HEATHER COLLEEN CARROLL (NPI# 1689071367) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1689071367 |
Entity Type | Individual |
Full Name | HEATHER COLLEEN CARROLL |
Credential | ATC |
Practice Address |
2937 S Brentwood Blvd Brentwood MO 63144-2713 |
Mailing Address |
7331 Zephyr Pl 2e Maplewood MO 63143-2221 |
Practice Telephone | 3149613804 |
Mailing Telephone | 7023755227 |
Enumeration Date | 2014-11-25 |
Last Update Date | 2014-11-25 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
2008021131 | MO | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912497165 | Heather Jo Carroll | Occupational Therapist | 5021 Mercer University Dr Ste D2, Macon, GA 31210-6228 | 2018-05-14 |
1902246689 | Heather Elizabeth Carroll | Internal Medicine | 4100 Park Forest Dr Ste 208, Traverse City, MI 49684-7306 | 2013-06-26 |
1912033101 | Heather Carroll | Massage Therapist | 1241 E River Rd, Avon, NY 14414-9539 | 2007-02-24 |
1396301826 | Heather Elizabeth Carroll | Counselor | 1400 N Johnson Ave Ste 101, El Cajon, CA 92020-1651 | 2019-05-09 |
1891239414 | Heather Carroll | Social Worker | 287 Middlesex Ave, Medford, MA 02155-5056 | 2016-12-16 |
1023550704 | Heather Nicole Carroll | Nurse Practitioner | 75 Pringle Way, Suite 512, Reno, NV 89502-1464 | 2016-11-10 |
1366802209 | Heather Carroll | Psychologist | 2075 W Big Beaver Rd, Suite 520, Troy, MI 48084-3407 | 2016-03-04 |
1346649688 | Heather Carroll | Assisted Living Facility | 430 E Cleveland Rd, Granger, IN 46530-5624 | 2014-08-21 |
1750661260 | Heather Carroll | Nurse Practitioner | 140 Main St, Prospect Hill, NC 27314-9436 | 2011-08-29 |
1376853184 | Heather Anne Carroll | Occupational Therapist | 1008 Hwy 25 B, Heber Springs, AR 72543 | 2010-10-14 |
Street Address |
2937 S BRENTWOOD BLVD |
City | BRENTWOOD |
State | MO |
Zip Code | 63144-2713 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922050657 | Prorehab, PC | Clinic/Center | 2937 S Brentwood Blvd, Brentwood, MO 63144-2713 | 2006-05-17 |
1518574417 | Chad L Hanson | Physical Therapist | 2937 S Brentwood Blvd, Brentwood, MO 63144-2713 | 2020-09-25 |
1346805538 | Zachary Haffner | Physical Therapist | 2937 S Brentwood Blvd, Brentwood, MO 63144-2713 | 2019-05-03 |
1033605357 | Margaret E Braida | Physical Therapist | 2937 S Brentwood Blvd, Brentwood, MO 63144-2713 | 2018-07-10 |
1710361357 | Taylor Marie Streid | Physical Therapist | 2937 S Brentwood Blvd, Brentwood, MO 63144-2713 | 2015-07-14 |
1396179016 | Erynn Elizabeth Coit | Occupational Therapist | 2937 S Brentwood Blvd, Brentwood, MO 63144-2713 | 2013-08-29 |
1336580158 | John D Ruesler | Physical Therapist | 2937 S Brentwood Blvd, Brentwood, MO 63144-2713 | 2013-07-09 |
1124377221 | Jacqueline D Schranck | Physical Therapist | 2937 S Brentwood Blvd, Suite 105, Brentwood, MO 63144-2713 | 2012-09-05 |
1528389814 | Lauren Stief | Physical Therapist | 2937 S Brentwood Blvd, Brentwood, MO 63144-2713 | 2010-06-21 |
1386861441 | Rose Louise Mcandrew | Occupational Therapist | 2937 S Brentwood Blvd, Brentwood, MO 63144-2713 | 2007-04-19 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730681214 | Patrick Kojima | Pharmacist | 1520 S. Brentwood Blvd, Saint Louis, MO 63144 | 2018-03-01 |
1104257385 | Karen Misty Thornton | Counselor | 1750 S Brentwood Blvd Ste 503, Saint Louis, MO 63144 | 2013-12-12 |
