BREANNA MCLANE (NPI# 1477009736) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477009736 |
| Entity Type | Individual |
| Full Name | BREANNA MCLANE |
| Credential | LAT, ATC |
| Practice Address |
1219 Broad St Durham NC 27705-3577 |
| Mailing Address |
8111 Harrisburg Ln Raleigh NC 27606-7414 |
| Practice Telephone | 4133481944 |
| Mailing Telephone | 4133481944 |
| Enumeration Date | 2016-08-28 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
LAT-3583 | NC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
36002446A | IN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 600 East Legacy Plaza, Laporte, IN 46350 | 4133481944 |
| Street Address |
1219 BROAD ST |
| City | DURHAM |
| State | NC |
| Zip Code | 27705-3577 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497062665 | Dana Lynne Kim | Nurse Practitioner | 1219 Broad St, Durham, NC 27705-3577 | 2010-09-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295371755 | Tyler Beach, Lcsw, Pllc | Social Worker | 2740 Spencer Street, Durham, NC 27705 | 2019-11-20 |
| 1720635477 | Brittany W Fry | Registered Nurse | 2301 Erwin Road, Hafs Building, Room 6670, Durham, NC 27705 | 2019-08-19 |
| 1760968044 | Nicole D Moore | Social Worker | 1921 N. Pointe Dr, Suite 280, Durham, NC 27705 | 2018-07-19 |
| 1144757097 | Emileigh S Dowling | Physical Therapist | 3475 Erwin Rd Bldg 2, Durham, NC 27705 | 2017-05-22 |
| 1487195350 | Daniel Lynch | Physical Therapist | 3475 Erwin Road, Pepsico Building, Durham, NC 27705 | 2017-03-13 |
| 1780131839 | Michael A Fitzpatrick Iv | Physical Therapist | 3475 Erwin Rd Bldg 2nd, Durham, NC 27705 | 2016-09-07 |
| 1609241736 | Julia Power Constant | Physician Assistant | Dumc Box 3913, Durham, NC 27705 | 2015-12-01 |
| 1518344159 | Amanda Clark Coniglio | Internal Medicine | 2301 Erwin Rd # 3845, Durham, NC 27705 | 2015-05-04 |
| 1720486988 | Jennifer Dawn Pace | Physician Assistant | 1821 Hillandale Road Suite 24a, Duke Urgent Care, Durham, NC 27705 | 2014-12-19 |
| 1942612106 | Rachel Hibberd | Psychologist | 508 Fulton Avenue, Durham Va Medical Center, Durham, NC 27705 | 2014-05-22 |
| Find all providers in zip 27705 | ||||
| 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 |
|---|---|---|---|---|
| 1770199804 | Sandra Jean Evans | Specialist/Technologist | 405 Farintosh Valley Ln, Durham, NC 27703-8116 | 2020-09-23 |
| 1629688858 | Napoelon Manley | Specialist/Technologist | 4212 Lady Slipper Ln, Durham, NC 27704-6403 | 2020-08-03 |
| 1194346080 | Kristina Hall | Specialist/Technologist | 110 Whitford Dr Murray Athletic Training Room, Durham, NC 27708-0001 | 2020-05-01 |
| 1760018113 | Devin Demyanovich | Specialist/Technologist | 110 Whitford Drive Wd Murray Building Rm 212, Durham, NC 27708-0001 | 2020-03-18 |
| 1407320443 | Erin Paige Lawson | Specialist/Technologist | 17 Barnsdale Ct, Durham, NC 27713-8155 | 2019-01-12 |
| 1154894269 | Theodore Lawson Queen Jr. | Specialist/Technologist | 518 Darby Glen Ln, Durham, NC 27713-9427 | 2019-01-10 |
| 1225536600 | Samantha Anne Champa | Specialist/Technologist | 83 Main St # 3516, Durham, NH 03824-2538 | 2018-01-31 |
| 1922537471 | Stephanie Natasha Davis | Specialist/Technologist | 1216 Kent St, Durham, NC 27707-1236 | 2017-06-08 |
| 1922535970 | Julia Dawn Mcnabb | Specialist/Technologist | Po Box 19705, Durham, NC 27707-0023 | 2017-05-20 |
| 1942740956 | Aleah Kirsch | Specialist/Technologist | 110 Whitford Dr, Durham, NC 27708-9982 | 2017-02-24 |
| Find all providers in DURHAM | ||||
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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.