JESSIE BOLLBACK (NPI# 1558746305) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558746305 |
| Entity Type | Individual |
| Full Name | JESSIE BOLLBACK |
| Credential | ATC |
| Practice Address |
1 College Rd Farmville VA 23901 |
| Practice Telephone | 5183216806 |
| Mailing Telephone | 5183216806 |
| Enumeration Date | 2015-07-22 |
| Last Update Date | 2015-07-22 |
| 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 |
| Street Address |
1 COLLEGE RD |
| City | FARMVILLE |
| State | VA |
| Zip Code | 23901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245876531 | Farmville Family Pharmacy, Inc. | Pharmacy | 1538 South Main Street, Farmville, VA 23901 | 2019-11-21 |
| 1184269870 | Louis Lee Huddleston | Counselor | 502 Beech Street, Farmville, VA 23901 | 2019-11-17 |
| 1447706668 | Alison Cameron | Specialist/Technologist | 3152 Allen Farm Road, Farmville, VA 23901 | 2016-08-28 |
| 1508236977 | Sarah Trimble | Social Worker | 833 Buffalo Street Suite 200, Suite 200 Po Drawer Q, Farmville, VA 23901 | 2015-09-29 |
| 1437532306 | Tara Ross-barksdale | Counselor | 129 Walnut Lane, Farmville, VA 23901 | 2015-07-09 |
| 1770997660 | Ronda L Walker | Speech-Language Pathologist | 315 West Third Street, Farmville, VA 23901 | 2014-06-18 |
| 1598191165 | Stephen Stone | Physician Assistant | 1706 East 3rd Street, Farmville, VA 23901 | 2013-09-16 |
| 1558637611 | Jeffrey Sargent | Physical Therapy Assistant | 800 0ak St, Farmville, VA 23901 | 2012-03-22 |
| 1497068217 | Family Preservation Services, Inc. | Community/Behavioral Health | 1825 East Third Street, Farmville, VA 23901 | 2010-07-21 |
| 1467781419 | Aime Spencer | Counselor | 232 Ridgeway Drive, Farmville, VA 23901 | 2009-12-21 |
| Find all providers in zip 23901 | ||||
| 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 |
|---|---|---|---|---|
| 1447706668 | Alison Cameron | Specialist/Technologist | 3152 Allen Farm Road, Farmville, VA 23901 | 2016-08-28 |
| 1548622046 | Lindsey Stokes | Specialist/Technologist | 292 Douglas Church Rd, Farmville, VA 23901-5818 | 2016-03-23 |
| 1790029254 | Brandon Michael Davis | Specialist/Technologist | 5359 Farmville Rd, Farmville, VA 23901-5938 | 2012-11-21 |
| 1407804487 | Darlene A Abramovich | Specialist/Technologist | 201 High Street-athletics, Longwood University, Farmville, VA 23901 | 2006-05-04 |
| 1720043136 | Kenneth Ashley | Specialist/Technologist | 35 Eagle Dr, Farmville, VA 23901-2859 | 2006-04-19 |
| 1215996947 | Andrew P Flavell | Specialist/Technologist | 923 College Rd, Farmville, VA 23901-5931 | 2006-03-21 |
| 1255939591 | Tiffanie Nolte | Specialist/Technologist | 201 High St, Farmville, VA 23909-1800 | 2020-10-09 |
| 1194357368 | Taylor Ann Yeager | Specialist/Technologist | 201 High St, Farmville, VA 23909-1800 | 2020-02-06 |
| 1114499076 | Rachel M Stapleford | Specialist/Technologist | 201 High St, Farmville, VA 23909-1801 | 2018-12-17 |
| 1588176978 | Jenna Pierson | Specialist/Technologist | 201 High St, Farmville, VA 23909-1800 | 2017-10-25 |
| Find all providers in FARMVILLE | ||||
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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.