SHANNAH DALTON (NPI# 1336769140) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336769140 |
| Entity Type | Individual |
| Full Name | SHANNAH DALTON |
| Credential | ATC |
| Practice Address |
100 Institute Rd Worcester MA 01609-2280 |
| Mailing Address |
129 Murdock St Brighton MA 02135-2309 |
| Practice Telephone | 0858316711 |
| Mailing Telephone | 7702658649 |
| Enumeration Date | 2020-04-22 |
| Last Update Date | 2020-04-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
2670 | MA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 129 Murdock St, Brighton, MA 021352309 | 7702658649 |
| Street Address |
100 INSTITUTE RD |
| City | WORCESTER |
| State | MA |
| Zip Code | 01609-2280 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063487148 | Gilbert A Lefort II | Specialist/Technologist | 100 Institute Rd, Worcester, MA 01609-2247 | 2006-02-22 |
| 1235750217 | Hailey Ann Connor | Specialist/Technologist | 100 Institute Rd, Worcester, MA 01609-2247 | 2020-05-01 |
| 1942719240 | Zachary Henderson | Nurse Practitioner | 100 Institute Rd, Worcester, MA 01609-2247 | 2017-09-29 |
| 1073918876 | Regina Roberto | Nurse Practitioner | 100 Institute Rd, Worcester, MA 01609-2247 | 2014-10-23 |
| 1295149664 | Wpi Health & Wellness Services | Clinic/Center | 100 Institute Rd, Worcester, MA 01609-2280 | 2014-06-13 |
| 1023284593 | Worcester Polytechnic Institute | Clinic/Center | 100 Institute Rd, Worcester, MA 01609-2247 | 2008-05-05 |
| 1124151899 | Sarah D Carver | Specialist/Technologist | 100 Institute Rd, Athletic Training Office, Worcester, MA 01609-2247 | 2007-03-13 |
| 1043247356 | Michael James Desavage | Specialist/Technologist | 100 Institute Rd, Worcester, MA 01609 | 2006-06-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669018388 | Alyssa Lynne Szymkowicz | Counselor | 2b Pelham Street, Apartment 3, Worcester, MA 01609 | 2019-11-19 |
| 1295200848 | Carmen P Rivera Martinez | Counselor | 20 Irving Street, Worcester, MA 01609 | 2018-10-10 |
| 1386126704 | Sarah J Macdonald | Psychologist | 27 Sever St, Worcester, MA 01609 | 2018-09-01 |
| 1437641107 | Christopher Quoc-duy Nguyen | Dentist | 111 Elm Street Suite 203, Worcester, MA 01609 | 2018-05-30 |
| 1396190096 | Dasa Home Health Inc | Home Health | 255 Park Ave Ste 1101a, Worcester, MA 01609 | 2016-04-30 |
| 1912306135 | Neighborhood Dental Group, PC | Dentist | 111 Elm St Suite 203, Worcester, MA 01609 | 2014-08-14 |
| 1306254875 | Brenda Mccarthy-trayah | Counselor | 198 Russell St., Worcester, MA 01609 | 2014-07-29 |
| 1386052009 | Allene Rizzolo | Early Intervention Provider Agency | 548 Park Ave., South Bay Early Intervention, Worcester, MA 01609 | 2014-07-25 |
| 1477849032 | Diversified Staffing | Nursing Care | 39 Salisbury Street, Worcester, MA 01609 | 2011-06-22 |
| 1508195140 | 64 Highland Dental | Dentist | 64 Highland Street, Worcester, MA 01609 | 2009-12-10 |
| Find all providers in zip 01609 | ||||
| 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 |
|---|---|---|---|---|
| 1245685809 | Walter Trisdale | Specialist/Technologist | One College St., College of The Holy Cross, Worcester, MA 01610 | 2016-05-02 |
| 1598049298 | Thomas Laurence Halley | Specialist/Technologist | 61 Ernest Ave, Worcester, MA 01604-2352 | 2011-09-30 |
| 1972639086 | Andrew Mark Tuccio | Specialist/Technologist | 12 Pinebrook Ln, Worcester, MA 01609-1081 | 2007-02-25 |
| 1114980216 | Timothy S Hay | Specialist/Technologist | 500 Salisbury St, Assumption College, Worcester, MA 01609-1265 | 2006-04-10 |
| 1063487148 | Gilbert A Lefort II | Specialist/Technologist | 100 Institute Rd, Worcester, MA 01609-2247 | 2006-02-22 |
| 1306818802 | Gregory Seaver White | Specialist/Technologist | 950 Main St, Clark University Athletic Department, Worcester, MA 01610-1400 | 2006-02-07 |
| 1235750217 | Hailey Ann Connor | Specialist/Technologist | 100 Institute Rd, Worcester, MA 01609-2247 | 2020-05-01 |
| 1487285334 | Ashley Elizabeth Leverone | Specialist/Technologist | 500 Salisbury St, Worcester, MA 01609-1296 | 2020-01-30 |
| 1689213795 | Young Men's Christian Association of Worcester Mass | Specialist/Technologist | 75 Shore Dr, Worcester, MA 01605-3199 | 2020-01-06 |
| 1093282469 | Michael Anderson | Specialist/Technologist | 1 College St, Worcester, MA 01610-2395 | 2018-10-24 |
| Find all providers in WORCESTER | ||||
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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.