MR. MICHAEL WAYNE SHETLEY (NPI# 1346594264) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346594264 |
| Entity Type | Individual |
| Full Name | MR. MICHAEL WAYNE SHETLEY |
| Credential | ATC, CSCS |
| Practice Address |
198 Evergreen Ave Appomattox VA 24522 |
| Mailing Address |
179 Glenn Carson Rd Prospect VA 23960-2112 |
| Practice Telephone | 8045395080 |
| Mailing Telephone | 8045395080 |
| Enumeration Date | 2012-10-30 |
| Last Update Date | 2012-10-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
0126000490 | VA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
198 EVERGREEN AVE |
| City | APPOMATTOX |
| State | VA |
| Zip Code | 24522 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174979280 | Devon Lauren Brosh | Specialist/Technologist | 198 Evergreen Ave, Appomattox, VA 24522-4080 | 2016-05-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336755008 | Integrity Counseling, Pllc | Counselor | 290 Court St, Appomattox, VA 24522 | 2020-09-18 |
| 1437640562 | Rhondalyn Morgan | Driver | Etransport, LLC, 241 Chestnut Royal Road, Appomattox, VA 24522 | 2018-05-24 |
| 1649779620 | Brittany Leanne James | Private Vehicle | 434 Sunnydale Ave, Appomattox, VA 24522 | 2018-02-06 |
| 1881051506 | Rector & Visitors of The University of Virginia | Clinic/Center | 7787 Richmond Highway, Appomattox, VA 24522 | 2016-01-26 |
| 1952797821 | Gregory Barton | Pharmacist | 7789 Richmond Hwy., Appomattox, VA 24522 | 2015-04-08 |
| 1841556222 | Pamela Kaye Smith | Counselor | 290 Court Street, Appomattox, VA 24522 | 2012-04-10 |
| 1003125568 | Delta Response Team | Ambulance | 698 Jones St, Appomattox, VA 24522 | 2010-10-01 |
| 1215185558 | Medical Services of America Inc | Emergency Response System Companies | 189 Old Courthouse Rd, Appomattox, VA 24522 | 2008-08-28 |
| 1700079381 | Suzanne Henri, Inc | Prosthetic/Orthotic Supplier | 839 Lee Grant Ave, Appomattox, VA 24522 | 2007-08-27 |
| 1679698682 | Robert Maxwell | Speech-Language Pathologist | 176 Highland Ave., Appomattox, VA 24522 | 2007-03-20 |
| Find all providers in zip 24522 | ||||
| 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 |
|---|---|---|---|---|
| 1326507724 | Annelise Danielle Underhill | Specialist/Technologist | 1854 Country Club Rd, Appomattox, VA 24522-3539 | 2019-03-15 |
| 1174979280 | Devon Lauren Brosh | Specialist/Technologist | 198 Evergreen Ave, Appomattox, VA 24522-4080 | 2016-05-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295335487 | Sukyoon Chang | Specialist/Technologist | 6001 Grove Ave, Richmond, VA 23226-2603 | 2020-10-28 |
| 1912507302 | Madeline Joanna Bills | Specialist/Technologist | 308 Locust Grove Dr, Purcellville, VA 20132-3391 | 2020-10-27 |
| 1679171193 | Camden Oakes Bentley | Specialist/Technologist | 634 Treys Dr, Winchester, VA 22601-3230 | 2020-10-16 |
| 1932707437 | Madison Dobscha | Specialist/Technologist | 1706 Revere Ct Ne, Leesburg, VA 20176-6634 | 2020-10-15 |
| 1710584792 | Melvin Enderes | Specialist/Technologist | 42678 Frontier Dr, Brambleton, VA 20148-7207 | 2020-10-02 |
| 1285249755 | Amy Virostek | Specialist/Technologist | 1015 Heathercroft Cir Ste 200, Crozet, VA 22932-3370 | 2020-09-11 |
| 1255942264 | Xavier Thompson | Specialist/Technologist | 210 Emmet St S Rm 222, Charlottesville, VA 22903-2455 | 2020-08-13 |
| 1225647969 | Madison Polk | Specialist/Technologist | 9229 Arnie Ct, Manassas Park, VA 20111-3071 | 2020-07-29 |
| 1760090955 | Alymaris O'reilly | Specialist/Technologist | 5211 Duncan Trl, Reva, VA 22735-2016 | 2020-07-14 |
| 1740808377 | Aimee Gardanier | Specialist/Technologist | 2526 24th St N Lowr Unit, Arlington, VA 22207-4907 | 2020-07-09 |
| Find all providers with the same taxonomy | ||||
| City | APPOMATTOX |
| Zip Code | 24522 |
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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.