GAVIN RICHARD (NPI# 1144618372) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1144618372 |
Entity Type | Individual |
Full Name | GAVIN RICHARD |
Credential | ATC |
Practice Address |
1176 University Ave Apt 301 Berkeley CA 94702-1880 |
Practice Telephone | 7074774286 |
Enumeration Date | 2014-12-22 |
Last Update Date | 2014-12-22 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
1176 UNIVERSITY AVE APT 301 |
City | BERKELEY |
State | CA |
Zip Code | 94702-1880 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720597230 | Kelli Parnall | Occupational Therapist | 2418 Curtis St., Berkeley, CA 94702 | 2017-09-27 |
1801221866 | Joy Hillriegel | Marriage & Family Therapist | 2880 Sacramento St., Suite A, Berkeley, CA 94702 | 2013-09-10 |
1326305319 | Lloyd William Willey | Marriage & Family Therapist | 1385 Neilson St, Berkeley, CA 94702 | 2012-04-16 |
1497033492 | Suzanne Marie Gassner | Psychologist | 1491 Hopkins Street, Berkeley, CA 94702 | 2011-07-26 |
1437482353 | Johanna Mae Lelke | Chiropractor | 1250 Addison St., Suite 102, Berkeley, CA 94702 | 2009-09-10 |
1669693644 | Vicki Lj Young | Social Worker | 2920 Domingo St. Ste 204, Berkeley, CA 94702 | 2007-05-01 |
1942328935 | Michael Bradford Conant | Psychologist | 1307 University Avenue, Berkeley, CA 94702 | 2007-03-27 |
1659413508 | Janice Rae Ruchlis | Marriage & Family Therapist | 2302 Acton Street, Berkeley, CA 94702 | 2007-02-13 |
1760456149 | Francine Ann Yep | Family Medicine | 3100 San Pablo Ave Ste 310, Berkeley, CA 94702 | 2006-02-14 |
1033101118 | Audrey Dandrea | Family Medicine | 3100 San Pablo Ave # 310, Berkeley, CA 94702 | 2005-08-16 |
Find all providers in zip 94702 |
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 |
---|---|---|---|---|
1740827294 | Nina Gibson | Specialist/Technologist | 1804 Monterey Ave, Berkeley, CA 94707-2525 | 2019-12-03 |
1932673811 | Alexandra Lee Finn | Specialist/Technologist | Haas Pavilion #4422, Berkeley, CA 94720-0001 | 2019-01-14 |
1376014928 | Justin T Cooke | Specialist/Technologist | 2024 Durant Ave #508, Berkeley, CA 94704 | 2018-12-07 |
1083138135 | Lauren Piccinini | Specialist/Technologist | Cal Sports Medicine #4422 Haas Pavilion, Berkeley, CA 94720-0001 | 2017-07-31 |
1467903815 | Brenden Lambert | Specialist/Technologist | 170h Simpson Ctr, 2227 Piedmont Ave., Berkeley, CA 94720-0001 | 2016-10-20 |
1831566678 | Camille Veronica Griffith | Specialist/Technologist | 2301 Bancroft Way, Berkeley, CA 94720-4421 | 2015-08-27 |
1578979605 | Keri Sotak | Specialist/Technologist | Simpson Ctr, 2227 Piedmont Ave, Berkeley, CA 94720-2325 | 2014-07-09 |
1407262157 | Domanique Peretti | Specialist/Technologist | 115 Haas Pavilion, Berkeley, CA 94720-0001 | 2014-07-02 |
1477964021 | Ann Marie Caslin | Specialist/Technologist | 185 Haas Pavilion, Berkeley, CA 94720-4422 | 2014-05-16 |
1699192716 | Ryan Hatcher Cobb | Specialist/Technologist | 170 Simpson Center Uc Berkeley, Cal Sports Medicine, Berkeley, CA 94720-0001 | 2014-03-26 |
Find all providers in BERKELEY |
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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.