LESLIE TATUM CARROLL (NPI# 1568904522) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568904522 |
| Entity Type | Individual |
| Full Name | LESLIE TATUM CARROLL |
| Credential | ATC |
| Practice Address |
1809 Victory Ave Wichita Falls TX 76301-6020 |
| Practice Telephone | 4083904494 |
| Mailing Telephone | 4083904494 |
| Enumeration Date | 2016-11-08 |
| Last Update Date | 2016-11-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AT4849 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417926445 | Leslie Seton Carroll | Emergency Medicine | 3401 N Broad Street, Philadelphia, PA 19140 | 2006-03-14 |
| 1255994166 | Leslie Carroll | Nurse Practitioner | 700 W Forest Ave Ste 200, Jackson, TN 38301-3940 | 2019-04-16 |
| 1265751770 | Leslie Ann Carroll | Dentist | 1428 W Hebron Pkwy, Suite #140, Carrollton, TX 75010-6345 | 2010-05-24 |
| 1811106701 | Leslie Carroll | Counselor | 13929 Harper Ave, Detroit, MI 48213-3672 | 2007-05-21 |
| 1700872462 | Leslie F Carroll | Pediatrics | 501 6th Ave S, St Petersburg, FL 33701-4634 | 2005-09-27 |
| Street Address |
1809 VICTORY AVE |
| City | WICHITA FALLS |
| State | TX |
| Zip Code | 76301-6020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679192991 | Rebecca Ashley Marin | Licensed Vocational Nurse | 909 8th Sreet, Ste 100, Wichita Falls, TX 76301 | 2020-04-16 |
| 1164077558 | Melissa Ann Marshall | Registered Nurse | 1717 Lucile Ave, Wichita Falls, TX 76301 | 2019-08-02 |
| 1841760659 | Edward Scott Hamilton | Psychologist | 710 Lamar St., Wichita Falls, TX 76301 | 2018-12-05 |
| 1457872681 | Jennyfer A Rosado | Counselor | 719 Scott Ave Ste 610, Wichita Falls, TX 76301 | 2017-06-28 |
| 1023547676 | Cale David Lennard | Dentist | 2405 9th St Ste A, Wichita Falls, TX 76301 | 2017-06-07 |
| 1790198455 | Tongle Yu | Family Medicine | 1301 Third St, Suite 200, Wichita Falls, TX 76301 | 2014-06-10 |
| 1821412081 | Jennifer Burbage | Nurse Practitioner | 1700 3rd Street, Wichita Falls, TX 76301 | 2014-02-09 |
| 1275871568 | Jeffrey John Papak | Pharmacy Technician | 1610 9th Street, Wichita Falls, TX 76301 | 2013-01-22 |
| 1679826853 | Cheryl Denise Williams | Clinical Nurse Specialist | 1605 10th Street, Wichita Falls, TX 76301 | 2012-10-24 |
| 1902199250 | Tilahun Worku Belay | Internal Medicine | 1631 11th St Unit B, Wichita Falls, TX 76301 | 2011-05-19 |
| Find all providers in zip 76301 | ||||
| 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 |
|---|---|---|---|---|
| 1649898727 | Emily Edwards | Specialist/Technologist | 4621 Monterrey Dr, Wichita Falls, TX 76310-3946 | 2020-07-06 |
| 1891315875 | Laura Poston | Specialist/Technologist | 5207 Langford Ln, Wichita Falls, TX 76310-3427 | 2020-04-20 |
| 1043859358 | Dale Joseph Russell | Specialist/Technologist | 2820 Compton Rd, Wichita Falls, TX 76309-4931 | 2020-01-03 |
| 1437794336 | Joshua Timothy William Burris | Specialist/Technologist | 2149 Avenue H, Wichita Falls, TX 76309-3341 | 2019-11-14 |
| 1326503558 | Cindi Nicole Juarez-logan | Specialist/Technologist | 4200 Seabury Dr Apt Q131, Wichita Falls, TX 76308-3122 | 2019-02-01 |
| 1619007416 | Stephanie Joy Postma | Specialist/Technologist | #1 West Medical Court, Wichita Falls, TX 76310 | 2007-03-07 |
| 1821605361 | Nathan Wayne Nutter | Specialist/Technologist | 3410 Taft Blvd, Wichita Falls, TX 76308-2036 | 2020-09-29 |
| 1841785169 | Sidney Katelyn Ashton | Specialist/Technologist | 1 W Medical Ct, Wichita Falls, TX 76310-1767 | 2018-06-28 |
| 1851889844 | Tana E Drennan | Specialist/Technologist | 1 W Medical Ct, Wichita Falls, TX 76310-1767 | 2018-04-25 |
| 1841749512 | Samantha Mayfield | Specialist/Technologist | 1005 Midwestern Pkwy, Wichita Falls, TX 76302-2211 | 2016-09-23 |
| Find all providers in WICHITA FALLS | ||||
| City | WICHITA FALLS |
| Zip Code | 76301 |
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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.