SAMUEL EISENS (NPI# 1104297050) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104297050 |
| Entity Type | Individual |
| Full Name | SAMUEL EISENS |
| Credential | ATC, LAT |
| Practice Address |
901 S Flagler Dr West Palm Beach FL 33401-6505 |
| Mailing Address |
1091 Winding Rose Way West Palm Beach FL 33415-4479 |
| Practice Telephone | 5618032338 |
| Mailing Telephone | 3362130831 |
| Enumeration Date | 2015-10-16 |
| Last Update Date | 2015-10-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AL 2169 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
901 S FLAGLER DR |
| City | WEST PALM BEACH |
| State | FL |
| Zip Code | 33401-6505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134122542 | Seena L Haines | Pharmacist | 901 S Flagler Dr, West Palm Beach, FL 33401-6505 | 2005-05-31 |
| 1538791264 | Samantha Axtell | Pharmacist | 901 S Flagler Dr, West Palm Beach, FL 33401-6505 | 2020-02-11 |
| 1881243533 | Sean Patrick Cunningham | Rehabilitation Practitioner | 901 S Flagler Dr, West Palm Beach, FL 33401-6505 | 2019-09-05 |
| 1235618554 | Heather Barkley | Specialist/Technologist | 901 S Flagler Dr, West Palm Beach, FL 33401-6505 | 2018-08-08 |
| 1922513621 | Hayley Elizabeth Betz | Preventive Medicine | 901 S Flagler Dr, West Palm Beach, FL 33401-6505 | 2017-12-05 |
| 1336654011 | Krista Mcauley | Physical Medicine & Rehabilitation | 901 S Flagler Dr, West Palm Beach, FL 33401-6505 | 2017-12-04 |
| 1124530803 | Catherine Harrington | Pharmacist | 901 S Flagler Dr, West Palm Beach, FL 33401-6505 | 2017-11-02 |
| 1467980094 | Michelle Menard | Specialist/Technologist | 901 S Flagler Dr, West Palm Beach, FL 33401-6505 | 2017-05-26 |
| 1780041806 | Robert Vincent Diller | Specialist/Technologist | 901 S Flagler Dr, West Palm Beach, FL 33401-6505 | 2016-01-20 |
| 1689044687 | Palm Beach Atlantic University | Orthopaedic Surgery | 901 S Flagler Dr, West Palm Beach, FL 33401-6505 | 2015-10-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598371882 | Curt David Miller | Nurse Practitioner | 5300 East Avenue West Palm Beach Fl, West Palm Beach, FL 33401 | 2020-09-22 |
| 1699338152 | Carly N Lupo | Social Worker | 700 S Rosemary Ave, Suite 204 Ofc 101, West Palm Beach, FL 33401 | 2019-04-19 |
| 1740752625 | Latasha Harper | Specialist | 512 N St, West Palm Beach, FL 33401 | 2018-12-17 |
| 1124595640 | Elin Nordegren | Counselor | 1555 Palm Beach Lakes Blvd Suite 1560, West Palm Beach, FL 33401 | 2018-11-02 |
| 1205318664 | Phanette Turene | Behavior Technician | 1720 N Congress Ave Apt B207, West Palm Beach, FL 33401 | 2018-09-02 |
| 1790277002 | Ashley Zarda | Developmental Therapist | 253 8th St, West Palm Beach, FL 33401 | 2018-06-01 |
| 1487162988 | Pinnacle Counseling Service Pllc | Social Worker | 1900 S Olive Avenue, West Palm Beach, FL 33401 | 2018-01-18 |
| 1245754027 | Patricia Caroscio | Dental Hygienist | 800 Clematis Street, West Palm Beach, FL 33401 | 2017-08-02 |
| 1255852562 | Dermnow Pa | Dermatology | 1500 N Flasler Dr #, 101, West Palm Beach, FL 33401 | 2017-06-28 |
| 1699204289 | Edward Gerardo Ortiz | Counselor | 1639 Forum Place Suite #7, West Palm Beach, West Palm Beach, FL 33401 | 2017-06-07 |
| Find all providers in zip 33401 | ||||
| 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 |
|---|---|---|---|---|
| 1437762978 | Megan Carole Barclay | Specialist/Technologist | 5840 Corporate Way Ste 101, West Palm Beach, FL 33407-2040 | 2020-08-25 |
| 1003433475 | Fabiana Diou | Specialist/Technologist | 4725 Vilma Ln, West Palm Beach, FL 33417-5363 | 2020-07-01 |
| 1841826054 | Kellie Hanno | Specialist/Technologist | 1904 19th Way, West Palm Beach, FL 33407-6626 | 2020-03-19 |
| 1770135329 | Brianna Spence | Specialist/Technologist | 1710 Mission Ct Unit 3, West Palm Beach, FL 33401-8462 | 2019-07-14 |
| 1003478751 | Lois Maria Guionnaud | Specialist/Technologist | 1451 Longarzo Pl, West Palm Beach, FL 33415-4767 | 2019-07-02 |
| 1215440524 | Daniel Cerquera | Specialist/Technologist | 5454 N Haverhill Rd, West Palm Beach, FL 33407-3006 | 2017-11-08 |
| 1083154447 | Jeff Adam Fields | Specialist/Technologist | 1 Kingswood A, West Palm Beach, FL 33417-2225 | 2017-03-06 |
| 1588035539 | Samantha Lynn Houle | Specialist/Technologist | 4878 Sand Stone Ln, Apt 108, West Palm Beach, FL 33417-8035 | 2015-10-16 |
| 1205158367 | Andrea Bassam Torbey | Specialist/Technologist | 1574 Forest Lakes Cir Apt B, West Palm Beach, FL 33406-5750 | 2010-02-17 |
| 1598797607 | Isiah Coles | Specialist/Technologist | 3650 Forest Hill Blvd Ste 4, West Palm Beach, FL 33406-5662 | 2006-07-07 |
| Find all providers in WEST PALM BEACH | ||||
| City | WEST PALM BEACH |
| Zip Code | 33401 |
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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.