MICAH CALEB YANCE (NPI# 1326529470) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1326529470 |
Entity Type | Individual |
Full Name | MICAH CALEB YANCE |
Practice Address |
3230 Stadium Tower Troy AL 36082-0001 |
Mailing Address |
1433 Huskey Rd Dothan AL 36303-5511 |
Practice Telephone | 3347149810 |
Mailing Telephone | 3347149810 |
Enumeration Date | 2018-08-27 |
Last Update Date | 2018-08-27 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
Street Address |
3230 STADIUM TOWER |
City | TROY |
State | AL |
Zip Code | 36082-0001 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891906129 | Alyson Gramley | Specialist/Technologist | 3230 Stadium Tower, Troy University Athletic Training, Troy, AL 36082-0001 | 2007-05-25 |
1700419355 | Maranda Gabrielle Brown | Physical Medicine & Rehabilitation | 3230 Stadium Tower, Troy, AL 36081 | 2020-02-21 |
1851858419 | Payton Nacole Bradford | Specialist/Technologist | 3230 Stadium Tower, Troy, AL 36082-0001 | 2019-03-01 |
1659836062 | Anna Catherine Sasser | Specialist/Technologist | 3230 Stadium Tower, Troy, AL 36081 | 2019-02-11 |
1013471556 | Stone Lawson Collins | Student in an Organized Health Care Education/Training Program | 3230 Stadium Tower, Troy, AL 36082-0001 | 2019-01-29 |
1528540887 | Courtney Renee Thor | Specialist/Technologist | 3230 Stadium Tower, Troy, AL 36082-0001 | 2018-09-04 |
1619457439 | Shawn Scott Freeman Jr. | Specialist/Technologist | 3230 Stadium Tower, Troy, AL 36081 | 2018-08-21 |
1568952802 | Kaitlin Upton | Specialist/Technologist | 3230 Stadium Tower, Troy, AL 36082-0001 | 2018-05-11 |
1043718638 | Emily Paige Skinner | Student in an Organized Health Care Education/Training Program | 3230 Stadium Tower, Troy, AL 36082-0001 | 2018-01-29 |
1588171037 | Jade Glass | Specialist/Technologist | 3230 Stadium Tower, Troy, AL 36081 | 2018-01-05 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841755527 | Caleb Nelson Mcdonald | Student in an Organized Health Care Education/Training Program | 5000 Veterans Stadium Drive, Troy, AL 36082-0001 | 2019-02-06 |
1962967828 | Kimberly Shaw | Specialist/Technologist | 3202 Veterans Stadium Dr, Troy, AL 36082-0001 | 2019-02-05 |
1447611975 | Corey Carr | Specialist/Technologist | 3226 Veterans Memorial Stadium Dr, Troy, AL 36082-0001 | 2016-03-10 |
1831532050 | Troy Unitersity Student Health Center | Clinic/Center | Troy University Student Health Ctr, 1 Hamil Hall, Troy, AL 36082-0001 | 2013-04-08 |
1770834210 | Andrew Mcnally | Specialist | 3226 Veterans Stadium Dr, Troy, AL 36082-0001 | 2012-09-24 |
1861767410 | Troy University | Clinic/Center | 5000 Veterans Statium Dr, Troy, AL 36082-0001 | 2012-03-15 |
1932477916 | Whitney Marie Brack | Specialist/Technologist | 3230 Stadium Towers, Troy, AL 36082-0001 | 2011-12-06 |
1730315565 | Lori Jane Rackley | Specialist/Technologist | 3230 Stadium Tower Dr, Troy, AL 36082-0001 | 2009-06-08 |
1891812723 | John Anderson | Specialist/Technologist | 3212 Stadium Towers, Veterans Drive - Troy University, Troy, AL 36082-0001 | 2007-03-24 |
1750353082 | Elizabeth Mckinley Long | Nurse Practitioner | Troy University, Hamil Hall Student Health Center, Troy, AL 36082-0001 | 2006-02-02 |
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Taxonomy Code | 390200000X |
Grouping | Student, Health Care |
Classification | Student in an Organized Health Care Education/Training Program |
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
Notes: [1/1/2005: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821604281 | Kaleigh Anne Higgins | Student in an Organized Health Care Education/Training Program | 10 Stoneledge Dr Apt 4, Troy, NY 12182-3513 | 2020-09-21 |
1497367585 | Raghuram Palepu | Student in an Organized Health Care Education/Training Program | 426 Tanner Dr., Troy, MI 48085-4808 | 2020-08-19 |
1699395145 | Bryan Bennett | Student in an Organized Health Care Education/Training Program | 813 Canton St, Troy, PA 16947-1452 | 2020-04-24 |
1659991107 | Pyo Jae Kim | Student in an Organized Health Care Education/Training Program | 805 Sandalwood Dr, Troy, MI 48085-1643 | 2020-04-24 |
1972122828 | Varsha Aravindabose | Student in an Organized Health Care Education/Training Program | 5586 Fawn Ct, Troy, MI 48098-2507 | 2020-04-10 |
1841755527 | Caleb Nelson Mcdonald | Student in an Organized Health Care Education/Training Program | 5000 Veterans Stadium Drive, Troy, AL 36082-0001 | 2019-02-06 |
1356888622 | Regina Wright | Student in an Organized Health Care Education/Training Program | 318 Arrowhead Dr, Troy, AL 36081-4406 | 2017-01-25 |
1518312925 | Matthew Pittelli | Student in an Organized Health Care Education/Training Program | 83 Lockrow Rd, Troy, NY 12180 | 2016-05-04 |
1407212756 | Stacey Kyea | Student in an Organized Health Care Education/Training Program | 56 Biscayne Boulevard, Troy, NY 12182-1604 | 2015-12-31 |
1780075457 | Anthony Luke Zaki | Student in an Organized Health Care Education/Training Program | 541 Georgian Ct, Troy, MI 48098-1770 | 2015-02-16 |
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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.