 330 Brookline Avenue, Boston, MA 02215 2019-06-12
1922665439 Corey Shaphard Miller Student in an Organized Health Care Education/Training Program 300 Brookline Avenue, Bidmc, Dana 501, Boston, MA 02215 2019-05-21
Find all providers in zip 02215

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
1700486693 Mark Comstock Specialist/Technologist 74 Union Park St, Boston, MA 02118-2142 2020-10-29
1508333642 Varshini Balasubramanian Specialist/Technologist 580 Commonwealth Ave Unit 307, Boston, MA 02215-2511 2018-10-26
1770081143 Brittney Ann Harkey Specialist/Technologist 60 Fenwood Rd Ste 5016, Boston, MA 02115-6128 2018-01-31
1942708169 Matthew Stephen Harkey Specialist/Technologist 35 Kneeland Street, 4th Floor, Boston, MA 02115-0211 2018-01-23
1740798065 Hannah Oyedeji Specialist/Technologist 627 Commonwealth Ave, Boston, MA 02215-1606 2018-01-22
1205364247 Emma Marie Gay Specialist/Technologist 285 Babcock Street, Case Center Athletic Training Clinic, Boston, MA 02215-1003 2017-06-02
1962959825 Anna Jeanne Applegate Specialist/Technologist 140 Bay State Rd, Box 5361, Boston, MA 02215-1701 2016-09-07
1023475076 Calleigh Fangmeyer Specialist/Technologist 65 North Harvard Street, Boston, MA 02163 2016-01-21
1053700955 Cynthia Lopez Specialist/Technologist 254 Allston St # B, Boston, MA 02135-7660 2015-01-15
1336552629 Jacqueline Clark Specialist/Technologist 550 Huntington Ave, Boston, MA 02115-5901 2014-06-04
Find all providers in BOSTON

Competitor

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City BOSTON
Zip Code 02215

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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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