SYDNEY GREEN (NPI# 1487162780) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487162780 |
| Entity Type | Individual |
| Full Name | SYDNEY GREEN |
| Practice Address |
1501 Lakeside Dr Lynchburg VA 24501-3113 |
| Mailing Address |
5872 Longview Dr Kenbridge VA 23944-2610 |
| Practice Telephone | 4349171082 |
| Mailing Telephone | 4349171082 |
| Enumeration Date | 2018-01-21 |
| Last Update Date | 2018-01-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205288768 | Sydney Kate Green | Physical Therapist | 4000 Lake Beau Pre Blvd, Baton Rouge, LA 70820-4265 | 2016-07-08 |
| 1336501907 | Sydney Green | Behavioral Analyst | 3630 E Owens Ave, 1060, Las Vegas, NV 89110-1039 | 2016-03-23 |
| 1871121871 | Sydney T'sara Green | Student in an Organized Health Care Education/Training Program | 601 Childrens Ln, Norfolk, VA 23507-1910 | 2020-03-27 |
| 1275037798 | Sydney Green | Community Health Worker | 11102 Lindbergh Ct, Saint Louis, MO 63123-7810 | 2018-03-20 |
| 1689189375 | Sydney Mykelle Green | Behavior Technician | 13947 S Newburg Dr, Herriman, UT 84096-6787 | 2017-12-04 |
| Street Address |
1501 LAKESIDE DR |
| City | LYNCHBURG |
| State | VA |
| Zip Code | 24501-3113 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942274733 | Thomas Gregory Bowman | Specialist | 1501 Lakeside Dr, Lynchburg, VA 24501-3113 | 2006-02-16 |
| 1598372203 | Abigail Grace Poague | Specialist/Technologist | 1501 Lakeside Dr, Lynchburg, VA 24501-3113 | 2020-09-26 |
| 1942823083 | Austin Michael Hamilton | Physician Assistant | 1501 Lakeside Dr, Lynchburg, VA 24501-3113 | 2020-05-23 |
| 1114540663 | Evan Burks Franke | Physician Assistant | 1501 Lakeside Dr, Lynchburg, VA 24501-3113 | 2020-05-19 |
| 1023631520 | Matthew Truitte | Physician Assistant | 1501 Lakeside Dr, Lynchburg, VA 24501-3113 | 2020-05-19 |
| 1912531930 | Ronajah Denai Holmes | Specialist/Technologist | 1501 Lakeside Dr, Lynchburg, VA 24501-3113 | 2020-02-28 |
| 1619501616 | Bram Chaconas | Specialist/Technologist | 1501 Lakeside Dr, Lynchburg, VA 24501-3113 | 2020-02-27 |
| 1740813658 | Sarah Elizabeth Tooley | Specialist/Technologist | 1501 Lakeside Dr, Lynchburg, VA 24501-3113 | 2020-02-19 |
| 1417580572 | Conner Overfelt | Physician Assistant | 1501 Lakeside Dr, Lynchburg, VA 24501-3113 | 2020-02-18 |
| 1265065650 | Kristina Joyce Dillard | Specialist/Technologist | 1501 Lakeside Dr, Lynchburg, VA 24501-3113 | 2020-02-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720606957 | Evidence Based Counseling Solutions | Speech-Language Pathologist | 302 Oakley Ave, Lynchburg, VA 24501 | 2020-07-14 |
| 1740805506 | Ryan Buschmann | Physical Therapist | 2400 Lakeside Drivve, Suite 602f, Lynchburg, VA 24501 | 2020-06-08 |
| 1528525276 | Julia M Mcauley-gonzalez | Nurse Practitioner | Cvfp Immediate Care - Airport, 14005 Wards Rd - Suite A, Lynchburg, VA 24501 | 2019-02-28 |
| 1548732795 | Morgan Rose Nails | Chiropractor | 3012 Forest Hills Circle, Lynchburg, VA 24501 | 2018-12-28 |
| 1407346935 | Belva Shelor | Psychologist | 1201 Floyd Street, Lynchburg, VA 24501 | 2018-05-10 |
| 1770092447 | Bio-medical Applications of Virginia, Inc. | Clinic/Center | 3204 Old Forest Rd, Lynchburg, VA 24501 | 2017-09-26 |
| 1447774518 | Restoring Peace Counseling Services | Clinic/Center | 3311 Old Forest Rd Ste 101, Lynchburg, VA 24501 | 2017-08-01 |
| 1427578335 | Vinh Thinh T Huynh | Family Medicine | 2323 Memorial Avenue, Suite #10, Lynchburg, VA 24501 | 2017-06-21 |
| 1811436769 | Jordan Legendre | Student in an Organized Health Care Education/Training Program | 2900 Weeping Willow Drive, Apt. I, Lynchburg, VA 24501 | 2017-02-13 |
| 1114465861 | Shanika Harris | Specialist/Technologist | 1501 Lakeside Drive, Lynchburg, VA 24501 | 2017-02-02 |
| Find all providers in zip 24501 | ||||
| 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 |
|---|---|---|---|---|
| 1467088278 | Carrington Marie Erquiaga | Specialist/Technologist | 2101 Rivermont Ave, Lynchburg, VA 24503-4122 | 2020-03-13 |
| 1235765058 | Hailli Marie Cooke | Specialist/Technologist | 1000 Misty Mountain Rd, Lynchburg, VA 24502-3946 | 2020-03-13 |
| 1730714551 | Alonzo Lopez | Specialist/Technologist | 2133 Edinboro Ave, Lynchburg, VA 24502-5322 | 2020-03-12 |
| 1013549583 | Jacob Gachowski | Specialist/Technologist | 37 Gloucester Dr, Lynchburg, VA 24501-1127 | 2020-02-12 |
| 1528608759 | Candace Elisabeth Del Vallle | Specialist/Technologist | 200 Capstone Dr Unit 207, Lynchburg, VA 24502-5198 | 2020-01-15 |
| 1396395661 | Allyson Brantley | Specialist/Technologist | 102 Stonemill Dr Apt H, Lynchburg, VA 24502-2064 | 2019-09-18 |
| 1114581774 | Reed Worthington | Specialist/Technologist | Liberty University 1971 University Blvd, Lynchburg, VA 24515-0001 | 2019-04-29 |
| 1770147019 | Mayowa David Aribisala | Specialist/Technologist | 7612 Timberlake Rd Apt 1312, Lynchburg, VA 24502-2490 | 2019-04-23 |
| 1184287054 | Ethan Shay Tutton | Specialist/Technologist | 1000 Misty Mountain Rd Apt 165, Lynchburg, VA 24502-3947 | 2019-04-17 |
| 1457814055 | Kristina Overholt | Specialist/Technologist | 88 Briarwood Ln, Lynchburg, VA 24501-7202 | 2019-04-10 |
| Find all providers in LYNCHBURG | ||||
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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.