SHYANN WALLACE (NPI# 1710524913) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710524913 |
| Entity Type | Individual |
| Full Name | SHYANN WALLACE |
| Practice Address |
1150 Harvest Dr Lebanon PA 17046-1574 |
| Practice Telephone | 7173769110 |
| Mailing Telephone | 7173769110 |
| Enumeration Date | 2019-12-06 |
| Last Update Date | 2019-12-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| 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 |
1150 HARVEST DR |
| City | LEBANON |
| State | PA |
| Zip Code | 17046-1574 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568708972 | Amy Lesher | Counselor | 200 N &th Street, Lebanon, PA 17046 | 2012-12-13 |
| 1053656033 | Jessica L Hoffman | Nutritionist | 4053 Church Hill Road, Lebanon, PA 17046 | 2012-12-03 |
| 1568772135 | T. W. Ponessa and Associates Counseling Services, Inc. | Community/Behavioral Health | 400 Narrows Drive, Lebanon, PA 17046 | 2010-10-18 |
| 1336213024 | William Lee Huffman | Optometrist | 40 N 8th St, Lebanon, PA 17046 | 2006-11-17 |
| 1366534620 | Pennsylvania Counseling Services Inc | Counselor | 200 N 7th St., Lebanon, PA 17046 | 2006-09-28 |
| 1922106541 | Pennsylvania Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 833 Bowman St The Promenade At Lebanon E, Lebanon, PA 17046 | 2006-09-20 |
| 1457360471 | Lebanon Oncology & Hematology Assoc. | Internal Medicine | 4th & Willow St, Hyman S Caplan Pavilion, Lebanon, PA 17046 | 2006-08-07 |
| 1942218987 | Craig M Wilson | Chiropractor | 624 N Ninth Street, Family Care Chiropractic, Lebanon, PA 17046 | 2006-08-04 |
| 1477575975 | John I Shearer | Counselor | 1560 Jody Ave, Lebanon, PA 17046 | 2006-07-24 |
| 1316921950 | Deborah J Thomas | Counselor | 408 N 15th Ave, Lebanon, PA 17046 | 2005-12-06 |
| Find all providers in zip 17046 | ||||
| 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 |
|---|---|---|---|---|
| 1154886414 | August Deshae Montgomery | Specialist/Technologist | 1 Cumberland Sq # 3046, Lebanon, TN 37087-3408 | 2019-01-31 |
| 1356854939 | Christian James Novy | Specialist/Technologist | 10913 Sylvan Vista Dr, Lebanon, IL 62254-2334 | 2017-11-06 |
| 1710401492 | Kenzlie Ann Westerfield | Specialist/Technologist | 613 Countryside Drive, Lebanon, IN 46052 | 2017-08-03 |
| 1174074454 | Kayla Strother | Specialist/Technologist | 321 Hoffmann Ave, Lebanon, OH 45036-1116 | 2016-10-20 |
| 1649727173 | Brandon Gibson | Specialist/Technologist | 226 Dickens Ct, Lebanon, OH 45036-8580 | 2016-09-01 |
| 1427407584 | Matthew Charles Wood | Specialist/Technologist | 946 Stone Ridge Ln, Lebanon, OH 45036-8530 | 2016-06-09 |
| 1144677006 | Heather Tobias | Specialist/Technologist | 950 Isabel Dr, Lebanon, PA 17042-7482 | 2016-05-20 |
| 1518311760 | Catherine Hays | Specialist/Technologist | 426 Deerfield Rd, Lebanon, OH 45036-2363 | 2016-04-13 |
| 1124490461 | Kayla Haston | Specialist/Technologist | 913 Claiborne Ln, Lebanon, IN 46052-3907 | 2015-10-27 |
| 1285012336 | Matthew Ommert | Specialist/Technologist | 2044 Blair Dr, Lebanon, OH 45036-8232 | 2015-05-09 |
| Find all providers in LEBANON | ||||
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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.