MR. JOEL AARON NICKERSON (NPI# 1073850764) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073850764 |
| Entity Type | Individual |
| Full Name | MR. JOEL AARON NICKERSON |
| Credential | ATC |
| Practice Address |
400 Spartan Dr. Salem High School Salem VA 24153 |
| Practice Telephone | 5403872437 |
| Mailing Telephone | 5403872437 |
| Enumeration Date | 2013-01-15 |
| Last Update Date | 2013-01-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
0126000171 | VA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
400 SPARTAN DR. SALEM HIGH SCHOOL |
| City | SALEM |
| State | VA |
| Zip Code | 24153 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669001228 | Paul Mcguire | Student in an Organized Health Care Education/Training Program | 1906 Braeburn Drive Psychiatry Gme, Salem, VA 24153 | 2020-04-06 |
| 1386114965 | Dynamic Medical LLC | Clinical Medical Laboratory | 1201 Texas Street, Salem, VA 24153 | 2018-11-27 |
| 1134607898 | Renew Psychiatry Services | Psychiatry & Neurology | 177 Electric Rd, Salem, VA 24153 | 2018-08-03 |
| 1508304015 | Samantha Getz | Assisted Living Facility | 3706 Knollridge Rd., Salem, VA 24153 | 2017-02-03 |
| 1518409762 | Melissa Ward | Case Manager/Care Coordinator | 1380 Southside Dr, Suite 100, Salem, VA 24153 | 2016-11-04 |
| 1154729051 | Allison Marie Parry | Physician Assistant | 1336 W Main St., Salem, VA 24153 | 2014-12-09 |
| 1598199457 | Stacy Stanley | Occupational Therapy Assistant | 4812 Moore Rd, Salem, VA 24153 | 2013-08-28 |
| 1366888034 | Dolores Hager | Speech-Language Pathologist | 1851 Harrogate Dr, Salem, VA 24153 | 2013-05-21 |
| 1023387271 | National Diabetic Medical Supply, LLC | Durable Medical Equipment & Medical Supplies | 2153 Apperson Drive, Salem, VA 24153 | 2011-12-16 |
| 1679882518 | Hannah Joy Troester | Pharmacist | 1970 Roanoke Blvd (119), Salem, VA 24153 | 2010-09-27 |
| Find all providers in zip 24153 | ||||
| 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 |
|---|---|---|---|---|
| 1992354435 | Christopher J Sousa | Specialist/Technologist | 10 Gibney Cir, Salem, NH 03079-4406 | 2019-09-07 |
| 1295236081 | Melissa Trainor | Specialist/Technologist | 64 Salem St, Salem, MA 01970-4935 | 2018-02-27 |
| 1073021481 | David Lloyd Kennedy Jr. | Specialist/Technologist | 330 Round Hill Rd, Salem, CT 06420-3832 | 2018-01-19 |
| 1508372202 | Meghan Elizabeth Claflin | Specialist/Technologist | 225 Canal St, Salem, MA 01970-4554 | 2017-12-18 |
| 1437678265 | Kaitlyn Quigley | Specialist/Technologist | 28 Dearborn St, Salem, MA 01970-2451 | 2017-09-13 |
| 1003338666 | Rachel Blazich | Specialist/Technologist | 25 General Pulaski Drive, Salem, NH 03079 | 2017-07-14 |
| 1912437534 | Shawna Regan | Specialist/Technologist | 64 Butler St, Salem, MA 01970 | 2017-06-15 |
| 1740729409 | Adam Tolley | Specialist/Technologist | 353 Glen Creek Rd Nw, Salem, OR 97304-3000 | 2017-02-14 |
| 1174066534 | Stephen Navarra | Specialist/Technologist | 1392 E Pershing St, Salem, OH 44460-2337 | 2016-12-02 |
| 1104274489 | Dakota Deamicis | Specialist/Technologist | 7777 W. Middletown Rd, Salem, OH 44460 | 2016-05-27 |
| Find all providers in SALEM | ||||
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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.