NICOLE AZEVEDO (NPI# 1922417278) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922417278 |
| Entity Type | Individual |
| Full Name | NICOLE AZEVEDO |
| Credential | MS, ATC |
| Practice Address |
800 S College Dr Santa Maria CA 93454-6399 |
| Practice Telephone | 8059226966 |
| Practice Fax Number | 8053498346 |
| Mailing Telephone | 8059226966 |
| Mailing Fax Number | 8053498346 |
| Enumeration Date | 2014-08-11 |
| Last Update Date | 2014-08-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| 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 |
800 S COLLEGE DR |
| City | SANTA MARIA |
| State | CA |
| Zip Code | 93454-6399 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770920787 | Allan Hancock College | Clinic/Center | 800 S College Dr, Santa Maria, CA 93454-6399 | 2013-05-30 |
| 1750825139 | Eliseo R Munoz | Student in an Organized Health Care Education/Training Program | 800 S College Dr, Santa Maria, CA 93454-6399 | 2016-12-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164995825 | Virgilia Elizabeth Kennedy | Counselor | 1505 Shepard Drive, Suite 204, Santa Maria, CA 93454 | 2019-01-05 |
| 1891290151 | Philbert Ramirez Pandac | Behavioral Analyst | 1016 East Maint Street, Santa Maria, CA 93454 | 2018-03-28 |
| 1487166120 | Good Samaritan Shelter | Family Medicine | 412 East Tunnell Street, Santa Maria, CA 93454 | 2017-11-03 |
| 1306357892 | Aklilu Joseph | Pharmacist | 1700 S. Bradley Rd, Santa Maria, CA 93454 | 2017-10-24 |
| 1225557267 | Eric Edward Lofstrand | Counselor | 1214 S Miller St Ste 11, Santa Maria, CA 93454 | 2017-09-11 |
| 1881112449 | Tess Wianecki | Physician Assistant | 116 S Palisade Dr Ste 110, Santa Maria, CA 93454 | 2017-09-05 |
| 1730603705 | Cac Alvin Center | Counselor | 316 E Mcelhany Ave, Santa Maria, CA 93454 | 2017-08-01 |
| 1174045009 | Peter A. Statti Md Inc. | Pediatrics | 1414 S. Miller St. #12, Santa Maria, CA 93454 | 2017-07-12 |
| 1982143970 | Child Abuse Listening Mediation | Community/Behavioral Health | 210 E. Enos Dr., Ste. A, Santa Maria, CA 93454 | 2017-02-23 |
| 1821531344 | Maria Isabel Lara | Counselor | 210 E Enos Dr, Santa Maria, CA 93454 | 2016-12-01 |
| Find all providers in zip 93454 | ||||
| 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 |
|---|---|---|---|---|
| 1336767334 | Porfirio Garcia Diaz | Specialist/Technologist | 930 W Cook St Apt 7, Santa Maria, CA 93458-5463 | 2020-07-07 |
| 1699301911 | Amara Sharp | Specialist/Technologist | 3199 Lancaster Dr, Santa Maria, CA 93455-2011 | 2020-03-18 |
| 1396205860 | Sarah Alexandra Holland | Specialist/Technologist | 714 Poplar St, Santa Maria, CA 93458-9066 | 2019-03-21 |
| 1154873024 | Devin Mark Hestand | Specialist/Technologist | 2333 Cottage Ln, Santa Maria, CA 93455-1368 | 2016-10-26 |
| 1134500036 | Kayla Stevens | Specialist/Technologist | 525 San Luis Dr, Santa Maria, CA 93455-1799 | 2015-06-16 |
| 1346462462 | Jennifer Valerie Melena | Specialist/Technologist | 809 West Pershing, Santa Maria, CA 93458 | 2007-05-02 |
| 1407999162 | Heather Marie Campbell | Specialist/Technologist | 5144 Brittany Ct, Santa Maria, CA 93455-7500 | 2007-02-14 |
| 1821103599 | Jennifer Alyce Croll | Specialist/Technologist | 2643 Long Ter, Santa Maria, CA 93455-7440 | 2006-08-20 |
| 1396772919 | Hallie Lynn Stine | Specialist/Technologist | 675 Panther Drive, Santa Maria, CA 93455 | 2006-06-27 |
| 1407210412 | Andrew Boortz | Specialist/Technologist | 4869 S Bradley Rd, Suite 114, Santa Maria, CA 93455-5065 | 2016-04-06 |
| Find all providers in SANTA MARIA | ||||
| City | SANTA MARIA |
| Zip Code | 93454 |
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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.