MS. EBONNIE CAMILLE WEST (NPI# 1598809428) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598809428 |
| Entity Type | Individual |
| Full Name | MS. EBONNIE CAMILLE WEST |
| Credential | A.T.C |
| Practice Address |
24901 Northwestern Hwy Southfield MI 48075-2203 |
| Mailing Address |
18400 Lauder St Detroit MI 48235-2737 |
| Practice Telephone | 2483583001 |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
010702102 | NE | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
24901 NORTHWESTERN HWY |
| City | SOUTHFIELD |
| State | MI |
| Zip Code | 48075-2203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023063443 | Consulting Physicians PC | Physical Medicine & Rehabilitation | 24901 Northwestern Hwy, Suite 205, Southfield, MI 48075-2203 | 2006-05-24 |
| 1114559895 | Dilpreet Khaira | Occupational Therapist | 24901 Northwestern Hwy, Southfield, MI 48075-2203 | 2020-02-10 |
| 1407381403 | Us Physical Rehabilitation Lc | Clinic/Center | 24901 Northwestern Hwy, Suite 113, Southfield, MI 48075-2203 | 2017-04-27 |
| 1063953834 | Daughter Status Foundation | Community/Behavioral Health | 24901 Northwestern Hwy, Suite 600, Southfield, MI 48075-2203 | 2017-03-13 |
| 1164968673 | Triune Care Inc | In Home Supportive Care | 24901 Northwestern Hwy, Ste 309, Southfield, MI 48075-2203 | 2017-01-09 |
| 1588119689 | Setu Sharma | Physical Therapist | 24901 Northwestern Hwy, Suite 113, Southfield, MI 48075-2203 | 2016-08-18 |
| 1952680878 | Med Source Services | Physical Medicine & Rehabilitation | 24901 Northwestern Hwy, Suite 205, Southfield, MI 48075-2203 | 2011-08-09 |
| 1154643112 | Med Source Services Inc | Independent Medical Examiner | 24901 Northwestern Hwy, Suite 205, Southfield, MI 48075-2203 | 2010-02-18 |
| 1730324898 | Megan Beth Gordon | Physical Therapist | 24901 Northwestern Hwy, Suite 205, Southfield, MI 48075-2203 | 2008-12-03 |
| 1689820268 | Jefferson Wiggins | Physical Therapist | 24901 Northwestern Hwy, Suite #113, Southfield, MI 48075 | 2008-08-14 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851900054 | K&b Medical Wigs, LLC | Durable Medical Equipment & Medical Supplies | 16250 Northland Dr. Ste 221, Southfield, MI 48075 | 2020-07-24 |
| 1790300390 | Julian Jeberaeel | Radiology | 2250 Providence, Southfield, MI 48075 | 2020-06-10 |
| 1265056410 | Husein Yusuf Husein | Podiatrist | Ascension Providence Hospital Southfield Campus, 16001 W. Nine Mile Rd. Depaul 2nd Floor, Southfield, Mi, MI 48075 | 2020-06-03 |
| 1952945420 | Paris Straughter | Nurse Practitioner | 18438 Onyx St, Southfield, MI 48075 | 2019-10-29 |
| 1811467657 | Medicine Man Medical, Pllc | Physical Medicine & Rehabilitation | 25130 Southfield Road, Suite #210, Southfield, MI 48075 | 2018-12-04 |
| 1447725528 | Rommel Ramos Perez | Physical Therapist | 26017 Greenfield Rd., Southfield, MI 48075 | 2018-10-04 |
| 1073009627 | Jacqueline Venora Goodgame | Licensed Practical Nurse | 4000 Town Ctr, Southfield, MI 48075 | 2018-07-06 |
| 1043712532 | Hollie Marie Maltese | Physical Therapy Assistant | 22255 Greenfiled 118, Southfield, MI 48075 | 2018-03-01 |
| 1932601481 | Katie Marie Mccormack | Occupational Therapist | 16001 West Nine Mile Rd., Southfield, MI 48075 | 2018-03-01 |
| 1801304241 | Absolute Hc LLC | Physical Therapist | 23461 Greenfield Rd Ste 200b, Southfield, MI 48075 | 2018-01-19 |
| Find all providers in zip 48075 | ||||
| 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 |
|---|---|---|---|---|
| 1326504994 | Austyn Lynnell Boulware | Specialist/Technologist | 23225 Thorncliffe St, Southfield, MI 48033-6559 | 2019-02-19 |
| 1194272690 | Brittany Tyler | Specialist/Technologist | 29381 Leemoor Dr, Southfield, MI 48076 | 2016-09-01 |
| 1629474648 | Timothy Aaron Stanley Fracassi | Specialist/Technologist | 28650 Lahser Rd, Southfield, MI 48034-2020 | 2014-11-18 |
| 1548684830 | Rebecca Austin | Specialist/Technologist | 26935 Northwestern Hwy, Southfield, MI 48033 | 2014-02-07 |
| 1235368689 | Janet Balowski | Specialist/Technologist | 22250 Providence Dr, Suite 400, Southfield, MI 48075-4825 | 2009-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467052027 | Brianna Redmond | Specialist/Technologist | 2145 Sunset Ln, Saginaw, MI 48604-2443 | 2020-10-31 |
| 1386243913 | Carrie A Lindsay | Specialist/Technologist | 4761 Highland Rd, Waterford, MI 48328-1178 | 2020-10-24 |
| 1528667128 | Bethany Lynn York | Specialist/Technologist | 1461 Crest Rd, Gladwin, MI 48624-7606 | 2020-10-23 |
| 1255930962 | Benjamin Foddrill | Specialist/Technologist | 7380 Clearview Dr, Caledonia, MI 49316-9309 | 2020-10-22 |
| 1427656040 | Travis Zaborowski | Specialist/Technologist | 2412 W 4th Ave, Sault Sainte Marie, MI 49783-1212 | 2020-10-15 |
| 1730787912 | Batoul Kassem | Specialist/Technologist | 6045 Steadman St, Dearborn, MI 48126-2052 | 2020-10-11 |
| 1801493697 | Janelle Dorsey | Specialist/Technologist | 24311 Ithaca St, Oak Park, MI 48237-1788 | 2020-10-05 |
| 1194332379 | Bryan Keith Baines Sr. | Specialist/Technologist | 4333 John R Rd, Troy, MI 48085-3681 | 2020-09-30 |
| 1205443553 | Emma Weber | Specialist/Technologist | 7776 Percheron St, Kalamazoo, MI 49009-5990 | 2020-09-29 |
| 1295342616 | Margaret Ann Gilbeau | Specialist/Technologist | 38051 Metro Villa Dr Unit 114f, Harrison Township, MI 48045-3553 | 2020-09-29 |
| Find all providers with the same taxonomy | ||||
| City | SOUTHFIELD |
| Zip Code | 48075 |
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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.