SI'ARA WASHINGTON FARRIS


Address: 564 Hillandale Park Dr, Lithonia, GA 30058-8833
Phone: 8437187536

SI'ARA WASHINGTON FARRIS (NPI# 1205442472) 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) 1205442472
Entity Type Individual
Full Name SI'ARA WASHINGTON FARRIS
Other Name SI'ARA SHALAI WASHINGTON
Credential ATC, LMT
Practice Address 564 Hillandale Park Dr
Lithonia
GA 30058-8833
Practice Telephone 8437187536
Mailing Telephone 8437187536
Enumeration Date 2020-09-22
Last Update Date 2020-09-22
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2255A2300X Specialist/Technologist
Specialization: Athletic Trainer
AT003870 GA Respiratory, Developmental, Rehabilitative and Restorative Service Providers
N 2255A2300X Specialist/Technologist
Specialization: Athletic Trainer
1418 SC Respiratory, Developmental, Rehabilitative and Restorative Service Providers
N 225700000X Massage Therapist 9454 SC Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 564 HILLANDALE PARK DR
City LITHONIA
State GA
Zip Code 30058-8833

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1821603606 Sherenda Lashawn Ellis Contractor 1859 Petite Lane, Lithonia, GA 30058 2020-09-09
1477186807 Reset Recovery Health Center LLC Substance Abuse Rehabilitation Facility 6978 Main St, Lithonia, GA 30058 2020-02-13
1346726122 Myorganics Spec/Tech, Pathology 5910 Shadow Rock Dr, Lithonia, GA 30058 2018-07-16
1699251884 Enriching Medical Transport Ambulance 2260 Lithonia Industrial Blvd., Ste N-b, Lithonia, GA 30058 2018-07-11
1841789914 Milner Vein and Vascular LLC Surgery 5700 Hillandale Dr Ste 150, Lithonia, GA 30058 2018-05-04
1215451265 Brittany Rawlings Home Health 6127 Howell Ridge, Lithonia, GA 30058 2017-08-01
1982125571 Bella Intellectum, LLC Technician/Technologist 6803 Edmonton Ct., Lithonia, GA 30058 2017-07-05
1528589397 Arlene Dennis Registered Nurse 6022 Arnor Links Road, Lithonia, GA 30058 2017-07-03
1417401746 Two Caring Hands Private Home Care Home Health 1959 Singers Way, Lithonia, GA 30058 2016-08-03
1518347467 Ortho Injury and Wellness Center Inc. Clinic/Center 6148 A Covington Hwy, Lithonia, GA 30058 2015-06-05
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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
1801351366 Timothy Card Specialist/Technologist 714 Stonemill Mnr, Lithonia, GA 30058-8228 2019-02-08
1972086858 Julius Matthew Murphy Specialist/Technologist 3856 Vine Stone Dr, Lithonia, GA 30038-3730 2018-09-07
1124466750 Michelle Denise St Clair Specialist/Technologist 841 Plumbridge Ct, Lithonia, GA 30058-9020 2013-06-05

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1407455959 Mary Lee Richardson Specialist/Technologist 1591 Glenn Pl Sw, Mableton, GA 30126-1170 2020-10-25
1295332914 Cayla Mckeon Specialist/Technologist 11 W 11th St Apt 17, Columbus, GA 31901-4239 2020-10-06
1033723150 Grant Pheil Specialist/Technologist 3523 Old Penia Rd, Cordele, GA 31015-7714 2020-09-04
1376157933 Jesus E Aviles Specialist/Technologist 755 Battery Ave Se, Atlanta, GA 30339-3017 2020-09-01
1588276943 Jaden T Harris Specialist/Technologist 2205 Moncrieff St, Augusta, GA 30906-8905 2020-08-18
1891306437 Tinasia Smalls Specialist/Technologist 100 Woodland Dr Apt 1416, Statesboro, GA 30458-6365 2020-08-16
1407467590 Samantha Jean Libby Specialist/Technologist 2550 Akers Mill Rd Se Apt F14, Atlanta, GA 30339-3271 2020-08-12
1083224224 John Christopher Hamil Specialist/Technologist 812 S Park St Ste 1, Carrollton, GA 30117-4412 2020-08-03
1780294926 Andrew Alcantar Specialist/Technologist 7340 Fairmount Hwy Se, Calhoun, GA 30701-4023 2020-08-03
1285243659 Julie Landrigan Specialist/Technologist 2918 Fenwick Village Dr, Savannah, GA 31419-8474 2020-07-30
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Competitor

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City LITHONIA
Zip Code 30058

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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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