MARIJEAN DALE BALLARD (NPI# 1609811512) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609811512 |
| Entity Type | Individual |
| Full Name | MARIJEAN DALE BALLARD |
| Credential | ATC |
| Practice Address |
289 Summertime Pkwy Deatsville AL 36022-5371 |
| Practice Telephone | 2056015160 |
| Practice Fax Number | 2053781920 |
| Mailing Telephone | 2056015160 |
| Mailing Fax Number | 2053781920 |
| Enumeration Date | 2006-06-17 |
| Last Update Date | 2014-08-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
610 | AL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
289 SUMMERTIME PKWY |
| City | DEATSVILLE |
| State | AL |
| Zip Code | 36022-5371 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619352549 | Amanda Warr | Dietitian, Registered | 25 Skyline Dr, Deatsville, AL 36022 | 2015-07-21 |
| 1588862635 | Ti-resurrection Life Center, L.L.C. | Assisted Living Facility | 65 Charlton Place, Deatsville, AL 36022 | 2007-07-10 |
| 1437309317 | Deatsville Care Foundation, Inc. | Skilled Nursing Facility | 65 Charlton Place, 1240 County Road 39, Deatsville, AL 36022 | 2008-09-26 |
| 1972509453 | Resurrection Life Center | Skilled Nursing Facility | 1240 County Road 39, Deatsville, AL 36022-2536 | 2005-06-21 |
| 1871190256 | Charles M Thorn | Radiology | 204 Debbie Dr, Deatsville, AL 36022-2567 | 2020-10-08 |
| 1366725780 | Ashley Stone Sellers | Pharmacist | 174 Jasmine Ct, Deatsville, AL 36022-2588 | 2011-09-21 |
| 1184045957 | Brandy Stroup Young | Registered Nurse | 408 Hidden Valley Rd, Deatsville, AL 36022-2647 | 2013-12-21 |
| 1033351580 | Seana L Wade | Speech-Language Pathologist | 65 Charlton Pl, Deatsville, AL 36022-2697 | 2009-03-30 |
| 1922240472 | Robert Steven Browning | Registered Nurse | 65 Charlton Pl, Deatsville, AL 36022-2697 | 2009-03-30 |
| 1437653037 | Express Mro | Family Medicine | 2175 Us Highway 31 N, Deatsville, AL 36022-2714 | 2018-03-20 |
| Find all providers in zip 36022 | ||||
| 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 |
|---|---|---|---|---|
| 1063010270 | Jane Ferguson | Specialist/Technologist | 3831 3rd Ave, Apt 31, Tuscaloosa, AL 35405 | 2020-10-12 |
| 1114524261 | David B Bentley | Specialist/Technologist | 1121 Williamsburg Dr, Mobile, AL 36695-3541 | 2020-10-01 |
| 1114533023 | Gregory Blake Revette | Specialist/Technologist | 910 Warrior Dr, Centre, AL 35960-1099 | 2020-09-17 |
| 1710590567 | Jessica Snider | Specialist/Technologist | 300 Cedars Rd, Munford, AL 36268-7105 | 2020-08-30 |
| 1427660158 | Faith Anneliese Monroe | Specialist/Technologist | 229 Dozier Dr Apt 415, Troy, AL 36081-3040 | 2020-08-24 |
| 1063024792 | Timothy Sullivan | Specialist/Technologist | 601 E Elm St Apt 1203, Troy, AL 36081-3498 | 2020-08-24 |
| 1972115616 | Hannah Grace Foster | Specialist/Technologist | 4031 Wiregrass Dr, Dothan, AL 36301-9500 | 2020-08-22 |
| 1609493089 | James David Bush | Specialist/Technologist | 1147 Highway 231 S Ste 9&10, Troy, AL 36081-3026 | 2020-07-01 |
| 1245850338 | Krishanna Le'mya Johnson | Specialist/Technologist | 4590 Mccalla Trace Pkwy, Bessemer, AL 35022-5490 | 2020-04-20 |
| 1619505906 | Lauren Julich | Specialist/Technologist | 2012 Crossvine Rd, Hoover, AL 35244-1512 | 2020-03-31 |
| Find all providers with the same taxonomy | ||||
| City | DEATSVILLE |
| Zip Code | 36022 |
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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.