JOHN LAVENDER (NPI# 1902220379) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902220379 |
| Entity Type | Individual |
| Full Name | JOHN LAVENDER |
| Other Name | MR. JOHN DAVID LAVENDER |
| Practice Address |
1250 S Martin Luther King Jr Dr Winston Salem NC 27107-1370 |
| Practice Telephone | 3367502597 |
| Mailing Telephone | 3367502597 |
| Enumeration Date | 2014-02-06 |
| Last Update Date | 2014-02-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
0169 | NC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932159167 | John Lavender | Nurse Practitioner | 1316 Noble St, Anniston, AL 36201-4643 | 2006-05-10 |
| Street Address |
1250 S MARTIN LUTHER KING JR DR |
| City | WINSTON SALEM |
| State | NC |
| Zip Code | 27107-1370 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013467158 | Elizabeth Knight | Emergency Medical Technician, Basic | 1250 S Martin Luther King Jr Dr, Winston Salem, NC 27107-1370 | 2016-10-13 |
| 1619391091 | Theodora Scott | Specialist/Technologist | 1250 S Martin Luther King Jr Dr, Winston Salem, NC 27107-1370 | 2014-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154934727 | Sreto Duric | Physical Therapy Assistant | 3863 Robbins Brook Dr, Winston Salem, NC 27107 | 2020-08-24 |
| 1164936852 | Lindsay Webster | Physician Assistant | 10479 Nc-109, 107a, Winston Salem, NC 27107 | 2017-11-17 |
| 1447592209 | Vinson Psychological Services, Pllc | Psychologist | 4236 Sherlie Weavil Rd, Winston Salem, NC 27107 | 2013-03-20 |
| 1629212501 | Benicia Elaine Cleveland | Specialist/Technologist | 1250 S Martin Luther King Jr. Drive, Winston-salem State University, Winston-salem, NC 27107 | 2009-04-23 |
| 1083714364 | Lia Simpson Erickson | Pediatrics | 648 East Monmouth Street, Winston Salem, NC 27107 | 2006-09-25 |
| 1336242973 | North Carolina Cvs Pharmacy LLC | Pharmacy | 10478 N Nc Hwy 109, Wallburg, NC 27107 | 2006-09-07 |
| 1154816312 | Janel Rebecca Durham | Nurse Practitioner | 10479 N Nc Highway 109 Ste 107a, Winston Salem, NC 27107 | 2018-06-28 |
| 1861929523 | Southside United Health Centers | Social Worker | 3009 Waughtown St, Winston Salem, NC 27107 | 2017-05-12 |
| 1407011398 | Ashley Rose Hill | Nurse Practitioner | 648 East Monmouth Street, Winston Salem, NC 27107 | 2008-07-21 |
| 1518157247 | Ellen R. Robinson | Pediatrics | 648 East Monmouth Street, Winston Salem, NC 27107 | 2007-07-30 |
| Find all providers in zip 27107 | ||||
| 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 |
|---|---|---|---|---|
| 1538654090 | Elizabeth Louise Watson | Specialist/Technologist | 257 Holmes Dr, Winston Salem, NC 27127-9150 | 2018-06-27 |
| 1215444690 | Margaret Elizabeth Vaughn | Specialist/Technologist | 5813 Luxbury Ct, Winston Salem, NC 27104-3374 | 2018-01-06 |
| 1750817524 | Stephen White | Specialist/Technologist | 5304 Quail Wood Dr Apt H, Winston Salem, NC 27104-5505 | 2017-05-11 |
| 1255718904 | John Kober | Specialist/Technologist | 1109 Stafford Place Cir Apt 302, Winston Salem, NC 27127-6884 | 2015-05-01 |
| 1629472667 | Stephen Andrews | Specialist/Technologist | 2054 Craig St, Winston Salem, NC 27103-2613 | 2014-10-20 |
| 1417361882 | Matthew Fortune | Specialist/Technologist | 5705 Shattalon Dr, Winston Salem, NC 27105-1332 | 2014-06-13 |
| 1932522992 | Kathryn Martin | Specialist/Technologist | 3545 Carver School Rd, Winston Salem, NC 27105-4033 | 2014-01-28 |
| 1093138307 | Jeremy S Miller | Specialist/Technologist | 3507 Midway School Rd, Winston Salem, NC 27107-8741 | 2014-01-23 |
| 1780824565 | Sarah Muslim | Specialist/Technologist | 1835 Legacy Park Apt 304, Winston Salem, NC 27103-5792 | 2009-03-06 |
| 1629005657 | Darrell Matthew Turner | Specialist/Technologist | 601 S Martin Luther King Jr Dr, Winston Salem, NC 27110-0003 | 2006-06-26 |
| Find all providers in WINSTON SALEM | ||||
| City | WINSTON SALEM |
| Zip Code | 27107 |
Please comment or provide details below to improve the information on JOHN LAVENDER.
| 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.