DERIONNE BROOKS (NPI# 1174090039) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174090039 |
| Entity Type | Individual |
| Full Name | DERIONNE BROOKS |
| Practice Address |
972 Hathorn Road University MS 38655 |
| Mailing Address |
407 Beauregard Cir Oxford MS 38655-5063 |
| Practice Telephone | 5044961361 |
| Enumeration Date | 2018-10-30 |
| Last Update Date | 2018-10-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AT0742 | MS | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
972 HATHORN ROAD |
| City | UNIVERSITY |
| State | MS |
| Zip Code | 38655 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619585809 | Oxford Treatment Center, LLC | Substance Abuse Rehabilitation Facility | 616 Commerce Parkway, Oxford, MS 38655 | 2020-07-14 |
| 1760044465 | Lindsay Low Beauchamp | Speech-Language Pathologist | 169 Ms-6 #102, Oxford, MS 38655 | 2019-07-02 |
| 1861058075 | Tomiko D Mackey | Social Worker | 100 Carriage Cove, Oxford, MS 38655 | 2019-05-13 |
| 1497236327 | Providence Companion Care | Nurse's Aide | 317 Heritage Dr Ste 3b, Oxford, MS 38655 | 2018-08-28 |
| 1255817292 | Marcela Caroline Weber | Counselor | 152 Mississippi 7 South, Oxford, MS 38655 | 2018-07-12 |
| 1649775123 | Oxford Outpatient Center, LLC | Clinic/Center | 611 Commerce Pkwy, Oxford, MS 38655 | 2018-03-27 |
| 1073039962 | Sharon Yvette Holloway | Social Worker | 152 Hwy and South, Oxford, Ms 38655, Oxford, MS 38655 | 2017-08-22 |
| 1447774682 | Courtney M Purvis | Physical Therapist | 300 Enterprise Dr Ste B, Oxford, MS 38655 | 2017-07-31 |
| 1649716580 | Taylor Lynn Smith | Counselor | 152 Ms-7, Oxford, MS 38655 | 2017-01-17 |
| 1245788504 | Melissa Jo Williams | Nurse Practitioner | 2301 S. Lamar Blvd Suite 130, Oxford, MS 38655 | 2016-09-15 |
| Find all providers in zip 38655 | ||||
| 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 |
|---|---|---|---|---|
| 1164049102 | Catherine Meredith Pendergast | Specialist/Technologist | 36 Hill Dr., University, MS 38677 | 2020-06-25 |
| 1710549795 | Ronald Corbit Franks Jr. | Specialist/Technologist | 972 Hathorn Rd, University, MS 38677 | 2019-07-01 |
| 1831632876 | Brittany Ferrell | Specialist/Technologist | 836 All-american Dr, Starnes Athletic Training Room, University, MS 38677 | 2016-11-23 |
| 1841687076 | Melanie Lynn | Specialist/Technologist | 836 All-american Dr., University, MS 38677 | 2015-04-27 |
| 1902178148 | Ashley Bonck Wilson | Specialist/Technologist | 36 Hill Drive, Basketball Practice Facility, University, MS 38677 | 2012-02-03 |
| 1578624649 | Tony F. Barnett Jr. | Specialist/Technologist | 118 Field House, All-american Drive, University, MS 38677-1848 | 2006-12-13 |
| 1952404287 | Erica Lyndsay Wilburn | Specialist/Technologist | 118 Fieldhouse All American Drive, University, MS 38677 | 2006-09-05 |
| 1427072578 | Heather A Landry | Specialist/Technologist | 118 Fieldhouse, All American Drive, The University of Mississippi, University, MS 38677 | 2006-07-26 |
| 1427083716 | Chad Ian Perkins | Specialist/Technologist | Department of Intercollegate Athletics, Rm.118 Fieldhouse, University, MS 38677 | 2006-07-12 |
| 1821027194 | Lynnette Yvonne Johnson | Specialist/Technologist | 1 Colisuem Drive, Gillom Sports Center, University, MS 38677 | 2006-06-30 |
| Find all providers in UNIVERSITY | ||||
| City | UNIVERSITY |
| Zip Code | 38655 |
Please comment or provide details below to improve the information on DERIONNE BROOKS.
| 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.