MRS. KELLY ANN CREASEY (NPI# 1225303076) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225303076 |
| Entity Type | Individual |
| Full Name | MRS. KELLY ANN CREASEY |
| Credential | ATC |
| Practice Address |
7916 Williamson Rd Roanoke VA 24020-2002 |
| Mailing Address |
Po Box 9553 Roanoke VA 24020-1553 |
| Practice Telephone | 5403626205 |
| Practice Fax Number | 5403626553 |
| Mailing Telephone | 5403626205 |
| Mailing Fax Number | 5403626553 |
| Enumeration Date | 2012-03-13 |
| Last Update Date | 2012-03-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
0126000316 | VA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922135748 | Kelly M Creasey | Specialist/Technologist | 1128 E Weisgarber Rd, Knoxville, TN 37909-2674 | 2007-02-28 |
| Street Address |
7916 WILLIAMSON RD |
| City | ROANOKE |
| State | VA |
| Zip Code | 24020-2002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417558602 | Irene Pace Seidman | Pharmacist | 3350 Clearbrook Village Ln, Roanoke, VA 24014 | 2020-11-04 |
| 1932709615 | Life Worth Living Counseling, Ltd. | Clinic/Center | 223 Albemarle Ave Sw, Roanoke, VA 24016-4716 | 2020-10-30 |
| 1225638026 | Prasanti Pinnamaraju | Nurse Practitioner | 5324 Fox Ridge Rd, Roanoke, VA 24018-8754 | 2020-10-29 |
| 1497352645 | Victor M Rivera Sink | Counselor | 637 Webster Heights Rd, Roanoke, VA 24012-8988 | 2020-10-01 |
| 1396352795 | Homechoice Partners, Inc. | Home Infusion | 7400 Sunnybrook Dr Ste 1, Roanoke, VA 24019-4258 | 2020-09-29 |
| 1972118313 | Capstone Hme Inc | Durable Medical Equipment & Medical Supplies | 3791 Peters Creek Road Ext Sw, Roanoke, VA 24018-1539 | 2020-09-12 |
| 1912512856 | Jennifer Larson | Nurse Practitioner | 8325 Barrens Rd, Roanoke, VA 24019-6701 | 2020-09-08 |
| 1801400304 | Harleigh Delayni Warren | Behavior Technician | 3029 Peters Creek Rd Nw Ste C, Roanoke, VA 24019-2757 | 2020-09-02 |
| 1437762531 | Professional Dental Alliance of Tx 43003 Pllc | Dentist | 200 E Highway 114, Roanoke, TX 76262-6907 | 2020-08-28 |
| 1336752492 | Elizabeth B Mick | Registered Nurse | 6013 Apple Harvest Dr, Roanoke, VA 24012-6964 | 2020-08-28 |
| Find all providers in ROANOKE | ||||
| 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 |
|---|---|---|---|---|
| 1225679772 | Chunandi Patel | Specialist/Technologist | 5221 Roselawn Rd, Roanoke, VA 24018-4158 | 2019-10-07 |
| 1821557836 | Haley Marie Dantzler | Specialist/Technologist | 4917 Appletree Dr, Roanoke, VA 24012-8539 | 2019-03-19 |
| 1790258739 | Sierra N Estep | Specialist/Technologist | 366 Hillside Ave, Roanoke, IN 46783-8815 | 2019-01-02 |
| 1104394378 | Emily Whitaker | Specialist/Technologist | 2315 Circle Dr Sw, Roanoke, VA 24018-2105 | 2018-11-06 |
| 1518491943 | Rachel Nicely | Specialist/Technologist | 5011 Orchard Park Dr, Roanoke, VA 24019-7449 | 2017-04-12 |
| 1831583780 | Lucas Ankenbruck | Specialist/Technologist | 7373 E Lakewood Dr-92, Roanoke, IN 46783-9236 | 2015-03-27 |
| 1003245986 | Matthew Nelson | Specialist/Technologist | 1818 Belleville Rd Sw, Roanoke, VA 24015-2708 | 2013-11-01 |
| 1700053832 | James Andrew Hargenrader | Specialist/Technologist | 5000 Titan Trl, Roanoke, VA 24018-3460 | 2008-05-08 |
| 1609083682 | Timothy Wayne Horsley | Specialist/Technologist | 121 Ellicott Dr., Roanoke, TX 76262 | 2007-05-17 |
| 1275660870 | Clara Silbernagel | Specialist/Technologist | 1004 Riverside Ct, Roanoke, TX 76262-4413 | 2007-02-28 |
| Find all providers in ROANOKE | ||||
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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.