BREE CLEMMONS (NPI# 1205263563) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205263563 |
| Entity Type | Individual |
| Full Name | BREE CLEMMONS |
| Credential | M.ED, ATC, LAT |
| Practice Address |
5838 Harbour View Blvd Suffolk VA 23435-2663 |
| Practice Telephone | 7578791621 |
| Enumeration Date | 2013-10-02 |
| Last Update Date | 2013-10-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
0126001810 | VA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VIRGINIA LICENSURE | 0126001810 | 01 | |
| VA | BOARD OF CERTIFICATIOIN | 2000004854 | 01 |
| Street Address |
5838 HARBOUR VIEW BLVD |
| City | SUFFOLK |
| State | VA |
| Zip Code | 23435-2663 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073518742 | John R Howard Jr. | Internal Medicine | 5838 Harbour View Blvd, Suite 105, Suffolk, VA 23435-2663 | 2005-06-17 |
| 1043732316 | Brandee Leigh Winkler | Orthopaedic Surgery | 5838 Harbour View Blvd, Suffolk, VA 23435-2663 | 2017-07-08 |
| 1346657418 | Jennifer Lauren English | Physician Assistant | 5838 Harbour View Blvd, Suite 100, Suffolk, VA 23435-2663 | 2014-07-21 |
| 1033523055 | Virginia Oncology Associates | Non-Pharmacy Dispensing Site | 5838 Harbour View Blvd, Suite 105, Suffolk, VA 23435-2663 | 2014-06-18 |
| 1609202399 | Meredith Anne Grzybowski | Nurse Practitioner | 5838 Harbour View Blvd, Suite 240, Suffolk, VA 23435-2663 | 2013-09-25 |
| 1740558410 | Sarah Kathleen Terrible | Occupational Therapist | 5838 Harbour View Blvd, Suite 130, Suffolk, VA 23435-2663 | 2011-12-08 |
| 1952698730 | Todd Nolen | Physician Assistant | 5838 Harbour View Blvd, Suite 270, Suffolk, VA 23435-2663 | 2011-06-30 |
| 1427345354 | Sarah M Milosek | Physician Assistant | 5838 Harbour View Blvd, Suite 100, Suffolk, VA 23435-2663 | 2011-06-29 |
| 1790096717 | Krystal Geneva Johnson | Specialist/Technologist | 5838 Harbour View Blvd, Ste 130, Suffolk, VA 23435-2663 | 2010-06-24 |
| 1093948937 | Joshua Anthony White | Specialist/Technologist | 5838 Harbour View Blvd, Suffolk, VA 23435-2663 | 2009-08-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902423700 | Sean Eric Surber | Physical Therapist | 5818 D Harbour View Blvd., Suite 150, Suffolk, VA 23435 | 2020-06-29 |
| 1871158691 | Lumen Flux Pllc | Dentist | 5501 Bennett's Pasture Road, Suite D, Suffolk, VA 23435 | 2019-05-07 |
| 1588175970 | Louisa Catherine Korte | Anesthesiology | 3107 Summerhouse Drive, Suffolk, VA 23435 | 2017-10-12 |
| 1134648686 | Nicole Short Brown | Non-emergency Medical Transport (VAN) | 782 D Bennetts Meadow Lane, Suffolk, VA 23435 | 2017-09-15 |
| 1104346923 | Southerncare, Inc. | Hospice Care, Community Based | 1037 Champions Way Ste 600, Suffolk, VA 23435 | 2017-06-22 |
| 1801245329 | Usn | Military Hospital | 3602 Traverse Circle, Suffolk, VA 23435 | 2016-06-06 |
| 1366836173 | Vernon Johnson | Counselor | 6805 Castlewood Avenue, Suffolk, VA 23435 | 2015-03-19 |
| 1265776751 | Sister's Developing Growth & Change, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 6101 Bradford Drive #b, Suffolk, VA 23435 | 2012-11-21 |
| 1770899247 | Lefcoe, Weinstein, Sachs, Schiff & Associates | Dentist | 210 Meadow View Boulevard, Suffolk, VA 23435 | 2010-08-23 |
| 1770805178 | Nikkiah Wyatt Smith | Counselor | 5705 Lee Farm Ln Ste D, Suffolk, VA 23435 | 2010-02-25 |
| Find all providers in zip 23435 | ||||
| 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 |
|---|---|---|---|---|
| 1083238166 | Amanda Taylor Mccombs | Specialist/Technologist | 1853 Horseshoe Point Rd, Suffolk, VA 23432-1823 | 2020-06-03 |
| 1093347536 | Melissa Olivia Miller | Specialist/Technologist | 221 Charlotte Ave, Suffolk, VA 23434-5452 | 2020-02-11 |
| 1144615261 | Lindsay Austin | Specialist/Technologist | 3373 Pruden Blvd, Suffolk, VA 23434-7235 | 2015-04-06 |
| 1598192759 | Sarah Elizabeth Smith | Specialist/Technologist | 1573 Moores Point Rd, Suffolk, VA 23436-1013 | 2013-10-02 |
| 1831164755 | Amy Lynn Dorfman | Specialist/Technologist | 150 Burnetts Way Ste 100, Suffolk, VA 23434-8168 | 2006-02-22 |
| 1790096717 | Krystal Geneva Johnson | Specialist/Technologist | 5838 Harbour View Blvd, Ste 130, Suffolk, VA 23435-2663 | 2010-06-24 |
| 1093948937 | Joshua Anthony White | Specialist/Technologist | 5838 Harbour View Blvd, Suffolk, VA 23435-2663 | 2009-08-26 |
| 1063488328 | Stacy L Vitek | Specialist/Technologist | 2007 Meade Pkwy, Suffolk, VA 23434-4259 | 2006-02-27 |
| 1962478065 | Brandi Schober Anderson | Specialist/Technologist | 2007 Meade Pkwy, Suffolk, VA 23434-4259 | 2006-02-27 |
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| 1679171193 | Camden Oakes Bentley | Specialist/Technologist | 634 Treys Dr, Winchester, VA 22601-3230 | 2020-10-16 |
| 1932707437 | Madison Dobscha | Specialist/Technologist | 1706 Revere Ct Ne, Leesburg, VA 20176-6634 | 2020-10-15 |
| 1710584792 | Melvin Enderes | Specialist/Technologist | 42678 Frontier Dr, Brambleton, VA 20148-7207 | 2020-10-02 |
| 1285249755 | Amy Virostek | Specialist/Technologist | 1015 Heathercroft Cir Ste 200, Crozet, VA 22932-3370 | 2020-09-11 |
| 1255942264 | Xavier Thompson | Specialist/Technologist | 210 Emmet St S Rm 222, Charlottesville, VA 22903-2455 | 2020-08-13 |
| 1225647969 | Madison Polk | Specialist/Technologist | 9229 Arnie Ct, Manassas Park, VA 20111-3071 | 2020-07-29 |
| 1760090955 | Alymaris O'reilly | Specialist/Technologist | 5211 Duncan Trl, Reva, VA 22735-2016 | 2020-07-14 |
| 1740808377 | Aimee Gardanier | Specialist/Technologist | 2526 24th St N Lowr Unit, Arlington, VA 22207-4907 | 2020-07-09 |
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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.