DR. LUKE DONOVAN (NPI# 1053943290) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053943290 |
| Entity Type | Individual |
| Full Name | DR. LUKE DONOVAN |
| Credential | PHD, ATC |
| Practice Address |
9201 University City Blvd Charlotte NC 28223-0001 |
| Practice Telephone | 7046878611 |
| Enumeration Date | 2020-02-05 |
| Last Update Date | 2020-02-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
LAT-3038 | NC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
9201 UNIVERSITY CITY BLVD |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28223-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508820614 | Abbey Thomas | Specialist/Technologist | 9201 University City Blvd, Belk 231, Charlotte, NC 28223 | 2006-04-14 |
| 1558968792 | Katrina Trinidad Gallo | Specialist/Technologist | 9201 University City Blvd, Charlotte, NC 28223-0001 | 2020-10-01 |
| 1043817281 | Robert Eachus | Specialist/Technologist | 9201 University City Blvd, Charlotte, NC 28223-0001 | 2020-10-01 |
| 1205440450 | University of North Carolina At Charlotte | Clinical Medical Laboratory | 9201 University City Blvd, Cameron 271, Charlotte, NC 28223-0001 | 2020-09-04 |
| 1568096089 | Shelley Linens | Specialist/Technologist | 9201 University City Blvd, Charlotte, NC 28223-0001 | 2020-02-24 |
| 1972158129 | Tricia Turner | Specialist/Technologist | 9201 University City Blvd, Charlotte, NC 28223-0002 | 2019-08-05 |
| 1164947768 | Jessica Groleau | Psychologist | 9201 University City Blvd, Charlotte, NC 28223-0001 | 2017-08-04 |
| 1427402890 | Christopher Rogers | Pharmacist | 9201 University City Blvd, Charlotte, NC 28223-0001 | 2016-04-21 |
| 1740689884 | Tracy Beyer | Specialist/Technologist | 9201 University City Blvd, Charlotte, NC 28223-0001 | 2014-08-14 |
| 1912244369 | Alysen Janae Wallace | Counselor | 9201 University City Blvd, Charlotte, NC 28223-0001 | 2013-01-04 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306450887 | Brocker Health Center/ Unc Charlotte | Clinic/Center | 9201 University City Blvd Student Health Center, Charlotte, NC 28223-0001 | 2020-09-02 |
| 1427520485 | Rebeca Coletti | Behavior Technician | 8939 Cameron Blvd, Charlotte, NC 28223-0001 | 2018-12-31 |
| 1407240872 | Linda Probst | Specialist/Technologist | Department of Kinesiology, 9201 University City Blvd, Charlotte, NC 28223-0001 | 2015-03-24 |
| 1255626578 | Lydia Boldt Smith | Counselor | 9201 University City Blvd., Counseling, Charlotte, NC 28223-0001 | 2011-06-15 |
| 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 |
|---|---|---|---|---|
| 1306444278 | Tania Michelle Wilcox | Specialist/Technologist | 702 Potenza Dr Apt A, Charlotte, NC 28262-4601 | 2020-10-13 |
| 1962017798 | Kelby Rae Hurlocker | Specialist/Technologist | 500 Center Park Dr, Charlotte, NC 28217 | 2020-09-09 |
| 1629695085 | Zawadi Brown | Specialist/Technologist | 1621 Waybridge Ln Apt 1b, Charlotte, NC 28210-5774 | 2020-07-01 |
| 1518591973 | Brianna Marsicano | Specialist/Technologist | 4607 Rock Stream Dr, Charlotte, NC 28269-7150 | 2020-02-25 |
| 1124658075 | Mark Anthony Wright | Specialist/Technologist | 2301 Torrington Ln, Charlotte, NC 28262-3175 | 2020-01-20 |
| 1386281228 | Danielle Torp | Specialist/Technologist | 8920 Cliff Cameron Dr Apt 107, Charlotte, NC 28269-1059 | 2019-12-10 |
| 1568028470 | Cristian Black | Specialist/Technologist | 4845 Ashley Park Ln Apt 205, Charlotte, NC 28210-4126 | 2019-05-15 |
| 1841764545 | Jacqueline Marie Frithsen | Specialist/Technologist | 10220 Ardrey Kell Rd, Charlotte, NC 28277-4328 | 2019-01-15 |
| 1790259760 | Raul A Bermudez | Specialist/Technologist | 1410 Abbey Pl Apt 115, Charlotte, NC 28209-3039 | 2019-01-14 |
| 1750858429 | Lynnsey Morgan Price | Specialist/Technologist | 8464 Highland Glen Dr, Charlotte, NC 28269-6110 | 2018-10-30 |
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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.