COREY KATHELEEN CARLSON (NPI# 1265997951) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1265997951 |
Entity Type | Individual |
Full Name | COREY KATHELEEN CARLSON |
Credential | ATC |
Practice Address |
12576 Lee Hwy Washington VA 22747-1928 |
Mailing Address |
407 Herdman Hill Rd Luray VA 22835-7133 |
Practice Telephone | 5406710736 |
Mailing Telephone | 5406311648 |
Enumeration Date | 2019-02-06 |
Last Update Date | 2019-02-06 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2083S0010X |
Preventive Medicine Specialization: Sports Medicine |
126002185 | VA | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417244310 | Corey Carlson | Occupational Therapist | 3325 Executive Dr Ste 222, Raleigh, NC 27609-7449 | 2011-06-30 |
Street Address |
12576 LEE HWY |
City | WASHINGTON |
State | VA |
Zip Code | 22747-1928 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225462070 | Rappahannock County Board of Supervisors | Ambulance | 290 Gay Street, Washington, VA 22747 | 2013-08-29 |
1336473156 | Rappahannock Social Services | Social Worker | 354 Gay Street, Washington, VA 22747 | 2009-09-25 |
1437309473 | Paula Howland Brosch | Psychologist | 257 Gay Street, Room D, Washington, VA 22747 | 2008-09-26 |
1861657728 | Rappahannock Dental Clinic | Clinic/Center | 12699 Lee Highway, Washington, VA 22747 | 2008-07-21 |
1811060676 | Rappahannock County Dental Clinic | Public Health or Welfare | 34 Schoolhouse Road, Washington, VA 22747 | 2006-11-17 |
1528536737 | Piedmont Counseling Center, LLC | Counselor | 338 Gay Street, Washington, VA 22747 | 2018-11-06 |
1639552995 | Page Memorial Hospital Inc. | Clinic/Center | 12699 Lee Hwy, Washington, VA 22747 | 2015-07-06 |
1649360660 | Commonwealth of Virginia State Board of Health | Public Health or Welfare | 491a Main Street, Washington, VA 22747-0005 | 2006-10-13 |
1598791196 | Ocean Park Orthopedic and Sports Therapy | Contractor | 261 Main Street, Washington, VA 22747-0184 | 2006-06-24 |
1992730832 | Jerry Wayne Martin | Family Medicine | 338 Gay Street, Suite A, Washington, VA 22747-0269 | 2006-07-11 |
Find all providers in zip 22747 |
Taxonomy Code | 2083S0010X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Preventive Medicine |
Specialization | Sports Medicine |
A preventive medicine physician who specializes in the diagnosis and treatment of sports related conditions and injuries. |
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Preventive Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750998704 | Jacob Quinn | Preventive Medicine | 1009 Wellington Dr, Washington, IL 61571-1378 | 2020-09-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750909834 | Sarah Elizabeth Jones | Preventive Medicine | 21670 Ashburn Rd, Ashburn, VA 20147-4710 | 2020-07-06 |
1780128892 | Taylor Weuve | Preventive Medicine | 2500 James Madison Dr, Vienna, VA 22181-5599 | 2016-12-08 |
1841681350 | Courtney Marie Mccarthy | Preventive Medicine | 5406 Quaint Dr, Woodbridge, VA 22193-4589 | 2015-02-05 |
1295980027 | Anne Krautmann Kaplan | Preventive Medicine | 8350 Greensboro Dr Unit 11, Mc Lean, VA 22102-3533 | 2008-11-20 |
1093270266 | Scott G Lawrenson | Preventive Medicine | 1971 University Blvd, Liberty University Sports Med, Lynchburg, VA 24515-2450 | 2019-02-01 |
1629563242 | Morgan Smith | Preventive Medicine | 8200 Meadowbridge Rd Ste 200, Mechanicsville, VA 23116-2337 | 2018-06-26 |
1184173403 | Virginia Integrative Health & Hyperbaric LLC | Preventive Medicine | 410 Pine St Se, Suite 320, Vienna, VA 22180-4861 | 2016-09-28 |
City | WASHINGTON |
Zip Code | 22747 |
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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.