MELINDA A WEISENBERGER (NPI# 1578093704) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578093704 |
| Entity Type | Individual |
| Full Name | MELINDA A WEISENBERGER |
| Credential | AT |
| Practice Address |
4600 W Northside Drive Clinton MS 39056 |
| Mailing Address |
4600 W Northside Dr Clinton MS 39056-9699 |
| Practice Telephone | 6016686064 |
| Enumeration Date | 2017-06-20 |
| Last Update Date | 2017-06-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AT0203 | MS | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
4600 W NORTHSIDE DRIVE |
| City | CLINTON |
| State | MS |
| Zip Code | 39056 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376012724 | John Melvin Goolsby Jr. | Dentist | 457 Highway 80 East, Clinton, MS 39056 | 2018-11-15 |
| 1225534530 | Magnolia Allergy Clinic LLC | Internal Medicine | 402 Cynthia St Ste E, Clinton, MS 39056 | 2018-04-04 |
| 1962859702 | Telehealthone, LLC | Nurse Practitioner | 200 Clinton Plaza, Clinton, MS 39056 | 2016-05-23 |
| 1841686581 | 1st America Infusion Services LLC | Durable Medical Equipment & Medical Supplies | 132 Fairmont Street, Suite B, Clinton, MS 39056 | 2015-04-09 |
| 1023412822 | Rebecca Brooks Prewitt | Social Worker | 130 B Fairmont Street, Clinton, MS 39056 | 2014-10-22 |
| 1396184149 | Robert Joseph Hargis | Urology | 116 Afton Way, Clinton, MS 39056 | 2013-06-14 |
| 1750626321 | Clinton Dental Care, Inc. | Dentist | 736 Clinton Pkwy, Clinton, MS 39056 | 2012-12-07 |
| 1922394469 | Daphenia C. Knight Starling | Nurse Practitioner | Clinton Healthcare, 1251 Pinehaven Rd, Clinton, MS 39056 | 2011-06-23 |
| 1134443385 | Gwendolyn Coleman Garror | Pharmacist | 132 Fairmount Drive, Clinton, MS 39056 | 2010-03-17 |
| 1124241245 | Medical Foundation of Central Mississippi, Inc | Family Medicine | 106 Clinton Parkway, Clinton, MS 39056 | 2007-04-10 |
| Find all providers in zip 39056 | ||||
| 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 |
|---|---|---|---|---|
| 1225684111 | Moriah Perry | Specialist/Technologist | 7905 Malcom Rd, Clinton, MD 20735-2073 | 2019-08-15 |
| 1669024089 | Kristin M Higgins | Specialist/Technologist | 64 Forest St, Clinton, MA 01510-1727 | 2019-07-16 |
| 1326510413 | Lauren E Linn | Specialist/Technologist | 155 Sieber Rd, Clinton, PA 15026-1345 | 2018-12-30 |
| 1255827242 | Kerry Lynn Showalter | Specialist/Technologist | 13405 Turah Rd, Clinton, MT 59825-9776 | 2018-07-02 |
| 1699221507 | Jaclyn Arave | Specialist/Technologist | 1336 N 3000 W, Clinton, UT 84015-7512 | 2016-08-30 |
| 1750836755 | Marcus Moberg | Specialist/Technologist | 71308 310th St, Clinton, MN 56225-2062 | 2016-08-18 |
| 1063865228 | Erin Healy | Specialist/Technologist | 143 Leigh St, Clinton, NJ 08809-1311 | 2016-07-22 |
| 1386093201 | William Hudson Byrnes | Specialist/Technologist | 200 South Capitol Street, Clinton, MS 39058 | 2016-06-10 |
| 1841648359 | Shane Sigler | Specialist/Technologist | 69738 310th St, Clinton, MN 56225-2058 | 2016-05-25 |
| 1083091201 | Robert Moore | Specialist/Technologist | 11600 Mary Catherine Dr, Clinton, MD 20735-1040 | 2015-04-27 |
| Find all providers in CLINTON | ||||
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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.