ZACHARY KERSHAW (NPI# 1891266318) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891266318 |
| Entity Type | Individual |
| Full Name | ZACHARY KERSHAW |
| Credential | ATC |
| Practice Address |
7101 Granby St Norfolk VA 23505-4013 |
| Mailing Address |
8601 Kearsarge Pl Norfolk VA 23503-4618 |
| Practice Telephone | 7574514110 |
| Mailing Telephone | 6034544026 |
| Enumeration Date | 2018-12-10 |
| Last Update Date | 2018-12-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
0126002606 | VA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
7101 GRANBY ST |
| City | NORFOLK |
| State | VA |
| Zip Code | 23505-4013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154844256 | Cassandra Shelton | Specialist/Technologist, Other | 100 Kingsley Lane, Norfolk, VA 23505 | 2017-07-20 |
| 1063942852 | Gabriela Marie Santiago | Specialist/Technologist | 7600 Victory Dr, Apt 3, Norfolk, VA 23505 | 2017-06-14 |
| 1144776725 | Amr Hassan | Pharmacist | 1610 W Little Creek Rd, Apt 204, Norfolk, VA 23505 | 2016-09-01 |
| 1992175095 | Heather Mitchell | Nurse Practitioner | 110 Kingsley Ln Ste 309, Norfolk, VA 23505 | 2015-10-01 |
| 1255710620 | Jessica Ann Kestranek | Dentist | 7400 Granby St Ste D, Norfolk, VA 23505 | 2015-05-19 |
| 1710375274 | Carla Toledo | Nurse Practitioner | 155 Kingsley Lane, Suite 400, Norfolk, VA 23505 | 2015-01-06 |
| 1417359746 | James Austin Valone Jr. | Ophthalmology | 1423 Runymede Rd, Norfolk, VA 23505 | 2014-09-18 |
| 1861813370 | Harris Teeter, LLC | Pharmacy | 7550 Granby Street, Norfolk, VA 23505 | 2013-12-31 |
| 1649549361 | Linda Horsey | Social Worker | 7510 Granby Street, Suite 6, Norfolk, VA 23505 | 2011-12-27 |
| 1679705164 | Carolyn Lee Kee | Nurse's Aide | 7403 Hampton Blvd, Norfolk, VA 23505 | 2009-08-17 |
| Find all providers in zip 23505 | ||||
| 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 |
|---|---|---|---|---|
| 1538788252 | Travis Hasan May | Specialist/Technologist | 3175 Azalea Garden Rd Ste D, Norfolk, VA 23513-2363 | 2020-04-13 |
| 1831725209 | Rebecca Potter | Specialist/Technologist | 312 W Bute St Ste 100, Norfolk, VA 23510-1302 | 2020-03-18 |
| 1780215160 | Catalina Silva | Specialist/Technologist | 4251 Powhatan Ave Rm 1001, Norfolk, VA 23508-2225 | 2020-02-04 |
| 1447818950 | Andrea L Bogner | Specialist/Technologist | 1630 Hackberry Dr, Norfolk, NE 68701-3332 | 2019-05-30 |
| 1912564311 | Briana M Lawry | Specialist/Technologist | 4608 Hampton Blvd, Norfolk, VA 23529-0001 | 2019-05-22 |
| 1114581931 | Kathleen S Thomas | Specialist/Technologist | 700 Park Avenue Brc-110, Norfolk, VA 23504 | 2019-04-26 |
| 1679054035 | Charles Marshall Mozena | Specialist/Technologist | 4700 Powhatan Avenue, Norfolk, VA 23529-0001 | 2018-08-23 |
| 1326548140 | Trevor Thompson | Specialist/Technologist | Old Dominion University 5115 Hampton Blvd, Norfolk, VA 23529-0001 | 2018-02-19 |
| 1104335629 | Michael Andrew Burkeitt | Specialist/Technologist | 4500 Parker Avenue, Norfolk, VA 23529-0001 | 2017-09-27 |
| 1063942852 | Gabriela Marie Santiago | Specialist/Technologist | 7600 Victory Dr, Apt 3, Norfolk, VA 23505 | 2017-06-14 |
| Find all providers in NORFOLK | ||||
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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.