BERNARD WALLS (NPI# 1588609788) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588609788 |
| Entity Type | Individual |
| Full Name | BERNARD WALLS |
| Practice Address |
100 Ochre Point Ave Newport RI 02840-4149 |
| Mailing Address |
10 Garfield Dr Coventry RI 02816-6209 |
| Practice Telephone | 4013412391 |
| Enumeration Date | 2006-06-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AT00195 | RI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
100 OCHRE POINT AVE |
| City | NEWPORT |
| State | RI |
| Zip Code | 02840-4149 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508851072 | William Scott Goode | Specialist/Technologist | 100 Ochre Point Ave, Rodgers Athletic Center, Newport, RI 02840-4149 | 2005-09-12 |
| 1881112027 | Salve Regina University | Family Medicine | 100 Ochre Point Ave, Newport, RI 02840-4149 | 2017-09-08 |
| 1235654724 | Amanda Beth Carsten | Specialist/Technologist | 100 Ochre Point Ave, Newport, RI 02840-4149 | 2017-08-07 |
| 1689125775 | Mary Lou Lyons | Nurse Practitioner | 100 Ochre Point Ave, Newport, RI 02840-4149 | 2016-10-24 |
| 1134591993 | David Eugene Cox | Specialist/Technologist | 100 Ochre Point Ave, Newport, RI 02840-4149 | 2015-10-20 |
| 1083083315 | Emily Lynn Miller | Specialist/Technologist | 100 Ochre Point Ave, Newport, RI 02840 | 2015-09-16 |
| 1740468974 | Salve Regina University | Clinic/Center | 100 Ochre Point Ave, Health Clinic, Newport, RI 02840-4149 | 2008-02-11 |
| 1730217415 | Janice Santos Ludwig | Nurse Practitioner | 100 Ochre Point Ave, Newport, RI 02840-4149 | 2007-03-02 |
| 1497822878 | Bonnie K Fischer | Nurse Practitioner | 100 Ochre Point Ave, Newport, RI 02840-4149 | 2006-11-29 |
| 1225115090 | Mary Katherine Connell | Nurse Practitioner | 100 Ochre Point Ave, Newport, RI 02840-4149 | 2006-11-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164993465 | Jacquelene Henderson | Counselor | 1341 West Main Road, Suite 16, Newport, RI 02840 | 2018-12-12 |
| 1619406683 | Lauren A Mcgovern | Social Worker | 8 Freebody St Ste 101, Newport, RI 02840 | 2017-06-05 |
| 1922388289 | Newport Family Foot Care, LLC | Podiatrist | 329 Broadway, Newport, RI 02840 | 2011-08-18 |
| 1578867255 | Nora K Griscom | Social Worker | 130 Bellevue Ave Ste 214, Newport, RI 02840 | 2011-01-10 |
| 1528200326 | Jessica Marie Welsh | Speech-Language Pathologist | 10 Friendship Street, Newport, RI 02840 | 2009-03-25 |
| 1023139037 | Elizabeth J Hayes | Counselor | Codac Inc, 93 Thames St, Newport, RI 02840 | 2007-04-03 |
| 1265551105 | Richatd Stengel | Dentist | East Bay Community Action Program, 19 Broadway, Newport, RI 02840 | 2007-03-29 |
| 1235262346 | Jon E Brett | Psychologist | 37 Powel Avenue, Newport, RI 02840 | 2007-03-14 |
| 1710018668 | James L Maher Center | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 120 Hillside Ave, Newport, RI 02840 | 2007-03-09 |
| 1285760736 | John Louis Salomone | Dentist | 73 Memorial Blvd, Newport, RI 02840 | 2007-02-26 |
| Find all providers in zip 02840 | ||||
| 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] |
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|---|---|---|---|---|
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| 1538653597 | Mandy Mccarthy | Specialist/Technologist | 45623 Spotted Tail Rd, Newport, NE 68759-5575 | 2018-06-21 |
| 1891285441 | Molly Woods | Specialist/Technologist | 500 Louie B Nunn Drive, Newport, KY 41099-0001 | 2018-05-18 |
| 1215484639 | Ashley Lynn Teets | Specialist/Technologist | 7927 War Rd, Newport, MI 48166-9354 | 2016-09-01 |
| 1841523651 | Jason Daniel Hickman | Specialist/Technologist | 309 Baptist Rd, Newport, NJ 08345-2103 | 2009-09-10 |
| 1902027402 | Nancy Lynn Stevenson-lyon | Specialist/Technologist | 209 Veterans Ave., Newport, VT 05855 | 2007-05-01 |
| 1831229962 | Robert J Kreider | Specialist/Technologist | 266 Williams Rd., Newport, ME 04953 | 2007-03-07 |
| 1063521953 | Kelly Lynn Havens | Specialist/Technologist | 13 Carothers Rd, Newport, KY 41071-2415 | 2006-08-30 |
| 1477513281 | Jason Ray Kizzee | Specialist/Technologist | 440 Meyerkord Ave, Newport, RI 02841-1650 | 2006-03-24 |
| 1508851072 | William Scott Goode | Specialist/Technologist | 100 Ochre Point Ave, Rodgers Athletic Center, Newport, RI 02840-4149 | 2005-09-12 |
| Find all providers in NEWPORT | ||||
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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.