DOUG BLOYD (NPI# 1114243037) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114243037 |
| Entity Type | Individual |
| Full Name | DOUG BLOYD |
| Practice Address |
3133 Good Shepherd Way Longview TX 75605-7921 |
| Mailing Address |
312 E. Hillcrest White Oak TX 75693 |
| Practice Telephone | 9033236582 |
| Practice Fax Number | 9033236564 |
| Mailing Telephone | 9032357993 |
| Mailing Fax Number | 9033236564 |
| Enumeration Date | 2010-04-16 |
| Last Update Date | 2010-04-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AT1371 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
3133 GOOD SHEPHERD WAY |
| City | LONGVIEW |
| State | TX |
| Zip Code | 75605-7921 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447293907 | Heather D Brooks | Physical Therapist | 3133 Good Shepherd Way, Longview, TX 75605-7921 | 2006-06-13 |
| 1114448495 | Zane Brannan Richardson | Physical Therapist | 3133 Good Shepherd Way, Longview, TX 75605-7921 | 2017-06-27 |
| 1003191735 | Kristel June Fredericks | Dietitian, Registered | 3133 Good Shepherd Way, Longview, TX 75605-7921 | 2011-10-13 |
| 1346538626 | Karis Parrish Locke | Speech-Language Pathologist | 3133 Good Shepherd Way, Longview, TX 75605-7921 | 2011-07-20 |
| 1881982569 | Meredith Mclain | Speech-Language Pathologist | 3133 Good Shepherd Way, Longview, TX 75605-7921 | 2011-07-15 |
| 1801057799 | Lauren Arnold | Physical Therapist | 3133 Good Shepherd Way, Outpatient Therapy, Longview, TX 75605-7921 | 2008-06-23 |
| 1033379185 | Stephanie Ann Hale | Occupational Therapist | 3133 Good Shepherd Way, Longview, TX 75605-4661 | 2008-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194353730 | Dusty Rae Hane | Nurse Practitioner | Diagnostic Clinic of Longview, 2901 N Fourth St, Longview, TX 75605 | 2020-03-30 |
| 1831720374 | Kaycee Whatley | Nurse Practitioner | 323 W Hawkins Parkway, Longview, TX 75605 | 2020-02-03 |
| 1245733492 | Somers Pediatrics | Pediatrics | 103 W. Loop 281, Suite 474, Longview, TX 75605 | 2018-03-14 |
| 1467838391 | Piney Woods Er II LLC | Clinic/Center | 120 East Loop 281, Longview, TX 75605 | 2015-08-03 |
| 1386023968 | Elizabeth Ann Heeb Tidwell | Obstetrics & Gynecology | 802 Medical Dr Ste 100, Longview, TX 75605 | 2015-05-28 |
| 1215353651 | Tracy Hicks | Nurse Practitioner | 102 Commander Dr Ste 9, Longview, TX 75605 | 2014-03-10 |
| 1073881280 | Deirdre Scotter | Specialist/Technologist | 201 E Tomlinson Pkwy, Longview, TX 75605 | 2011-12-02 |
| 1316230139 | Traditions Hospice of Longview, LLC | Hospice Care, Community Based | 4362 N Us Hwy 259, Suite B, Longview, TX 75605 | 2011-05-26 |
| 1184916769 | Telema Dikibujiri Nga | Pediatrics | Longview Regional Medical Center, 2901 North Fourth Street, Longview, TX 75605 | 2011-05-13 |
| 1902101108 | The Veta Lewis Behavioral Health Group | Counselor | 1800 S. Judson St., Suite 100, Longview, TX 75605 | 2011-01-19 |
| Find all providers in zip 75605 | ||||
| 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 |
|---|---|---|---|---|
| 1598328221 | Blake Bussing | Specialist/Technologist | 170 Beemon Dr, Longview, WA 98632-9133 | 2019-04-18 |
| 1114397569 | Kara Lynn Knutson | Specialist/Technologist | 2770 Fm 2751, Longview, TX 75605-7209 | 2015-09-29 |
| 1073881280 | Deirdre Scotter | Specialist/Technologist | 201 E Tomlinson Pkwy, Longview, TX 75605 | 2011-12-02 |
| 1457565533 | Charles Lee Reynolds | Specialist/Technologist | 434 E Loop 281, Ste. 103, Longview, TX 75605-7932 | 2007-05-09 |
| 1366569154 | Daniel Huerta Ruiz | Specialist/Technologist | 1602 Mark Morris Ct, Longview, WA 98632-3926 | 2007-03-25 |
| 1417598129 | Amy Katherine Billingslea | Specialist/Technologist | 3101 Spring Hill Rd, Longview, TX 75605-2822 | 2019-10-03 |
| 1659863140 | Andrew Levi Skillett | Specialist/Technologist | 811 11th Ave, Longview, WA 98632-2462 | 2018-05-31 |
| 1659807287 | Portia Phillips | Specialist/Technologist | 2100 S Mobberly Ave, Longview, TX 75602-3564 | 2017-05-02 |
| 1487044814 | Leeigh Ann Sudbury | Specialist/Technologist | 2100 S Mobberly Ave, Longview, TX 75602-3564 | 2015-01-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255932562 | Kyndall Leigh Soukup | Specialist/Technologist | 16002 Rosethorn Ct, Cypress, TX 77429-3490 | 2020-11-03 |
| 1447850631 | Claire Oliver-dehaven | Specialist/Technologist | 7012 Ridgetop Rd, North Richland Hills, TX 76182-3331 | 2020-10-28 |
| 1609476894 | Tessa Mcelroy | Specialist/Technologist | 1606 Trail Glen Ct, Pantego, TX 76013-3152 | 2020-10-28 |
| 1265031702 | Kiana Angelique Leveston | Specialist/Technologist | 2820 W Frey St Apt 7209, Stephenville, TX 76401-1905 | 2020-10-24 |
| 1205435856 | Jessica Moreno | Specialist/Technologist | 3718 Duck Creek Dr, Garland, TX 75043-2962 | 2020-10-23 |
| 1437758612 | Dina Y Scott | Specialist/Technologist | 107 N Greenville Ave Ste B, Allen, TX 75002-9161 | 2020-10-20 |
| 1275131864 | Kasie Bell | Specialist/Technologist | 215 Richland Dr, Kilgore, TX 75662-2049 | 2020-10-15 |
| 1184222663 | Zachary Mitchell Kimo Mitsui | Specialist/Technologist | 7311 Bluestone Rd, San Antonio, TX 78249 | 2020-10-15 |
| 1538766191 | Francisco Ruben Perez | Specialist/Technologist | 2503 6th St, Lubbock, TX 79409-9806 | 2020-10-07 |
| 1356958128 | Brandi Neeley | Specialist/Technologist | 12131 Kirby Dr, Houston, TX 77045-4857 | 2020-09-25 |
| Find all providers with the same taxonomy | ||||
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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.