SHAUN SHIELDS (NPI# 1356975445) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356975445 |
| Entity Type | Individual |
| Full Name | SHAUN SHIELDS |
| Practice Address |
1814 N. Broad Street Philadelphia PA 19121 |
| Mailing Address |
1305 Winchester St Baltimore MD 21217-2726 |
| Practice Telephone | 2152042153 |
| Enumeration Date | 2020-02-27 |
| Last Update Date | 2020-02-27 |
| 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 | ||
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
1814 N. BROAD STREET |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19121 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225682503 | Ebony Qiana Morrison | Technician | 2202 Ridge Avenue, 2nd Floor Rm 203, Philadelphia, PA 19121 | 2019-07-25 |
| 1003398462 | Lyn Morrissa Meyerhoff | Specialist/Technologist | 1800 N. Broad Street, Philadelphia, PA 19121 | 2018-09-03 |
| 1356853576 | George E Kinsler | Pharmacist | 1941 N 24th St, Phila, PA 19121 | 2017-10-27 |
| 1205358652 | Perfect Love & Care LLC | Home Health | 1812 North Croskey Street, Philadelphia, PA 19121 | 2017-07-07 |
| 1427405257 | Rite-care Pharmacy Inc. | Pharmacy | 2213 Ridge Ave., Philadelphia, PA 19121 | 2016-05-23 |
| 1356735831 | Eguono Eduvie | Psychiatry & Neurology | 1700 N.broad St., 2nd Foor, Philadelphia, PA 19121 | 2015-03-24 |
| 1285986828 | Young Scholars Frederick Douglass Charter School | Local Education Agency (LEA) | 2118 W Norris St., Philadelphia, PA 19121 | 2012-10-05 |
| 1568764470 | Young Scholars Frederick Douglass Charter School | Local Education Agency (LEA) | 2118 W Norris St, Philadelphia, PA 19121 | 2010-11-29 |
| 1730408683 | Pamela Lewis | Registered Nurse | Serenity Court, 1221 N. 19th St., Philadelphia, PA 19121 | 2010-05-18 |
| 1114107430 | Peter A. Demaria Jr. | Psychiatry & Neurology | 1700 N. Broad St. 2nd Floor, Philadelphia, PA 19121 | 2007-11-05 |
| Find all providers in zip 19121 | ||||
| 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 |
|---|---|---|---|---|
| 1841891108 | Sydney Charles | Specialist/Technologist | 6325 Martins Mill Rd, Philadelphia, PA 19111-5321 | 2020-11-03 |
| 1114528684 | Kelsey E Craig | Specialist/Technologist | 1856 N 16th St Apt 1r, Philadelphia, PA 19121-3301 | 2020-11-02 |
| 1740881333 | David Williams | Specialist/Technologist | 3100 W Thompson St Apt 42, Philadelphia, PA 19121-4485 | 2020-11-02 |
| 1992305940 | Alexandra Bossi | Specialist/Technologist | 450 N 18th St Apt 1032, Philadelphia, PA 19130-4198 | 2020-10-29 |
| 1427661842 | Autumn Kelly | Specialist/Technologist | 3300 Henry Ave Apt 522, Philadelphia, PA 19129-1160 | 2020-08-25 |
| 1558984609 | Keri Lapinski | Specialist/Technologist | 929 N 6th St Apt 2, Philadelphia, PA 19123-1405 | 2020-05-24 |
| 1619500410 | Halie Ann Maria Hurtado | Specialist/Technologist | 1000 S Broad St Apt 833, Philadelphia, PA 19146-2261 | 2020-02-20 |
| 1215569561 | Danielle Quigley | Specialist/Technologist | 6903 Shalkop St, Philadelphia, PA 19128-3218 | 2020-02-05 |
| 1457982076 | Jacie Fabro | Specialist/Technologist | 4136 Mitchell St Apt 407, Philadelphia, PA 19128-3511 | 2020-02-02 |
| 1073158895 | Lindsey Bartle | Specialist/Technologist | 1000 S Broad St Apt 908, Philadelphia, PA 19146-2262 | 2019-11-15 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19121 |
Please comment or provide details below to improve the information on SHAUN SHIELDS.
| 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.