MR. JUSTIN BLAKE BRASHEAR (NPI# 1447381546) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447381546 |
| Entity Type | Individual |
| Full Name | MR. JUSTIN BLAKE BRASHEAR |
| Credential | ATC |
| Practice Address |
147 Sycamore St Pikeville KY 41501-9118 |
| Mailing Address |
14 Big Rock Ln Hazard KY 41701-7728 |
| Practice Telephone | 6062185359 |
| Mailing Telephone | 6062333652 |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| 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 |
147 SYCAMORE ST |
| City | PIKEVILLE |
| State | KY |
| Zip Code | 41501-9118 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063410629 | Michael Kenneth Murphy | Family Medicine | 147 Sycamore St, Pikeville, KY 41501-9118 | 2005-07-08 |
| 1336763275 | Elexus Carroll | Student in an Organized Health Care Education/Training Program | 147 Sycamore St, Pikeville, KY 41501-9118 | 2020-06-06 |
| 1124657473 | Andrew Abadier | Student in an Organized Health Care Education/Training Program | 147 Sycamore St, Pikeville, KY 41501-9118 | 2020-04-07 |
| 1407365232 | Ryan Hartsel | Specialist/Technologist | 147 Sycamore St, Pikeville, KY 41501-9118 | 2017-09-25 |
| 1336599331 | Rachel L Fitzgerald | Optometrist | 147 Sycamore St, Pikeville, KY 41501 | 2016-06-21 |
| 1841657947 | University of Pikeville | Optometrist | 147 Sycamore St, Pikeville, KY 41501 | 2016-01-20 |
| 1821489576 | Ellis Ray Tackett IIi | Specialist | 147 Sycamore St, Pikeville, KY 41501-9118 | 2015-02-16 |
| 1336498559 | Pike County Health Department University of Pikeville | Public Health or Welfare | 147 Sycamore St, Pikeville, KY 41501-9118 | 2012-09-04 |
| 1013242106 | Eilene Eugenio Kinzer | Optometrist | 147 Sycamore St, Kentucky College of Optometry, Pikeville, KY 41501-9118 | 2009-10-07 |
| 1053454835 | James Rogala | Optometrist | 147 Sycamore St, Pikeville, KY 41501-9118 | 2007-02-14 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134720634 | Lauren Ann Thacker | Nurse Practitioner | 648 Stonehenge Drive, Pikeville, KY 41501 | 2020-11-03 |
| 1659933406 | Wesley Tyler Rowe | Pharmacist | 553 Hambley Boulevard, Suite 6, Pikeville, KY 41501 | 2019-07-02 |
| 1275096489 | Eric Taejun Kim | Student in an Organized Health Care Education/Training Program | 184 South Mayo Trail, Pikeville, KY 41501 | 2019-04-13 |
| 1245755206 | Paula Renee Belcher | Nurse Practitioner | 5724 E Shelbiana Road, Pikeville, KY 41501 | 2017-08-10 |
| 1174044390 | Jessie C Deffendall | Dentist | 220 Cassidy Blvd, Pikeville, KY 41501 | 2017-06-28 |
| 1942667456 | Crossroads Addiction Recovery Effort, LLC | Family Medicine | 484 Tollage Crk, Pikeville, KY 41501 | 2016-01-28 |
| 1265836183 | Rebecca Leann Roberts | Pharmacist | 259 Bear Rd, Pikeville, KY 41501 | 2014-10-21 |
| 1306253190 | Ginger Webb Aprn | Clinic/Center | 153 Weddington Branch Rd., Pikeville, KY 41501 | 2014-07-14 |
| 1710323894 | Bhg Xxv, LLC | Case Management | 368 South Mayo Trail, Pikeville, KY 41501 | 2013-05-16 |
| 1740624220 | Sunrise Children's Services, Inc. | Foster Care Agency | 123 Weddington Branch Road, Pikeville, KY 41501 | 2013-04-26 |
| Find all providers in zip 41501 | ||||
| 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 |
|---|---|---|---|---|
| 1356729545 | Joseph Ryan Brown | Specialist/Technologist | 113 Hibbard St, Apt 4, Pikeville, KY 41501-1801 | 2015-05-08 |
| 1407365232 | Ryan Hartsel | Specialist/Technologist | 147 Sycamore St, Pikeville, KY 41501-9118 | 2017-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427655372 | Kaitlin Niemiec | Specialist/Technologist | 1150 Danville Rd, Harrodsburg, KY 40330-9625 | 2020-10-05 |
| 1215543814 | Taylor Hall | Specialist/Technologist | 2424 Zion Rd, Henderson, KY 42420-4713 | 2020-09-18 |
| 1306457577 | Katherine Lynn Helly | Specialist/Technologist | 108 Crawford Dr, Georgetown, KY 40324 | 2020-08-12 |
| 1679184139 | Kaley Elizabeth Evans | Specialist/Technologist | 17617 Curry Branch Rd, Louisville, KY 40245-7447 | 2020-08-10 |
| 1982214433 | Brookelynn Thomason | Specialist/Technologist | 497 Angliana Ave, Lexington, KY 40508-3541 | 2020-08-08 |
| 1700496395 | Angela Huston | Specialist/Technologist | 17 Wesley Dr, Wilder, KY 41076-1472 | 2020-08-07 |
| 1942810494 | Emalee Alyce Johnson | Specialist/Technologist | 4485 N Us Highway 25, East Bernstadt, KY 40729-6538 | 2020-08-07 |
| 1093325193 | Phillip Gribble | Specialist/Technologist | 210 Charles Wethington Building 900 South Limestone, Lexington, KY 40536-0200 | 2020-08-04 |
| 1083231310 | Lindsay Perry | Specialist/Technologist | 129 Wellesly Ave, Georgetown, KY 40324-8091 | 2020-07-02 |
| 1275150088 | Kristen Pollock | Specialist/Technologist | 1130 W Chestnut St Apt 1310, Louisville, KY 40203-2047 | 2020-06-26 |
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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.