STACEY LARON WATERS


Address: 804 Childers Loop, Brandon, FL 33511-6105
Phone: 3135872708

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).

Provider Overview

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

Taxonomy

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

Other Providers STACEY WATERS

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

Office Location

Street Address 804 CHILDERS LOOP
City BRANDON
State FL
Zip Code 33511-6105

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 2255A2300X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Specialist/Technologist
Specialization Athletic Trainer

Taxonomy Definition

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]

Providers in the same taxonomy and city

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

Competitor

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City BRANDON
Zip Code 33511

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Dataset Information

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.

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