MS. VICTORIA L GRAHAM (NPI# 1740268515) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1740268515 |
Entity Type | Individual |
Full Name | MS. VICTORIA L GRAHAM |
Credential | ATC |
Practice Address |
Wesleyan University 161 Cross Street Middletown CT 06459-0001 |
Mailing Address |
25 Mckenzie St 2nd Floor Middletown CT 06457-4620 |
Practice Telephone | 8606853980 |
Mailing Telephone | 8603981704 |
Enumeration Date | 2006-01-03 |
Last Update Date | 2011-04-19 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CT | STATE LICENSE | #000052 | 01 |
BOC NUMBER | 000090279 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558980912 | Victoria Graham | Student in an Organized Health Care Education/Training Program | 1400 W 22nd St, Sioux Falls, SD 57105-1554 | 2020-04-15 |
1336788405 | Victoria Graham | Behavior Technician | 5501 Antique Rose Way, Riverbank, CA 95367-9505 | 2020-01-06 |
1396266409 | Victoria Graham | Counselor | 1010 N Prospect St, Bowling Green, OH 43402-1335 | 2017-06-28 |
1407308273 | Victoria Graham | Case Manager/Care Coordinator | 720 Wood St, Eureka, CA 95501-4413 | 2016-10-27 |
1033530381 | Victoria Ann Graham | Speech-Language Pathologist | 900 E King St, Lancaster, PA 17602-3272 | 2014-01-03 |
1174965982 | Victoria Ester Graham | Dentist | 401 S Gloster St, Suite 101, Tupelo, MS 38801-5540 | 2013-07-22 |
1881943702 | Victoria Ann Graham | Physical Therapist | 18111 Nordhoff St, Northridge, CA 91330-8411 | 2012-09-06 |
Street Address |
WESLEYAN UNIVERSITY 161 CROSS STREET |
City | MIDDLETOWN |
State | CT |
Zip Code | 06459-0001 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265550842 | Barbara Dedman | Nurse Practitioner | Davison Health Center 327 High St, Middletown, CT 06459-0001 | 2007-03-26 |
1265477178 | Joseph L Fountain | Specialist/Technologist | 161 Cross St, Middletown, CT 06459-0001 | 2006-06-17 |
1861481129 | Kenneth Donald Dompier | Specialist/Technologist | Freeman Athletic Center, Wesleyan University, Middletown, CT 06459-0001 | 2005-10-19 |
1194104224 | Wesleyan University | Family Medicine | 237 High St, Middletown, CT 06459-0850 | 2015-05-21 |
1265955132 | Laura Ann Litwin | Preventive Medicine | 161 Cross St, Middletown, CT 06459-3213 | 2017-07-21 |
1568682581 | Valli Cohen | Nurse Practitioner | 325 High St, Middletown, CT 06459-3232 | 2007-05-01 |
1457332736 | Wesleyan University - Davison Health Center | Clinic/Center | 327 High St, Middletown, CT 06459-3232 | 2005-11-14 |
1104044411 | Emily Anne Daponte | Family Medicine | 327 High St, Middletown, CT 06459-3232 | 2007-04-23 |
1407074180 | Linda Karen Russell | Psychologist | 327 High St, Middletown, CT 06459-3232 | 2007-04-20 |
1346467602 | Sandra Frimel | Physician Assistant | 327 High St, Middletown, CT 06459-3232 | 2007-04-19 |
Find all providers in zip 06459 |
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 |
---|---|---|---|---|
1093321374 | Claire Elizabeth Sayre | Specialist/Technologist | 7764 W County Road 625 N, Middletown, IN 47356-9725 | 2020-09-22 |
1912524224 | Wells Baird Akers | Specialist/Technologist | 4203 Rosedale Rd, Middletown, OH 45042-3746 | 2020-07-02 |
1902423213 | Gabrielle Michelle Johnson | Specialist/Technologist | 708 Worcester Ave, Middletown, DE 19709-8348 | 2020-07-02 |
1659993368 | Tyler Farnell | Specialist/Technologist | 8 Laddie Rd, Middletown, NY 10941-1708 | 2020-05-15 |
1548800857 | Jonathan Jalon | Specialist/Technologist | 18 Beth Dr, Middletown, NY 10941-1207 | 2020-01-14 |
1326509688 | Frank Mayo IIi | Specialist/Technologist | 50 Gertrude Dr, Middletown, NY 10940-8407 | 2019-03-28 |
1821552720 | Samantha Gatti | Specialist/Technologist | 79 Heights Ter, Middletown, NJ 07748-3405 | 2019-01-24 |
1598235004 | Antonia Ciccarelli | Specialist/Technologist | 112 Shaw Rd, Middletown, NY 10941-3242 | 2018-11-27 |
1619494390 | Nathan Douglas Roy | Specialist/Technologist | 431 Briarwood Lane, Middletown, CT 06457 | 2017-08-24 |
1790201861 | Logan Christopher Menard | Specialist/Technologist | 4 Orville Drive, Middletown, RI 02842 | 2017-08-20 |
Find all providers in MIDDLETOWN |
City | MIDDLETOWN |
Zip Code | 06459 |
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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.