JACOB WHITE (NPI# 1194289892) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
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 |
Street Address |
580 COMMONWEALTH AVE UNIT 501 |
City | BOSTON |
State | MA |
Zip Code | 02215-2509 |
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 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 |
---|---|---|---|---|
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 |
Please comment or provide details below to improve the information on JACOB WHITE.
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.