MRS. MICHELLE LEE BLACK (NPI# 1295879351) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295879351 |
| Entity Type | Individual |
| Full Name | MRS. MICHELLE LEE BLACK |
| Credential | ATC |
| Practice Address |
431 Pine St Ste G01 Burlington VT 05401-4726 |
| Practice Telephone | 8022727383 |
| Mailing Telephone | 8022727383 |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2016-07-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
104-0000139 | VT | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356714893 | Michelle Lynn Jochim Black | Psychologist | 3800 Park Ave, Saint Louis, MO 63110-2514 | 2015-11-05 |
| 1598889123 | Michelle Raegene Black | Specialist/Technologist, Other | 1200 Cherokee St, Unit #203, Denver, CO 80204-3664 | 2007-03-19 |
| 1932700499 | Michelle Black | Pharmacist | 2753 W Market St, Fairlawn, OH 44333-4235 | 2020-11-02 |
| 1578030946 | Michelle Renee Black | Specialist | 19 Robinson Rd, Clinton, NY 13323-1418 | 2018-10-24 |
| 1184121949 | Michelle Black | Psychologist | 21000 Education Ct, Broadlands, VA 20148-5526 | 2018-04-09 |
| 1235580762 | Michelle Lynn Black | Social Worker | 1206 Clinton Rd, Jackson, MI 49202-2005 | 2016-06-27 |
| 1710331004 | Michelle Black | Counselor | 8258 Veterans Hwy, Suite 13, Millersville, MD 21108-1457 | 2016-04-22 |
| 1588037055 | Michelle Black | Psychologist | 2018 Western Ave, Knoxville, TN 37921-5718 | 2015-11-05 |
| 1295122059 | Michelle Black | Registered Nurse | 406 N Spring St, Mcminnville, TN 37110-2134 | 2015-04-20 |
| 1114334257 | Michelle Black | Student in an Organized Health Care Education/Training Program | 1375 55th St, Emeryville, CA 94608-2609 | 2014-07-22 |
| Street Address |
431 PINE ST STE G01 |
| City | BURLINGTON |
| State | VT |
| Zip Code | 05401-4726 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790924892 | Jason Wolstenholme | Chiropractor | 431 Pine St Ste G01, Burlington, VT 05401-4726 | 2009-02-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821626748 | John Henry Priester Jr. | Student in an Organized Health Care Education/Training Program | University of Vermont Medical Center, 111 Colchester Avenue, Burlington, VT 05401 | 2020-03-27 |
| 1730649054 | Parisa Heidari | Student in an Organized Health Care Education/Training Program | Uvmmc 111 Colchester Avenue, Burlington, VT 05401 | 2019-03-22 |
| 1689141988 | No Diet Dietitian, LLC | Dietitian, Registered | 163 Bayberry Circle #204, Burlington, VT 05401 | 2018-10-25 |
| 1073097267 | Katherine Dwyer | Physical Therapist | 128 Lakeside Ave, Burlington, Vt, 05401, Burlington, VT 05401 | 2018-09-24 |
| 1710469481 | Nicholas A Fredette | Nurse Practitioner | 28 S. Williams St., Burlington, VT 05401 | 2018-08-30 |
| 1760987473 | Tyler Fanning | Psychiatry & Neurology | Uvmmv 111 Colchester Avenue, Burlington, VT 05401 | 2018-03-26 |
| 1356845416 | Rachel Carlson | Student in an Organized Health Care Education/Training Program | Uvmmc, 111 Colchester Avenue, Burlington, VT 05401 | 2018-03-22 |
| 1487152096 | Garnet Transport Medicine, LLC | Ambulance | 70 S Winooski Ave Ste 255, Burlington, VT 05401 | 2018-01-29 |
| 1689172660 | Valerie Goldberg | Dietitian, Registered | 163 Bayberry Circle Apt 204, Burlington, VT 05401 | 2018-01-25 |
| 1548774235 | Emily R Day | Physical Therapist | 160 Flynn Avenue, Burlington, VT 05401 | 2017-11-17 |
| Find all providers in zip 05401 | ||||
| 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 |
|---|---|---|---|---|
| 1386256360 | William Conrad Desjardins | Specialist/Technologist | 20 Manhattan Dr, Burlington, MA 01803-1905 | 2020-08-20 |
| 1518501667 | John Gibbon | Specialist/Technologist | 432 Dunford Dr, Burlington, WI 53105-2319 | 2019-11-01 |
| 1023651866 | Andrew John Nadeau | Specialist/Technologist | 192 Park St Unit 1, Burlington, VT 05401-5118 | 2019-10-24 |
| 1861035602 | Barbara Anne Murray Dimaio | Specialist/Technologist | 407 College St Apt 3, Burlington, VT 05401-3459 | 2019-10-24 |
| 1548815855 | Deana Pearson | Specialist/Technologist | 1782 10th Rd, Burlington, KS 66839-9088 | 2019-08-04 |
| 1649834821 | Courtnee Springs | Specialist/Technologist | 5049 Patillo Church Rd, Burlington, NC 27217-7850 | 2019-04-24 |
| 1578040671 | Alanie Jeannette Welch | Specialist/Technologist | 10584 S Nc Highway 62, Burlington, NC 27217-8451 | 2018-07-23 |
| 1528561602 | Zachary W Kelly | Specialist/Technologist | 54 Bailly Dr, Burlington, NJ 08016-4289 | 2018-03-14 |
| 1316449762 | Gabriela Marie Zimbron | Specialist/Technologist | 40 Arlington Ct, Burlington, VT 05408-2501 | 2018-03-01 |
| 1285132795 | Christopher Robinson | Specialist/Technologist | Rowell Building Carrigan Dr, University of Vermont, Burlington, VT 05401-0540 | 2018-01-30 |
| Find all providers in BURLINGTON | ||||
| City | BURLINGTON |
| Zip Code | 05401 |
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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.