DR. KIMBERLY SHAW (NPI# 1962967828) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962967828 |
| Entity Type | Individual |
| Full Name | DR. KIMBERLY SHAW |
| Credential | PHD, LAT, ATC |
| Practice Address |
3202 Veterans Stadium Dr Troy AL 36082-0001 |
| Practice Telephone | 3346705818 |
| Mailing Telephone | 3346705818 |
| Enumeration Date | 2019-02-05 |
| Last Update Date | 2019-02-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
881 | AL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083274328 | Kimberly Scott Shaw | Marriage & Family Therapist | 1866 Clayton Rd Ste 200, Concord, CA 94520-2505 | 2019-06-18 |
| 1992157879 | Kimberly Shaw | Social Worker | 18 Constitution Dr Ste 5, Bedford, NH 03110-6076 | 2016-07-05 |
| 1821361551 | Kimberly Shaw | Social Worker | 623 E 100 S, Salt Lake City, UT 84102-1103 | 2012-02-10 |
| 1447850086 | Kimberly Shaw | Pharmacist | 2750 W University Dr, Denton, TX 76201-1628 | 2020-10-30 |
| 1467854042 | Kimberly C. Shaw | Registered Nurse | 6500 Hospital Dr, Family Medicine, Hannibal, MO 63401-6890 | 2014-09-25 |
| 1578963302 | Kimberly Neibaur Shaw | Counselor | 12040 98th Ave Ne, Suite 204, Kirkland, WA 98034-4290 | 2014-08-29 |
| 1205116431 | Kimberly Ann Shaw | Developmental Therapist | 100 Erdman Way, Leominster, MA 01453-1804 | 2011-08-19 |
| 1124307061 | Kimberly Marie Shaw | Pharmacist | 7909 S Hardy Dr, Tempe, AZ 85284-1112 | 2011-08-09 |
| 1942454186 | Kimberly Danielle Shaw | Physician Assistant | 3201 S Wallace St, Chicago, IL 60616-3501 | 2008-11-14 |
| 1689738064 | Kimberly Shaw | Social Worker | 17900 Linden Blvd, St. Albans, NY 11435 | 2006-12-20 |
| Street Address |
3202 VETERANS STADIUM DR |
| City | TROY |
| State | AL |
| Zip Code | 36082-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073031670 | Makayla Leigh Pickron | Specialist/Technologist | 3230 Stadium Tower, Troy, AL 36082 | 2017-09-03 |
| 1841755527 | Caleb Nelson Mcdonald | Student in an Organized Health Care Education/Training Program | 5000 Veterans Stadium Drive, Troy, AL 36082-0001 | 2019-02-06 |
| 1447611975 | Corey Carr | Specialist/Technologist | 3226 Veterans Memorial Stadium Dr, Troy, AL 36082-0001 | 2016-03-10 |
| 1831532050 | Troy Unitersity Student Health Center | Clinic/Center | Troy University Student Health Ctr, 1 Hamil Hall, Troy, AL 36082-0001 | 2013-04-08 |
| 1770834210 | Andrew Mcnally | Specialist | 3226 Veterans Stadium Dr, Troy, AL 36082-0001 | 2012-09-24 |
| 1861767410 | Troy University | Clinic/Center | 5000 Veterans Statium Dr, Troy, AL 36082-0001 | 2012-03-15 |
| 1932477916 | Whitney Marie Brack | Specialist/Technologist | 3230 Stadium Towers, Troy, AL 36082-0001 | 2011-12-06 |
| 1730315565 | Lori Jane Rackley | Specialist/Technologist | 3230 Stadium Tower Dr, Troy, AL 36082-0001 | 2009-06-08 |
| 1891906129 | Alyson Gramley | Specialist/Technologist | 3230 Stadium Tower, Troy University Athletic Training, Troy, AL 36082-0001 | 2007-05-25 |
| 1891812723 | John Anderson | Specialist/Technologist | 3212 Stadium Towers, Veterans Drive - Troy University, Troy, AL 36082-0001 | 2007-03-24 |
| Find all providers in zip 36082 | ||||
| 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 |
|---|---|---|---|---|
| 1194332379 | Bryan Keith Baines Sr. | Specialist/Technologist | 4333 John R Rd, Troy, MI 48085-3681 | 2020-09-30 |
| 1427660158 | Faith Anneliese Monroe | Specialist/Technologist | 229 Dozier Dr Apt 415, Troy, AL 36081-3040 | 2020-08-24 |
| 1063024792 | Timothy Sullivan | Specialist/Technologist | 601 E Elm St Apt 1203, Troy, AL 36081-3498 | 2020-08-24 |
| 1609493089 | James David Bush | Specialist/Technologist | 1147 Highway 231 S Ste 9&10, Troy, AL 36081-3026 | 2020-07-01 |
| 1952948374 | Matthew John Pawlik | Specialist/Technologist | 1649 Fleetwood Dr, Troy, MI 48098-2512 | 2019-12-04 |
| 1760039507 | Taylor Johnston | Specialist/Technologist | 204 Elmira St, Troy, PA 16947-1204 | 2019-08-26 |
| 1295292415 | Jordan Kay Lyles | Specialist/Technologist | 205 N Waco Rd, Troy, TX 76579-3724 | 2019-02-24 |
| 1164987590 | Erin Lee Burleson | Specialist/Technologist | 5000 Veterns Stadium Drive, Troy, AL 36109 | 2019-02-11 |
| 1396200119 | Logan Bryan Cook | Specialist/Technologist | 103 Richmond Ave, Troy, AL 36081-4063 | 2019-02-06 |
| 1033683792 | Zachary Allen Berger | Specialist/Technologist | 1147 Highway 231 S Ste 2, Troy, AL 36081-3027 | 2019-01-16 |
| Find all providers in TROY | ||||
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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.