LAKEN BRYANNE PUCKETT (NPI# 1275061970) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275061970 |
| Entity Type | Individual |
| Full Name | LAKEN BRYANNE PUCKETT |
| Credential | M.S. ATC |
| Practice Address |
79 Winding Way Rd Bristol VA 24201-3039 |
| Practice Telephone | 2764666603 |
| Enumeration Date | 2017-05-25 |
| Last Update Date | 2018-06-16 |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BOC | 2000027829 | 01 |
| Street Address |
79 WINDING WAY RD |
| City | BRISTOL |
| State | VA |
| Zip Code | 24201-3039 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699234716 | Vanessa Ruiz Sutherland | Speech-Language Pathologist | Stonewall Jackson Elementary School, 2045 Euclid Ave, Bristol, VA 24201 | 2019-03-18 |
| 1003394693 | Cplace Bristol Snf, LLC | Clinic/Center | 109 Village Circle, Bristol, VA 24201 | 2018-08-06 |
| 1871001420 | Karen Lavonne Ford | Case Manager/Care Coordinator | 727 Portsmouth Avenue, Bristol, VA 24201 | 2018-01-17 |
| 1558872176 | City of Bristol Va | Ambulance | 211 Lee St, Bristol, VA 24201 | 2017-10-23 |
| 1639396989 | Barry Robert Matheson | Dentist | 817 Gate City Highway, Bristol, VA 24201 | 2007-04-19 |
| 1942338082 | Joann Wolfe Vaughn | Nurse Practitioner | 103 North Street, Ridgeview Pavilion, Bristol, VA 24201 | 2007-03-01 |
| 1003982968 | American Medical Devices, Inc. | Durable Medical Equipment & Medical Supplies | 1788 Island Rd, Bristol, VA 24201 | 2006-11-24 |
| 1134224827 | Theresa D Morris | Licensed Practical Nurse | 510 Cumberland St, Executive Plaza 4th Floor, Bristol, VA 24201 | 2006-09-14 |
| 1083718605 | Tomhave Olson Dental Associates | Dentist | 510 Cumberland St., Executive Plaza, 4th Floor, Bristol, VA 24201 | 2006-09-12 |
| 1972606408 | Terry H Gillenwater | Chiropractor | 2110 Euclid Ave, Bristol, VA 24201 | 2006-09-07 |
| Find all providers in zip 24201 | ||||
| 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 |
|---|---|---|---|---|
| 1639715071 | Erika Winter | Specialist/Technologist | 199 Chestnut St, Bristol, RI 02809-3998 | 2019-11-20 |
| 1841832631 | Rachel E. Martin | Specialist/Technologist | 4892 Island Rd Apt F208, Bristol, TN 37620-0013 | 2019-10-13 |
| 1801459714 | Josselyn Marie Delemos | Specialist/Technologist | 24 Shaws Ln, Bristol, RI 02809-3312 | 2019-04-16 |
| 1699234070 | Cortney Kinder | Specialist/Technologist | 10519 Redwood Cir, Bristol, VA 24202-2635 | 2019-03-15 |
| 1588120109 | William Hayes | Specialist/Technologist | 20803 Nw County Road 333, Bristol, FL 32321-4115 | 2019-02-19 |
| 1043775786 | Jessica Coniglio | Specialist/Technologist | 7210 N Radcliffe St, Bristol, PA 19007-5823 | 2019-02-06 |
| 1699229401 | Kristina Keddie | Specialist/Technologist | 652 Wood St, Bristol, RI 02809-2425 | 2016-08-09 |
| 1114061587 | Karyn M Gallivan | Specialist/Technologist | 30 Beach Rd, Bristol, RI 02809-1505 | 2007-02-17 |
| 1063524759 | Shelia D Crockett | Specialist/Technologist | 1350 King College Rd, Bristol, TN 37620-2632 | 2006-08-31 |
| 1598729048 | Richard M. O'connor | Specialist/Technologist | 129 Morse Dr, Bristol, TN 37620-8379 | 2006-04-13 |
| Find all providers in BRISTOL | ||||
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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.