CHRISTY BLAYLOCK (NPI# 1710374525) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710374525 |
| Entity Type | Individual |
| Full Name | CHRISTY BLAYLOCK |
| Credential | ATC |
| Practice Address |
6420 Excalibur Ct Manassas VA 20112-4031 |
| Practice Telephone | 5712245319 |
| Enumeration Date | 2015-04-20 |
| Last Update Date | 2015-04-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
6420 EXCALIBUR CT |
| City | MANASSAS |
| State | VA |
| Zip Code | 20112-4031 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609361849 | Rasha Jamal Hussein | Dentist | 12701 Galveston Ct, Manassas, VA 20112 | 2018-06-29 |
| 1023510500 | Brooke Newman | Speech-Language Pathologist | 14715 Bristow Road, Manassas, VA 20112 | 2018-03-01 |
| 1174837165 | Carol M Cantello | Occupational Therapist | 12676 Cobblestone Ct, Manassas, VA 20112 | 2010-08-02 |
| 1245429935 | Virginia Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 6360 Hoadly Rd, Manassas, VA 20112 | 2007-10-18 |
| 1780765982 | Cheryl Lynn Toulouse | Nurse Practitioner | Endocrine and Diabetes Center, 2200 Opitz Blvd, Suite 250, Woodbridge, VA 20112 | 2006-10-17 |
| 1295224889 | Priscilla Amfo | Nurse Practitioner | 6360 Hoadly Rd, Manassas, VA 20112 | 2018-05-09 |
| 1548627797 | Dawnita Truitt-calderone | Speech-Language Pathologist | 14715 Bristow Rd, Manassas, VA 20112 | 2016-01-19 |
| 1275998486 | Courtney Harless | Nurse Practitioner | 6360 Hoadly Rd, Manassas, VA 20112 | 2015-12-15 |
| 1205106069 | Andre Delray Route | Home Health Aide | 7600 Georgia Ave, Premier Health Services, Suite 323, Washington, DC 20112 | 2012-01-10 |
| 1548369390 | Mark A Bodwalk | Counselor | 6922 Newman Rd, Clifton, VA 20112-1613 | 2006-09-21 |
| Find all providers in zip 20112 | ||||
| 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 |
|---|---|---|---|---|
| 1083234181 | Hannah Sarah Couch | Specialist/Technologist | 10220 Launch Cir Apt 301, Manassas, VA 20109-4226 | 2020-04-20 |
| 1023642600 | Stacey Webster | Specialist/Technologist | 10400 Nokesville Rd, Manassas, VA 20110-4141 | 2020-02-24 |
| 1073166898 | Hon Luu | Specialist/Technologist | 7889 Blue Gray Cir, Manassas, VA 20109-2825 | 2019-07-21 |
| 1962904573 | Donielle Francis | Specialist/Technologist | 10420 Monterosa Pl, Manassas, VA 20110 | 2018-02-28 |
| 1568960516 | Katie Racine | Specialist/Technologist | 10225 Malvern Ct, Manassas, VA 20110-6087 | 2018-01-24 |
| 1356880298 | Bonnie Bishop | Specialist/Technologist | 8410 Kao Cir, Manassas, VA 20110-1702 | 2017-02-13 |
| 1326385022 | Jeane Marie Ryder | Specialist/Technologist | 10945 George Mason Circle, Apt 4025, Manassas, VA 20110 | 2013-01-15 |
| 1417294364 | Ashley Ausborn | Specialist/Technologist | 9309 China Grove Ct, Manassas, VA 20110-8914 | 2013-01-12 |
| 1669438073 | Stacey Ellis | Specialist/Technologist | 9005 Tudor Ln, Manassas, VA 20110-5754 | 2006-04-25 |
| 1891251484 | Breyah Abidemi Jones-powers | Specialist/Technologist | 10900 University Blvd, Manassas, VA 20110-2201 | 2019-02-19 |
| Find all providers in MANASSAS | ||||
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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.