JADE SHIELDS (NPI# 1750988838) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750988838 |
| Entity Type | Individual |
| Full Name | JADE SHIELDS |
| Credential | ATC, LAT |
| Practice Address |
144 Enrede Ln Saint Augustine FL 32095-7436 |
| Practice Telephone | 5302639295 |
| Mailing Telephone | 5302639295 |
| Enumeration Date | 2020-10-02 |
| Last Update Date | 2020-10-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
RT007582 | PA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
144 ENREDE LN |
| City | SAINT AUGUSTINE |
| State | FL |
| Zip Code | 32095-7436 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124299201 | Dental Health Group PC | Dentist | 159 Palencia Village Drive, Ste 109, St. Augustine, FL 32095 | 2008-03-18 |
| 1932259405 | Thomas E Stakem | Dentist | 7175-01 U.S. Highway 17 South, Green Cove Springs, FL 32095 | 2007-01-10 |
| 1942390265 | Antonia Fuller | Registered Nurse | 354 Paseo Reyes Drive, Saint Augustine, FL 32095 | 2006-10-15 |
| 1740223023 | First Choice Phcy Svcs LLC | Pharmacy | 110 Cumberland Dr #305, St Augustine, FL 32095 | 2006-06-14 |
| 1174029201 | Aba Connection, LLC | Early Intervention Provider Agency | 23 Sol Ct, St Augustine, FL 32095 | 2018-04-05 |
| 1457437584 | Stanley A Cohen | Psychiatry & Neurology | 354 Paseo Reyes Drive, St Augustine, FL 32095 | 2006-10-31 |
| 1548576150 | Vicki Glabb | Counselor | 260 Ash Breeze Cv, Saint Augustine, FL 32095-0045 | 2010-08-20 |
| 1245770742 | Linda Gillis | Nurse Practitioner | 143 Portada Dr, St Augustine, FL 32095-1634 | 2017-03-02 |
| 1659821767 | Margo Slovis | Physical Therapist | 244 Vale Dr, St Augustine, FL 32095-4832 | 2016-10-12 |
| 1851909360 | Mammography Partners LLC | Clinic/Center | 521 Costa Del Sol Dr, St Augustine, FL 32095-4868 | 2020-07-21 |
| Find all providers in zip 32095 | ||||
| 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 |
|---|---|---|---|---|
| 1548824287 | Anna Francois | Specialist/Technologist | 6753 Sabal Palm Dr, Saint Augustine, FL 32086-7639 | 2019-04-29 |
| 1427522747 | Chase Martin Kelly | Specialist/Technologist | 760 Old Loggers Way, Saint Augustine, FL 32086-4316 | 2019-01-21 |
| 1336613587 | Dylan Alejandro Arango | Specialist/Technologist | 948 E Terranova Way, Saint Augustine, FL 32092-0481 | 2019-01-21 |
| 1841764875 | Gordie Rogers | Specialist/Technologist | 4035 Grande Vista Blvd Apt 105, Saint Augustine, FL 32084-1303 | 2019-01-12 |
| 1649768003 | Zackary Keen | Specialist/Technologist | 673 Mackenzie Cir, Saint Augustine, FL 32092-3453 | 2018-05-01 |
| 1699182584 | Dylan Wiedeman | Specialist/Technologist | 2024 E Clovelly Ln, Saint Augustine, FL 32092-1093 | 2014-07-13 |
| 1982811287 | Jennifer Anne Christie | Specialist/Technologist | 394 Stonehurst Pkwy, Saint Augustine, FL 32092-5017 | 2007-05-17 |
| 1528275534 | Kimberly Duke Hopkins | Specialist/Technologist | 663 Porta Rosa Circle, Saint Augustine, FL 32092 | 2007-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811597560 | Hannah Ogle | Specialist/Technologist | 110 Gloria Drive, Hollister, FL 32147 | 2020-10-30 |
| 1740889377 | Ryan Michael Hill | Specialist/Technologist | 314 S Habana Ave, Tampa, FL 33609-3223 | 2020-10-24 |
| 1568061182 | Lester Vivian Leon Ferdinand | Specialist/Technologist | 6705 S Red Rd Ste 410, South Miami, FL 33143-3644 | 2020-10-24 |
| 1770182651 | Sarah Danielle Combs | Specialist/Technologist | 4521 Lenmore Street, Orlando, FL 32812 | 2020-10-21 |
| 1679170369 | David S Duchin | Specialist/Technologist | 19033 Nw 23rd Ct, Pembroke Pines, FL 33029-5337 | 2020-10-06 |
| 1639786940 | Dewayne N Dubose | Specialist/Technologist | 344 Chesham St, Ormond Beach, FL 32174-0692 | 2020-09-30 |
| 1467069914 | Alison M Dougan | Specialist/Technologist | 3345 Cypress Legends Cir Apt 1104, Fort Myers, FL 33905-5542 | 2020-09-29 |
| 1225643240 | Megan Marisa Fox | Specialist/Technologist | 5803 Marta Dr, Tampa, FL 33617-1125 | 2020-09-15 |
| 1104430305 | Nikki Page Keown | Specialist/Technologist | 12136 Luftburrow Ln, Hudson, FL 34669-5005 | 2020-09-04 |
| 1326652884 | Matthew L Hamburger | Specialist/Technologist | 2244 N University Dr, Coral Springs, FL 33071-6184 | 2020-09-02 |
| Find all providers with the same taxonomy | ||||
| City | SAINT AUGUSTINE |
| Zip Code | 32095 |
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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.