LISA KAY VARNUM (NPI# 1912496563) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912496563 |
| Entity Type | Individual |
| Full Name | LISA KAY VARNUM |
| Practice Address |
1 Shields Ave Davis CA 95616-5200 |
| Practice Telephone | 5307527515 |
| Enumeration Date | 2018-05-08 |
| Last Update Date | 2018-05-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1 SHIELDS AVE |
| City | DAVIS |
| State | CA |
| Zip Code | 95616-5200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356322903 | Aimee Sisson | Student in an Organized Health Care Education/Training Program | 1 Shields Ave, Uc Davis Master of Public Health Program, Davis, CA 95616-5270 | 2005-11-10 |
| 1811597941 | Anna Pavlov | Registered Nurse | 1 Shields Ave, Davis, CA 95616-5270 | 2020-10-28 |
| 1811548779 | Sarah Schmitt | Dietitian, Registered | 1 Shields Ave, Davis, CA 95616-5270 | 2019-09-23 |
| 1619526373 | Vida Khaliki | Physician Assistant | 1 Shields Ave, Davis, CA 95616-5200 | 2019-09-05 |
| 1730682022 | Sean Carrington | Specialist/Technologist | 1 Shields Ave, Davis, CA 95616 | 2018-03-13 |
| 1720502701 | Torie Johnson | Specialist/Technologist | 1 Shields Ave, Davis, CA 95616-5270 | 2017-08-01 |
| 1073044350 | Uc Davis Student Health and Counseling Services | Clinic/Center | 1 Shields Ave, Shcs, Davis, CA 95616-5270 | 2017-03-27 |
| 1992247092 | Lauren Eichstadt | Pharmacist | 1 Shields Ave, Davis, CA 95616-5270 | 2016-11-07 |
| 1467906222 | Duane Robinson | Specialist | 1 Shields Ave, School of Vet Med, Uc Davis, Davis, CA 95616-5270 | 2016-08-10 |
| 1245682178 | Lauren Renee Guajardo | Optometrist | 1 Shields Ave, Davis, CA 95616-5270 | 2016-07-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417560871 | Anne-frances Ostrander | Physical Therapy Assistant | 397 La Rue Rd, Davis, CA 95616 | 2020-08-26 |
| 1487271458 | Alix Peloso Mahon | Behavior Technician | 1212 Alvarado Ave Apt 68, Davis, CA 95616 | 2020-06-25 |
| 1427671882 | Dhhs Ihs Cao Sacred Oaks Healing Center | Substance Abuse Rehabilitation Facility | 33100 County Road 31, Davis, CA 95616 | 2020-05-20 |
| 1871126961 | Linda Marie Adams | Dietitian, Registered | Uc Davis Occupational Health, One Shields Ave - Cowell Hall Room 35, Davis, CA 95616 | 2020-02-17 |
| 1851935217 | Timothy James Johnston | Orthotist | 635 Anderson Rd., Suite 18, Davis, CA 95616 | 2019-10-29 |
| 1386290716 | Dakota Cool | Specialist/Technologist | 750 Orchard Road, Davis, CA 95616 | 2019-08-12 |
| 1366908618 | Capitol Periodontal Group | Dentist | 750 F Street #5, Davis, CA 95616 | 2019-02-12 |
| 1831663434 | Elisha Niccole Cusumano | Specialist/Technologist | 264 Hickey Gym, 1 Shields Ave, Davis, CA 95616 | 2019-01-16 |
| 1609364991 | Aron Matthew Katz | Psychologist | One Shield Ave, Student Health & Wellness Center, Bhp, Davis, CA 95616 | 2018-04-23 |
| 1316463938 | Arielle Pinkston | Marriage & Family Therapist | 203 F St, Davis, CA 95616 | 2017-08-15 |
| Find all providers in zip 95616 | ||||
| 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 |
|---|---|---|---|---|
| 1558900860 | Andrew Superak | Specialist/Technologist | 315 W 14th St, Davis, CA 95616-1914 | 2020-01-03 |
| 1386290716 | Dakota Cool | Specialist/Technologist | 750 Orchard Road, Davis, CA 95616 | 2019-08-12 |
| 1831663434 | Elisha Niccole Cusumano | Specialist/Technologist | 264 Hickey Gym, 1 Shields Ave, Davis, CA 95616 | 2019-01-16 |
| 1750568846 | Jill Radzinski | Specialist/Technologist | 758 Bianco Ct, Davis, CA 95616-0601 | 2008-01-30 |
| 1730682022 | Sean Carrington | Specialist/Technologist | 1 Shields Ave, Davis, CA 95616 | 2018-03-13 |
| 1841706140 | Eric Bailey | Specialist/Technologist | 2020 Sutter Pl, Davis, CA 95616-6213 | 2017-12-21 |
| 1720502701 | Torie Johnson | Specialist/Technologist | 1 Shields Ave, Davis, CA 95616-5270 | 2017-08-01 |
| 1972996692 | Julieta Guzman | Specialist/Technologist | 1 Shields Ave, Davis, CA 95616-5270 | 2015-03-05 |
| 1508259219 | Douglas Hess | Specialist/Technologist | 1 Shields Ave, Davis, CA 95616-5270 | 2015-03-05 |
| 1841609195 | Adrienne Wilson | Specialist/Technologist | 1 Shields Ave, Davis, CA 95616-5270 | 2014-08-11 |
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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.