STACEY LARON WATERS (NPI# 1497370993) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497370993 |
| Entity Type | Individual |
| Full Name | STACEY LARON WATERS |
| Practice Address |
804 Childers Loop Brandon FL 33511-6105 |
| Practice Telephone | 3135872708 |
| Mailing Telephone | 3135872708 |
| Enumeration Date | 2020-06-10 |
| Last Update Date | 2020-06-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720408677 | Stacey L Waters | Nurse Practitioner | 440 Taylor Rd, Suite 3380, Montgomery, AL 36117-3588 | 2014-04-18 |
| 1861826596 | Stacey Waters | Student in an Organized Health Care Education/Training Program | 160 S. Seventh Ave, La Puente, CA 91744 | 2013-08-29 |
| Street Address |
804 CHILDERS LOOP |
| City | BRANDON |
| State | FL |
| Zip Code | 33511-6105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295367555 | Ability Beyond Measures LLC. | Clinic/Center | 2705 Isabella Valley Court, Brandon, FL 33511 | 2020-02-05 |
| 1831744655 | Brandon Modern Dentistry, Pa | Dentist | 971 E. Bloomingdale Avenue, Brandon, FL 33511 | 2019-08-08 |
| 1487208922 | Heart and Vascular Center of Brandon, Pllc | Internal Medicine | 511 Medical Oaks Ave., Brandon, FL 33511 | 2019-08-01 |
| 1841842895 | Rebecca Harrelson | Counselor | 915 Oakfield Drive, Suite E, Brandon, FL 33511 | 2019-07-10 |
| 1043779713 | Cheryl Diane Hart | Nurse Practitioner | 888 S Parsons Ave., Brandon, FL 33511 | 2019-03-13 |
| 1306303177 | Paula J Buchwald | Nurse Practitioner | 888 S. Parsons Ave, Brandon, FL 33511 | 2019-02-27 |
| 1063993996 | Ashlee Marie Shevchenko | Speech-Language Pathologist | 602 Vondeburg Dr, Suite 201, Brandon, FL 33511 | 2018-08-28 |
| 1275023012 | Ava Cares, LLC | Assisted Living Facility | 3005 Bell Shoals Rd., Brandon, FL 33511 | 2018-05-17 |
| 1346738705 | Tampa Psychology Group | Psychologist | 1463 Oakfield Dr Ste 109, Brandon, FL 33511 | 2018-05-01 |
| 1760982987 | Suresh Lama Tamang | Counselor | 510 Vonderburg Dr, Suite# 301, Brandon, FL 33511 | 2018-02-14 |
| Find all providers in zip 33511 | ||||
| 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 |
|---|---|---|---|---|
| 1942852611 | Briana Shepherd | Specialist/Technologist | 325 Swallow Dr, Brandon, MS 39047-6454 | 2019-07-12 |
| 1821659731 | Ryan Joseph Esenwein | Specialist/Technologist | 1403 Lake Lucerne Way Apt 203, Brandon, FL 33511-2284 | 2019-06-23 |
| 1184180333 | Lauren Simard | Specialist/Technologist | 1101 Victoria St, Brandon, FL 33510-4197 | 2019-02-13 |
| 1083183461 | Julia Lynn Napoli | Specialist/Technologist | 1243 Alpine Lake Dr, Brandon, FL 33511-1898 | 2018-11-15 |
| 1447725585 | Brianna Mikol Gallegos | Specialist/Technologist | 2213 Kendall Springs Ct Apt 201, Brandon, FL 33510-2516 | 2018-10-04 |
| 1184119992 | Danny L Theys Jr. | Specialist/Technologist | 1910 Plantation Key Cir Apt 107, Brandon, FL 33511-4615 | 2018-06-25 |
| 1699278697 | Hannah Elsie Wendel | Specialist/Technologist | 8590 Sara Rd Nw, Brandon, MN 56315-8352 | 2018-03-15 |
| 1396261061 | Nicole Pallesco Samala | Specialist/Technologist | 305 E Brandon Blvd Ste 102, Brandon, FL 33511-5222 | 2017-08-15 |
| 1790214450 | Christopher Cody Garcia | Specialist/Technologist | 234 E Pinebrook Dr, Brandon, MS 39047-7817 | 2017-06-07 |
| 1821486218 | Blake Harrison Hines | Specialist/Technologist | 214 Meadowlands Dr, Brandon, MS 39047-9070 | 2015-01-07 |
| Find all providers in BRANDON | ||||
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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.