DIANDRA GILLIS (NPI# 1871017061) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871017061 |
| Entity Type | Individual |
| Full Name | DIANDRA GILLIS |
| Practice Address |
53 Park Ave Winthrop MA 02152-2559 |
| Practice Telephone | 6172302275 |
| Enumeration Date | 2017-07-28 |
| Last Update Date | 2019-10-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
3412 | MA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
53 PARK AVE |
| City | WINTHROP |
| State | MA |
| Zip Code | 02152-2559 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376780130 | Gregory D Whall | Social Worker | 1 Seal Harbor, #302, Winthrop, MA 02152 | 2009-01-15 |
| 1124296264 | Town of Winthrop | Public Health or Welfare | 1 Metcalf Square, Room 5 Town Hall, Winthrop, MA 02152 | 2008-02-12 |
| 1912198318 | Angela Marie Flintoff | Speech-Language Pathologist | 21 Wheelock St # 2, Winthrop, MA 02152 | 2007-08-09 |
| 1750503355 | James R Lee Md | Ophthalmology | 52 Crest Avenue, Winthrop, MA 02152 | 2007-05-03 |
| 1063555449 | Michael E Cagan | Acupuncturist | Seaside Wellness Center, 213 Pauline St, Winthrop, MA 02152 | 2007-02-15 |
| 1710052477 | Barry Theodore Cohen | Dentist | 113 Revere Street, Suite #1, Winthrop, MA 02152 | 2006-11-21 |
| 1912090655 | Richard A Schwartz | Dentist | 313 Main St., Winthrop, MA 02152 | 2006-10-02 |
| 1669427365 | Paul Charles Mcgee | Chiropractor | 57 Putnam Street, Winthrop, MA 02152 | 2006-05-23 |
| 1760465942 | Laverne D Gugino | Anesthesiology | 119 Summit Ave, Winthrop, MA 02152 | 2005-11-22 |
| 1386137099 | Angela Flintoff, Ms Ccc-slp LLC | Speech-Language Pathologist | 21 Wheelock St # 2, Winthrop, MA 02152 | 2018-06-08 |
| Find all providers in zip 02152 | ||||
| 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 |
|---|---|---|---|---|
| 1184225682 | Jacob Hebert | Specialist/Technologist | 177 Wenonah Rd, Longmeadow, MA 01106-1929 | 2020-11-03 |
| 1700486693 | Mark Comstock | Specialist/Technologist | 74 Union Park St, Boston, MA 02118-2142 | 2020-10-29 |
| 1962000422 | Allison Damigella | Specialist/Technologist | 20 Cobblestone Ln, Bridgewater, MA 02324-2277 | 2020-10-15 |
| 1669088712 | Ryan Donovan | Specialist/Technologist | 4 Paul Ave, Peabody, MA 01960-2620 | 2020-09-23 |
| 1619583119 | Seth Travers | Specialist/Technologist | 179 Wimbleton Dr, Longmeadow, MA 01106-2744 | 2020-09-20 |
| 1306451091 | Stephanie Wilson | Specialist/Technologist | 315 Turnpike St Stop 2247, North Andover, MA 01845-5800 | 2020-09-10 |
| 1467067116 | Devon Choi | Specialist/Technologist | Merrimack College, 315 Turnpike St, North Andover, MA 01845-0184 | 2020-09-10 |
| 1295349140 | Katelyn Charlotte Richardson | Specialist/Technologist | 2002 Lords Ct, Wilmington, MA 01887-4514 | 2020-09-08 |
| 1386256360 | William Conrad Desjardins | Specialist/Technologist | 20 Manhattan Dr, Burlington, MA 01803-1905 | 2020-08-20 |
| 1942812128 | Samantha Norman Kheboian | Specialist/Technologist | 71 Lakeshore Ave, Beverly, MA 01915-1907 | 2020-08-19 |
| Find all providers with the same taxonomy | ||||
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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.