MR. KYLE GARBER BEATTY (NPI# 1780646893) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780646893 |
| Entity Type | Individual |
| Full Name | MR. KYLE GARBER BEATTY |
| Credential | ATC |
| Practice Address |
120 Whitford Dr Yoh Football Center Durham NC 27708-9982 |
| Mailing Address |
120 Whitford Dr Durham NC 27708-9982 |
| Practice Telephone | 9196811422 |
| Practice Fax Number | 9196842102 |
| Mailing Telephone | 9196811422 |
| Mailing Fax Number | 9196842102 |
| Enumeration Date | 2006-04-04 |
| Last Update Date | 2015-02-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
1600 | NC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | NATA BOC NUMBER | 070402702 | 01 |
| Street Address |
120 WHITFORD DR YOH FOOTBALL CENTER |
| City | DURHAM |
| State | NC |
| Zip Code | 27708-9982 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023518156 | Jillian Gonyea | Specialist/Technologist | 120 Whitford Dr, Durham, NC 27708 | 2018-02-15 |
| 1851819106 | Susanna Shivers | Specialist/Technologist | 120 Whitford Dr, Durham, NC 27708-9982 | 2017-09-07 |
| 1467993410 | Kerry Mullenix | Physical Therapist | 120 Whitford Dr, Durham, NC 27708-9982 | 2017-03-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306129952 | Ellen Kay Hawk | Pharmacist | 305 Towerview Dr, Durham, NC 27708 | 2011-09-20 |
| 1134625262 | Latoya S Adkins | Social Worker | 305 Towerview Dr, Durham, NC 27708 | 2018-04-05 |
| 1194346080 | Kristina Hall | Specialist/Technologist | 110 Whitford Dr Murray Athletic Training Room, Durham, NC 27708-0001 | 2020-05-01 |
| 1760018113 | Devin Demyanovich | Specialist/Technologist | 110 Whitford Drive Wd Murray Building Rm 212, Durham, NC 27708-0001 | 2020-03-18 |
| 1891033387 | Guiling Yang | Nurse Practitioner | Duke University Outpatient 1a, Durham, NC 27708-0001 | 2013-01-18 |
| 1215135975 | Nicholas Daniel Potter | Physical Therapist | 118 Cameron Indoor Stadium, Box 90555, Durham, NC 27708-0001 | 2007-07-04 |
| 1265442743 | Julianne Murdoch O'daniel | Genetic Counselor, MS | 101 Science Dr, Suite 2120, Duke Univ Box 3382, Durham, NC 27708-0001 | 2006-08-08 |
| 1376565408 | Jose Fonseca | Specialist/Technologist | Duke University, 118 Cameron Indoor Stadium, Durham, NC 27708-0001 | 2006-07-25 |
| 1093332637 | Ann Hill | Dietitian, Registered | 20 Duke Medicine Circle, Durham, NC 27708-0001 | 2020-06-30 |
| 1306041389 | Ronald Monroe Batson | Psychiatry & Neurology | 9 Flowers Dr, Box 90085, Durham, NC 27708-0001 | 2007-06-19 |
| Find all providers in zip 27708 | ||||
| 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 |
|---|---|---|---|---|
| 1770199804 | Sandra Jean Evans | Specialist/Technologist | 405 Farintosh Valley Ln, Durham, NC 27703-8116 | 2020-09-23 |
| 1629688858 | Napoelon Manley | Specialist/Technologist | 4212 Lady Slipper Ln, Durham, NC 27704-6403 | 2020-08-03 |
| 1194346080 | Kristina Hall | Specialist/Technologist | 110 Whitford Dr Murray Athletic Training Room, Durham, NC 27708-0001 | 2020-05-01 |
| 1760018113 | Devin Demyanovich | Specialist/Technologist | 110 Whitford Drive Wd Murray Building Rm 212, Durham, NC 27708-0001 | 2020-03-18 |
| 1407320443 | Erin Paige Lawson | Specialist/Technologist | 17 Barnsdale Ct, Durham, NC 27713-8155 | 2019-01-12 |
| 1154894269 | Theodore Lawson Queen Jr. | Specialist/Technologist | 518 Darby Glen Ln, Durham, NC 27713-9427 | 2019-01-10 |
| 1225536600 | Samantha Anne Champa | Specialist/Technologist | 83 Main St # 3516, Durham, NH 03824-2538 | 2018-01-31 |
| 1922537471 | Stephanie Natasha Davis | Specialist/Technologist | 1216 Kent St, Durham, NC 27707-1236 | 2017-06-08 |
| 1922535970 | Julia Dawn Mcnabb | Specialist/Technologist | Po Box 19705, Durham, NC 27707-0023 | 2017-05-20 |
| 1942740956 | Aleah Kirsch | Specialist/Technologist | 110 Whitford Dr, Durham, NC 27708-9982 | 2017-02-24 |
| Find all providers in DURHAM | ||||
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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.