VANESSA GILLETTE (NPI# 1134741770) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134741770 |
| Entity Type | Individual |
| Full Name | VANESSA GILLETTE |
| Credential | ATC |
| Practice Address |
22 Corporate Plaza Dr Newport Beach CA 92660-7985 |
| Mailing Address |
2922 Player Ln Tustin CA 92782-1530 |
| Practice Telephone | 9497227038 |
| Mailing Telephone | 7164675385 |
| Enumeration Date | 2020-05-16 |
| Last Update Date | 2020-05-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
22 CORPORATE PLAZA DR |
| City | NEWPORT BEACH |
| State | CA |
| Zip Code | 92660-7985 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417957093 | Ram Mudiyam | Orthopaedic Surgery | 22 Corporate Plaza Dr, Newport Beach, CA 92660-7985 | 2005-07-26 |
| 1508471921 | Cheryl Amadea Jao | Physician Assistant | 22 Corporate Plaza Dr, Newport Beach, CA 92660-7985 | 2020-09-11 |
| 1053924696 | Camille Lauren Bray | Physician Assistant | 22 Corporate Plaza Dr, Newport Beach, CA 92660-7985 | 2020-08-24 |
| 1902432982 | Madison Rosenbaum | Specialist/Technologist | 22 Corporate Plaza Dr, Newport Beach, CA 92660-7985 | 2020-03-21 |
| 1912495318 | James Peter Marchetti | Physician Assistant | 22 Corporate Plaza Dr, Newport Beach, CA 92660-7985 | 2018-05-01 |
| 1588192256 | Andrew James Halber | Physician Assistant | 22 Corporate Plaza Dr, Newport Beach, CA 92660-7985 | 2017-05-25 |
| 1497293666 | Brett Nishikawa | Physical Therapist | 22 Corporate Plaza Dr, 113, Newport Beach, CA 92660-7985 | 2017-02-07 |
| 1134663453 | Emily Anne Taylor | Physician Assistant | 22 Corporate Plaza Dr, Newport Beach, CA 92660-7985 | 2016-12-05 |
| 1801264569 | Laura Ann Henderson | Physical Therapist | 22 Corporate Plaza Dr, Suite 113, Newport Beach, CA 92660-7985 | 2015-09-10 |
| 1649662040 | Junghee Lee | Licensed Practical Nurse | 22 Corporate Plaza Dr, Newport Beach, CA 92660-7985 | 2015-02-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275144024 | Lumins Aesthetic and Wellness, Inc | Dermatology | 20281 Sw Birch St, Suite 201, Newport Beach, CA 92660 | 2020-08-14 |
| 1205445798 | Felecia A Pedrogo | Marriage & Family Therapist | 5020 Campus Street, Newport Beach, CA 92660 | 2020-07-30 |
| 1649898388 | Polyviou Dental Corportation, Inc. | Clinic/Center | 120 Newport Beach Drive, Suite 27, Newport Beach, CA 92660 | 2020-07-09 |
| 1154974525 | Jan M. Eckermann, Md Inc. | Neurological Surgery | 1617 W Cliff Dr, Ste 203, Newport Beach, CA 92660 | 2019-07-24 |
| 1235792219 | Horizon Dermatology and Laser Institute | Dermatology | 369 San Miguel Dr. Suite 200, Newport Beach, CA 92660 | 2019-04-16 |
| 1902366925 | Yasmine Central Gohar | Marriage & Family Therapist | 20271 Sw Birch St Ste 200, Newport Beach, CA 92660 | 2019-03-25 |
| 1245703255 | Charison Counseling | Counselor | 4000 Macarthur Bvd Suite 600 East Tower, Newport Beach, CA 92660 | 2019-01-03 |
| 1134698996 | Amber Werner | Chiropractor | 4029 Westerly Place, Suite #115, Newport Beach, CA 92660 | 2018-11-21 |
| 1861969008 | Healthy Me Oc | Dietitian, Registered | 4569 Macarthur Court, Suite 1100, Newport Beach, CA 92660 | 2018-10-25 |
| 1174015192 | Edwin Enwia | Clinic/Center | 1000 Bristol St N Ste 1b, Newport Beach, CA 92660 | 2018-06-05 |
| Find all providers in zip 92660 | ||||
| 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 |
|---|---|---|---|---|
| 1003417981 | David Yudis | Specialist/Technologist | 82 Victoria Ste 201, Newport Beach, CA 92660-9009 | 2020-11-05 |
| 1285105445 | Cassidy Jordyn Filpi | Specialist/Technologist | 2101 Eastbluff Dr, Newport Beach, CA 92660-4530 | 2018-12-16 |
| 1326540352 | Robyn Antoyan | Specialist/Technologist | 1549 Placentia Ave Apt 116, Newport Beach, CA 92663-2888 | 2018-03-06 |
| 1134632367 | Nathalie Keeler | Specialist/Technologist | 509 29th St, Newport Beach, CA 92663-3709 | 2017-11-09 |
| 1366964892 | Victoria Taylor | Specialist/Technologist | 1367 Avocado Ave, Newport Beach, CA 92660-7801 | 2017-07-17 |
| 1154780039 | Kristina Mcgovern | Specialist/Technologist | 4220 Park Newport Apt 203, Newport Beach, CA 92660-6031 | 2016-02-19 |
| 1740255470 | Shannon Dee Morgan | Specialist/Technologist | 747 Dover Dr, Newport Beach, CA 92663-6927 | 2006-02-17 |
| 1902432982 | Madison Rosenbaum | Specialist/Technologist | 22 Corporate Plaza Dr, Newport Beach, CA 92660-7985 | 2020-03-21 |
| 1710129069 | Abraham Ledesma | Specialist/Technologist | 4019 Westerly Pl, Suite 101, Newport Beach, CA 92660-2317 | 2009-04-01 |
| 1649313529 | Allen Joseph Dumolien | Specialist/Technologist | 1000 Bristol St N, Suite 25, Newport Beach, CA 92660-8916 | 2007-02-14 |
| Find all providers in NEWPORT BEACH | ||||
| City | NEWPORT BEACH |
| Zip Code | 92660 |
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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.