MR. FRANK RAYMOND DECARLO IV (NPI# 1629599014) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629599014 |
| Entity Type | Individual |
| Full Name | MR. FRANK RAYMOND DECARLO IV |
| Credential | LAT, ATC |
| Practice Address |
1201 S Clearview Pkwy Jefferson LA 70121-1015 |
| Practice Telephone | 9412241177 |
| Enumeration Date | 2017-07-06 |
| Last Update Date | 2017-07-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
ATH.200501 | LA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1201 S CLEARVIEW PKWY |
| City | JEFFERSON |
| State | LA |
| Zip Code | 70121-1015 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598389488 | Jacquelyn Kate Nelson | Specialist/Technologist | 1201 S Clearview Pkwy, Jefferson, LA 70121-1015 | 2020-06-05 |
| 1033764766 | Tara P Sosa | Specialist/Technologist | 1201 S Clearview Pkwy, Jefferson, LA 70121-1015 | 2019-08-08 |
| 1164082772 | Ochsner Clinic LLC | Internal Medicine | 1201 S Clearview Pkwy, Jefferson, LA 70121-1015 | 2019-06-17 |
| 1982190591 | Jordan Elizabeth Blough | Specialist/Technologist | 1201 S Clearview Pkwy, Jefferson, LA 70121-1015 | 2018-07-06 |
| 1598211963 | Eric Kastrup | Specialist/Technologist | 1201 S Clearview Pkwy, Jefferson, LA 70121-1015 | 2016-08-26 |
| 1427502756 | Payton Kingsley | Specialist/Technologist | 1201 S Clearview Pkwy, Jefferson, LA 70121-1015 | 2016-08-03 |
| 1033570585 | Sara Schexnayder | Specialist/Technologist | 1201 S Clearview Pkwy, Jefferson, LA 70121-1015 | 2016-03-11 |
| 1912377110 | Amber Petrey | Specialist/Technologist | 1201 S Clearview Pkwy, Jefferson, LA 70121-1015 | 2015-09-30 |
| 1114393964 | Kacie Edwards | Specialist/Technologist | 1201 S Clearview Pkwy, Jefferson, LA 70121-1015 | 2015-08-17 |
| 1114303443 | Christopher Malone | Orthopaedic Surgery | 1201 S Clearview Pkwy, Jefferson, LA 70121-1015 | 2015-08-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437772191 | Carlos Andres Cevallos | Student in an Organized Health Care Education/Training Program | 1514 Jefferson Hwy, New Orleans, LA 70121 | 2020-05-28 |
| 1497375257 | Vipin Varghese | Student in an Organized Health Care Education/Training Program | 1514 Jefferson Hwy, Bh 629, New Orleans, LA 70121 | 2020-04-22 |
| 1790255396 | Irianne Nicholas | Specialist/Technologist | 1201 South Clearview Parkway, Jefferson, LA 70121 | 2018-11-27 |
| 1225504889 | George Andrews | Orthopaedic Surgery | Ochsner Health System, 1514 Jefferson Highway, New Orleans, LA 70121 | 2018-10-22 |
| 1295213494 | Shima Abdulhameed A Aziz | Student in an Organized Health Care Education/Training Program | 1514 Jefferson Highway, Ochsner Clinic Foundation, New Orleans, LA 70121 | 2018-07-31 |
| 1396238721 | Treasure S Lucas | Case Manager/Care Coordinator | 827 Causeway Blvd Ste 206, Jefferson, LA 70121 | 2018-06-11 |
| 1396240909 | Jasmine Kaur Bahd | Student in an Organized Health Care Education/Training Program | 1401 Jefferson Highway, Academic Center 1st Floor, New Orleans, LA 70121 | 2018-03-26 |
| 1649774480 | William Shamus Rohn | Student in an Organized Health Care Education/Training Program | 137 Jules Ave, Jefferson, LA 70121 | 2018-03-19 |
| 1295262665 | Uday Shanker Nadimpally | Student in an Organized Health Care Education/Training Program | Ochsner Clinic Foundation, 1514, Jefferson Hwy, New Orleans, LA 70121 | 2017-05-17 |
| 1700324084 | Magnolia Community Services, Inc | Intermediate Care Facility, Mentally Retarded | 821 Jefferson Heights Ave., Jefferson, LA 70121 | 2017-02-07 |
| Find all providers in zip 70121 | ||||
| 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 |
|---|---|---|---|---|
| 1659992642 | Kelley Potila | Specialist/Technologist | 255 Maggilu Ct, Jefferson, WI 53549-2095 | 2020-04-30 |
| 1790255396 | Irianne Nicholas | Specialist/Technologist | 1201 South Clearview Parkway, Jefferson, LA 70121 | 2018-11-27 |
| 1629582838 | Danielle Claire Blackwell | Specialist/Technologist | 540 Tucker Ave, Jefferson, LA 70121-1571 | 2017-11-27 |
| 1710344346 | James Edelman | Specialist/Technologist | Ochsner1221 S Clearview Pkwy, Jefferson, LA 70121-1011 | 2016-01-27 |
| 1548631856 | Kristina Bernard Tyson | Specialist/Technologist | 12221 South Clearview Pkwy, Jefferson, LA 70121 | 2015-10-13 |
| 1073984381 | Benjamin Franklin Evans IIi | Specialist/Technologist | Ochsner 1221 S Clearview Pkwy, Jefferson, LA 70121-1011 | 2015-10-13 |
| 1396116893 | Courtney Denoux | Specialist/Technologist | 1221 S. Clearview Pkwy, Jefferson, LA 70121 | 2015-10-12 |
| 1699146209 | Sara Moldenhauer | Specialist/Technologist | N3661 County Road K, Jefferson, WI 53549-9418 | 2015-10-08 |
| 1497147839 | Nicholas Holtgrieve | Specialist/Technologist | 1221 S. Clearview Parkway, Jefferson, LA 70121 | 2015-02-23 |
| 1629695200 | Blake Ryan Hockaday | Specialist/Technologist | 1201 S Clearview Pkwy Bldg B, Jefferson, LA 70121-1015 | 2020-06-30 |
| Find all providers in JEFFERSON | ||||
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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.