1386804433 | Lisa Marie Ross | Social Worker | 2025 S Brentwood, Suite 206, St Louis, MO 63144 | 2008-06-12 |
1568667665 | St. Joseph Institute for The Deaf | Speech-Language Pathologist | 1314 Strassner, Brentwood, MO 63144 | 2007-06-19 |
1720292030 | Albert A Barton | Social Worker | 2806 S Brentwood Blvdd, St Louis, MO 63144 | 2007-05-09 |
1083736243 | Gary Jean Jameson | Chiropractor | 2901 S Brentwood Blvd, St Louis, MO 63144 | 2007-04-06 |
1649340662 | Lindsay Michelle Ledbetter | Physical Therapist | 8228 Brentwood Industrial Drive, Brentwood, MO 63144 | 2006-11-08 |
1316041627 | Jandhyala Satya Sagar | Internal Medicine | 1400 Strassner Rd, Brentwood, MO 63144 | 2006-09-08 |
1396855326 | Jane E Loitman | Internal Medicine | 8044 Manchester Rd, Saint Louis, MO 63144 | 2006-08-31 |
1164532289 | Jayne M Scanlan | Physical Therapist | 2937 South Brentwood Blvd, Brentwood, MO 63144 | 2006-08-30 |
Find all providers in zip 63144 |
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 |
---|---|---|---|---|
1790259299 | Michael T Watson | Specialist/Technologist | 129 Westwood Dr, Brentwood, NY 11717-5715 | 2019-01-17 |
1053813295 | Annalisa Marie Ronning | Specialist/Technologist | 657 Capilano Dr, Brentwood, CA 94513-7022 | 2018-03-04 |
1033501069 | Jennifer Leigh Heinz | Specialist/Technologist | 850 2nd St, Brentwood, CA 94513-1132 | 2015-02-27 |
1346367463 | John Shoffner Hutson | Specialist/Technologist | 1114 Brookview Dr, Brentwood, TN 37027-8424 | 2007-03-23 |
1740373117 | Roger J Blandford | Specialist/Technologist | 317 Seven Springs Way Ste 101, Brentwood, TN 37027-4576 | 2006-09-30 |
1770699571 | Steve F Moon | Specialist/Technologist | 2420 Sand Creek Rd # C1-303, Brentwood, CA 94513-2707 | 2006-08-22 |
1720048176 | Dara Trotter | Specialist/Technologist | 717 Baxter Ln, Brentwood, TN 37027-4364 | 2006-03-27 |
1902904766 | Margaret Stockham | Specialist/Technologist | 343 Franklin Rd Ste 201, Brentwood, TN 37027-5250 | 2006-09-20 |
NPI | Name | Taxonomy | Address | Enumeration |
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1467051516 | Kangjun Lee | Specialist/Technologist | 901 S. National Ave., Springfield, MO 65897 | 2020-10-20 |
1114525631 | Kaylen A Howard | Specialist/Technologist | No, No, MO 63119 | 2020-10-16 |
1548868334 | Alexander Kenneth Hollingsworth | Specialist/Technologist | 1904 Franklin Ave, Lexington, MO 64067-1705 | 2020-10-13 |
1164020335 | Taylor Fumagalli | Specialist/Technologist | 1421 Woodstone Dr, Saint Charles, MO 63304-6866 | 2020-10-11 |
1265039192 | Carley M Swabby | Specialist/Technologist | 652 Bismark Ave, Saint Louis, MO 63119-1528 | 2020-10-05 |
1275144891 | Tiffany Hallacy | Specialist/Technologist | 5014 Walnut St Apt D, Kansas City, MO 64112-2641 | 2020-08-17 |
1306464011 | Dustin Flynn | Specialist/Technologist | 541 Huntley Heights Dr, Ballwin, MO 63021-5884 | 2020-07-09 |
1851916878 | Olivia Marie Bogolin | Specialist/Technologist | 111 Timber Trace Xing, Wentzville, MO 63385-2124 | 2020-06-15 |
1417571464 | Jessica Burgason | Specialist/Technologist | 24173 State Highway F, Kirksville, MO 63501-8009 | 2020-06-05 |
1225651664 | Ashley Marie Garlock | Specialist/Technologist | 1308 S Halliburton St, Kirksville, MO 63501-4456 | 2020-05-20 |
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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.