STACIE NETTLES ELWOOD (NPI# 1417486655) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417486655 |
| Entity Type | Individual |
| Full Name | STACIE NETTLES ELWOOD |
| Other Name | STACIE LYNN NETTLES |
| Credential | ATC |
| Practice Address |
9800 Delemar Hwy Summerville SC 29485-7842 |
| Practice Telephone | 8436954900 |
| Practice Fax Number | 8436954900 |
| Mailing Telephone | 8436954900 |
| Enumeration Date | 2017-06-10 |
| Last Update Date | 2017-06-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
069802553 | SC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
9800 DELEMAR HWY |
| City | SUMMERVILLE |
| State | SC |
| Zip Code | 29485-7842 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962853937 | Hanna Beckman | Specialist/Technologist, Other | 9800 Delemar Hwy, Summerville, SC 29485-7842 | 2016-06-30 |
| 1073035358 | Brittney Elizabeth Williams | Specialist/Technologist | 9800 Delemar Hwy, Summerville, SC 29485-7842 | 2017-07-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487267365 | Cp Dentistry, LLC | Dentist | 9919 Dorchester Road, Summerville, SC 29485 | 2020-08-28 |
| 1922622604 | Rachel Elaine Digiacomo | Physical Therapist | 10160 Dorchester Road, Summerville, SC 29485 | 2020-05-29 |
| 1396220034 | Amanda W Peebles | Nurse Practitioner | 4278 Ladson Rd., Summerville, SC 29485 | 2018-09-28 |
| 1396230728 | Gerald Darnell Woods | Counselor | 10825 Dorchester Rd. #3077, Summerville, SC 29485 | 2018-06-27 |
| 1063901072 | Elite Barber Spa, LLC | Specialist | 850 E Bacons Bridge Road, Suite 303, Summerville, SC 29485 | 2018-05-04 |
| 1598253528 | Daniel Joseph Neitzke | Student in an Organized Health Care Education/Training Program | 9228 Medical Plaza Drive, Charleston, SC 29485 | 2018-04-25 |
| 1700315447 | Donna Marie White | Counselor | 9214 Ayscough Road, Summerville, SC 29485 | 2017-06-07 |
| 1043763212 | Brockman Davis Smith | Dentist | 1710 B Trolley Road, Summerville, SC 29485 | 2016-07-25 |
| 1336508530 | Meca Home Health, LLC | Home Health | 415 Savannah River Rd, Summerville, SC 29485 | 2016-02-16 |
| 1609241033 | Dental Professionals of South Carolina, PC | Dentist | 9510 Dorchester Rd, Suite 400, North Charleston, SC 29485 | 2015-12-10 |
| Find all providers in zip 29485 | ||||
| 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 |
|---|---|---|---|---|
| 1932706587 | Devynn Galloway | Specialist/Technologist | 111 Springview Ln Apt 623, Summerville, SC 29485-8773 | 2020-10-07 |
| 1659929438 | Alecia Nicole Good | Specialist/Technologist | 1114 Orangeburg Rd, Summerville, SC 29483-8904 | 2019-08-26 |
| 1356838379 | Sarah Edwards | Specialist/Technologist | 9113 Markleys Grove Blvd, Summerville, SC 29485-8679 | 2018-04-16 |
| 1972018901 | Laramie Francis | Specialist/Technologist | 123 Brookhaven Rd, Summerville, SC 29486-5437 | 2017-12-13 |
| 1295253086 | Dillon Robert Gregory | Specialist/Technologist | 313 Springdale Ct., Summerville, SC 29486 | 2017-09-01 |
| 1083159990 | Rachelle Baldwin | Specialist/Technologist | 601 Holloway St Apt 8322, Summerville, SC 29486-8384 | 2017-01-01 |
| 1013463033 | Austin Philpott | Specialist/Technologist | 109 Stockbridge St, Summerville, SC 29483-5221 | 2016-08-30 |
| 1174978019 | Amberle Phillips | Specialist/Technologist | 308 Damascus Dr, Summerville, SC 29483-9278 | 2016-04-28 |
| 1124496732 | Taylor Cleeve | Specialist/Technologist | 307 Ashley Dr, Summerville, SC 29485-5705 | 2015-09-14 |
| 1396113361 | Hope Seyler | Specialist/Technologist | 120 Charpia Ave, Summerville, SC 29483-4909 | 2015-09-09 |
| Find all providers in SUMMERVILLE | ||||
| City | SUMMERVILLE |
| Zip Code | 29485 |
Please comment or provide details below to improve the information on STACIE NETTLES ELWOOD.
| 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.