ALYSIA FRANCES HENDERSON (NPI# 1154942043) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154942043 |
| Entity Type | Individual |
| Full Name | ALYSIA FRANCES HENDERSON |
| Credential | MS, LAT, ATC |
| Practice Address |
7675 Baltimore Avenue Ritchie Coliseum 0100 College Park MD 21144 |
| Mailing Address |
7675 Baltimore Avenue Ritchie Coliseum 0100 College Park MD 20740 |
| Practice Telephone | 3012264440 |
| Mailing Telephone | 3012264440 |
| Enumeration Date | 2020-05-01 |
| Last Update Date | 2020-05-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
A0000617 | MD | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972010197 | Alysia Dawn Henderson | Case Manager/Care Coordinator | 403 W Orange Ave, South San Francisco, CA 94080-4443 | 2018-01-09 |
| Street Address |
7675 BALTIMORE AVENUE RITCHIE COLISEUM 0100 |
| City | COLLEGE PARK |
| State | MD |
| Zip Code | 21144 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033724786 | Life Force for Older Americans, Inc. | In Home Supportive Care | 1869 Hawk Court, Severn, MD 21144 | 2020-09-10 |
| 1952952251 | Cristelyne Galutira | Behavior Technician | 8303 Canyon Oak Dr, Severn, MD 21144 | 2019-09-27 |
| 1710542717 | Seleste Upshaw | Nurse Practitioner | 524 Hidden Valley Court, Severn, MD 21144 | 2019-05-06 |
| 1528538105 | Life Support Clinical Counseling Service LLC | Counselor | 82 Janet Dale Ln, Severn, MD 21144 | 2018-11-27 |
| 1972088045 | Abundant Life and Wellness Counseling Services, LLC | Counselor | 1812 Encore Ter, Severn, MD 21144 | 2018-09-25 |
| 1528544731 | Allegiance Chiropractic LLC | Chiropractor | 2622h Annapolis Rd, Severn, MD 21144 | 2018-07-11 |
| 1922554526 | Amana Khondaker | Pharmacist | 2600 Annapolis Rd., Severn, MD 21144 | 2016-09-01 |
| 1457707960 | Caroline Akomolede | Licensed Practical Nurse | 8420 Gale Lane, Aa, Severn, MD 21144 | 2016-05-13 |
| 1306184726 | Casey Mary Mccall | Counselor | 1157 Reece Road, Severn, MD 21144 | 2013-01-18 |
| 1174823371 | Jeffry Han Kang | Pharmacist | 7832 Golden Pine Circle, Severn, MD 21144 | 2010-10-22 |
| Find all providers in zip 21144 | ||||
| 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 |
|---|---|---|---|---|
| 1598376238 | Jessica Henslee | Specialist/Technologist | 8500 Paint Branch Dr, College Park, MD 20742-0001 | 2020-08-16 |
| 1033629480 | Melissa Pforr | Specialist/Technologist | 8500 Paint Branch Drive, College Park, MD 20742-0001 | 2017-10-11 |
| 1841722691 | Bradley Weitzel | Specialist/Technologist | 4068 Field House Drive, College Park, MD 20740 | 2017-03-31 |
| 1043758386 | Christopher R Durr | Specialist/Technologist | 4068 Fieldhouse Drive, College Park, MD 20742-1590 | 2017-02-07 |
| 1649715582 | Miranda Zamora | Specialist/Technologist | 4068 Fieldhouse Dr, College Park, MD 20742-0001 | 2017-01-02 |
| 1114371093 | Thomas Lowell Bennett | Specialist/Technologist | 7675 Baltimore Ave, R 0100, College Park, MD 20740 | 2016-04-18 |
| 1205208659 | John Huffines | Specialist/Technologist | 1555 Hardin Ave, College Park, GA 30337-2132 | 2015-10-26 |
| 1053669408 | Michael Todd Eckert II | Specialist/Technologist | Comcast Center Terrapin Trl, College Park, MD 20742-0001 | 2012-08-15 |
| 1972850733 | Kristyn Helen Hanewicz | Specialist/Technologist | 379 Fieldhouse Dr, College Park, MD 20742-0001 | 2012-08-12 |
| 1518255926 | Allison Bologna | Specialist/Technologist | 7403 Hopkins Ave, The University of Maryland, College Park, MD 20740-3413 | 2011-07-19 |
| Find all providers in COLLEGE PARK | ||||
| City | COLLEGE PARK |
| Zip Code | 21144 |
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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.