THERESA DEAN (NPI# 1215324546) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215324546 |
| Entity Type | Individual |
| Full Name | THERESA DEAN |
| Practice Address |
3320 Jermantown Rd Fairfax VA 22030 |
| Mailing Address |
12237 Fairfield House Dr Apt 307 Fairfax VA 22033-3953 |
| Practice Telephone | 7035842300 |
| Mailing Telephone | 5712417218 |
| Enumeration Date | 2015-04-24 |
| Last Update Date | 2015-04-24 |
| Gender Code | F |
| 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 |
|---|---|---|---|---|
| 1710450499 | Theresa Ann Dean | Nurse Practitioner | 18101 Oakwood Blvd, Dearborn, MI 48124 | 2019-01-06 |
| Street Address |
3320 JERMANTOWN RD |
| City | FAIRFAX |
| State | VA |
| Zip Code | 22030 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205449477 | Perry Camp Jr. | Psychologist | 4403 Dixie Hill Rd, Unit 205, Fairfax, VA 22030 | 2020-08-28 |
| 1952940322 | Brightview Fair Oaks, LLC | Alzheimer Center (Dementia Center) | 12725 Lee Highway, Fairfax, VA 22030 | 2020-01-02 |
| 1245871524 | Tori Sprowl | Behavioral Analyst | 10430 Democracy Lane #102b & 103, Fairfax, VA 22030 | 2019-10-08 |
| 1528612124 | Paul Sarigianis | Student in an Organized Health Care Education/Training Program | 10379b Democracy Lane, Fairfax, VA 22030 | 2019-07-31 |
| 1497221303 | Kahak, Inc. | Day Training, Developmentally Disabled Services | 10560 Main Street Suite Ps100, Fairfax, VA 22030 | 2018-10-17 |
| 1689177073 | Shamoona Sharif | Dentist | 11050 Lee Hwy, Fairfax, VA 22030 | 2018-03-13 |
| 1205339538 | Rachael Lee Greene | Social Worker | 4403 Dixie Hill Rd. #206, Fairfax, VA 22030 | 2018-03-13 |
| 1558863027 | Jacqueline Renee Bauer | Skilled Nursing Facility | 10701 Main Street, Fairfax, VA 22030 | 2018-03-01 |
| 1275033607 | Philajo Global LLC | Non-emergency Medical Transport (VAN) | 4521 Billingham Street, Fairfax, VA 22030 | 2018-02-12 |
| 1376050401 | Alexander Harrison | Counselor | 4400 University Drive, Ms 2a2, Fairfax, VA 22030 | 2018-01-10 |
| Find all providers in zip 22030 | ||||
| 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 |
|---|---|---|---|---|
| 1134752611 | Jennifer Cooke | Specialist/Technologist | 4707 Olley Ln, Fairfax, VA 22032-2133 | 2020-02-12 |
| 1891326963 | Alexis Haden | Specialist/Technologist | 12217 Pender Creek Cir Apt A, Fairfax, VA 22033-3921 | 2020-01-28 |
| 1356988992 | Alyx Bridis | Specialist/Technologist | 4450 Rivanna River Way, Fairfax, VA 22030-4441 | 2019-12-03 |
| 1316580731 | Sarah Mard | Specialist/Technologist | 3306 Edenvale Rd, Fairfax, VA 22031-2714 | 2019-10-18 |
| 1063075588 | Nicole Marie Berube | Specialist/Technologist | 3511 Broadrun Dr, Fairfax, VA 22033-2164 | 2019-04-19 |
| 1275018806 | Ethan Grant | Specialist/Technologist | 11960 Artery Dr, Fairfax, VA 22030-6711 | 2018-09-29 |
| 1588161251 | Rachael Renee Watkins | Specialist/Technologist | 10131 Dwight Ave, Fairfax, VA 22032-1035 | 2018-04-10 |
| 1982134250 | Dena Vandagriff | Specialist/Technologist | 4280 Mazarin Pl Apt 206, Fairfax, VA 22033-5790 | 2017-06-19 |
| 1821538117 | Kelly Fickes | Specialist/Technologist | 4231 Monument Wall Way, Apt 453, Fairfax, VA 22030-8433 | 2017-03-06 |
| 1427592690 | Samantha Raso | Specialist/Technologist | 3332 Lauriston Pl, Fairfax, VA 22031-4800 | 2016-12-07 |
| Find all providers in FAIRFAX | ||||
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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.