JAIME CARTER WALLS (NPI# 1396016622) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396016622 |
| Entity Type | Individual |
| Full Name | JAIME CARTER WALLS |
| Credential | MA, ATC |
| Practice Address |
620 Michigan Ave Ne Washington DC 20064-0001 |
| Mailing Address |
7302 Riverhill Rd Oxon Hill MD 20745-1031 |
| Practice Telephone | 2023196049 |
| Practice Fax Number | 2023194752 |
| Mailing Telephone | 5174149970 |
| Mailing Fax Number | 2023196049 |
| Enumeration Date | 2012-01-18 |
| Last Update Date | 2012-01-18 |
| 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 |
| Street Address |
620 MICHIGAN AVE NE |
| City | WASHINGTON |
| State | DC |
| Zip Code | 20064-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659320232 | Lauren S Haynie | Specialist/Technologist | 620 Michigan Ave Ne, 108 Dufour Center, Washington, DC 20064-0001 | 2006-05-09 |
| 1821517327 | Lucas P Miller | Specialist/Technologist | 620 Michigan Ave Ne, Washington, DC 20064-0001 | 2017-09-15 |
| 1144639931 | Justin Wierenga | Specialist/Technologist | 620 Michigan Ave Ne, Washington, DC 20064-0001 | 2014-08-06 |
| 1831508746 | Timothy Marcinek | Specialist/Technologist | 620 Michigan Ave Ne, 108 Dufour Center, Washington, DC 20064-0001 | 2014-08-05 |
| 1033523659 | Katelyn Dillon | Specialist/Technologist | 620 Michigan Ave Ne, Attention Athletics, Washington, DC 20064-0001 | 2014-06-12 |
| 1083843106 | Mia Kim Robben | Psychologist | 620 Michigan Ave Ne, 127 O'boyle Hall, Washington, DC 20064-0001 | 2009-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699391938 | Janice B Agazio | Nurse Practitioner | Conway School of Nursing 620 Michigan Ave Ne, Washington, DC 20064-0001 | 2020-06-23 |
| 1255602579 | Matthew Warner Mckelvey | Specialist/Technologist | 3606 John Mccormack Dr Ne, Room 108, Washington, DC 20064-0001 | 2012-01-18 |
| 1306127295 | Cathy Jean Hampton | Nurse Practitioner | The Catholic University Student Ctr, 620 Michigan Ave, Ne, Washington, DC 20064-0001 | 2011-09-06 |
| 1518292663 | Eden Garber Henderson | Nurse Practitioner | Cua Student Health Services, 620 Michigan Ave Ne, Washington, DC 20064-0001 | 2009-10-07 |
| 1194982249 | Theresa Claire Brady Novak | Nurse Practitioner | Catholic University Student, 620 Michigan Ave, Washington, DC 20064-0001 | 2008-05-16 |
| 1548306673 | Karen Miller | Social Worker | 127 Oboyle Hl, Washington, DC 20064-0001 | 2007-01-29 |
| 1437148160 | Meryia D Throop | Registered Nurse | Catholic University School of Nursing, 620 Michigan Avenue North East, Washington, DC 20064-0001 | 2005-10-15 |
| 1033329305 | Thomas Monroe Rayburn IIi | Psychologist | 4001 Harewood Rd Ne, 126 O'boyle Hall, Washington, DC 20064-0001 | 2007-05-23 |
| 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] |
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|---|---|---|---|---|
| 1740893395 | Justice Woods | Specialist/Technologist | 601 Girard St Nw, Washington, DC 20059-0001 | 2020-08-24 |
| 1316566102 | Drazan Vukovic | Specialist/Technologist | 100 Potomac Ave Sw, Washington, DC 20024-2999 | 2020-04-11 |
| 1720616808 | Nicholas Clements | Specialist/Technologist | 1400 Main Dr Nw, Washington, DC 20012-2822 | 2020-04-01 |
| 1164058376 | Travis Arthur Mccormack | Specialist/Technologist | Georgetown University 37th and O St Nw, Washington, DC 20057-0001 | 2020-03-19 |
| 1174159404 | Andreya Cracco | Specialist/Technologist | 16 17th St Ne Apt 312, Washington, DC 20002-6670 | 2020-03-18 |
| 1306479688 | Courtney Anne Bekemeyer | Specialist/Technologist | 1491 17th Rd, Washington, KS 66968-8407 | 2020-02-14 |
| 1457991176 | Joseph Stephen Driscoll | Specialist/Technologist | St. Albans School / Mount St, Alban, 3001 Wisconsin Ave, Washington, DC 20016 | 2020-01-10 |
| 1538706676 | Eric Schwartz | Specialist/Technologist | 2400 E Capitol St Se, Washington, DC 20003 | 2019-12-09 |
| 1639723364 | Rebecca Barron | Specialist/Technologist | 1255 25th St Nw Apt 903, Washington, DC 20037-4115 | 2019-07-31 |
| 1053964148 | Stephen Andrew Taylor | Specialist/Technologist | 4665 Blue Plains Dr Sw, Washington, DC 20032-5202 | 2019-07-18 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 20064 |
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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.