SHEA RAE DAWN HOFFMAN (NPI# 1437650504) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437650504 |
| Entity Type | Individual |
| Full Name | SHEA RAE DAWN HOFFMAN |
| Practice Address |
310 College St Barbourville KY 40906-1410 |
| Mailing Address |
5207 Maccorkle Ave Sw South Charleston WV 25309-1009 |
| Practice Telephone | 6065461303 |
| Mailing Telephone | 3045522700 |
| Enumeration Date | 2018-02-23 |
| Last Update Date | 2018-09-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
TCA679 | KY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
WV | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | WV | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1000 Vermillion St, Athens, WV 247129027 | 3045522700 |
| Street Address |
310 COLLEGE ST |
| City | BARBOURVILLE |
| State | KY |
| Zip Code | 40906-1410 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750991840 | Arh Mary Breckinridge Health Services, Inc. | Family Medicine | 310 College St, Barbourville, KY 40906-1410 | 2020-08-04 |
| 1992339550 | Charles-phillip Austin North | Specialist/Technologist | 310 College St, Barbourville, KY 40906-1410 | 2020-02-23 |
| 1386274983 | Jennifer Noelle Boehmer | Specialist/Technologist | 310 College St, Barbourville, KY 40906-1410 | 2020-01-22 |
| 1053953828 | Cumberland Family Medical Center, Inc. | Clinic/Center | 310 College St, Barbourville, KY 40906-1410 | 2019-10-14 |
| 1992358204 | Sydney Raquel Harris | Specialist/Technologist | 310 College St, Barbourville, KY 40906-1410 | 2019-07-17 |
| 1275186587 | Collin Lane Wesco | Specialist/Technologist | 310 College St, Barbourville, KY 40906-1410 | 2019-07-17 |
| 1972068336 | Kourtney Elise Current | Specialist/Technologist | 310 College St, Barbourville, KY 40906-1410 | 2019-02-09 |
| 1083121487 | Shelby Elizabeth Rudd | Specialist/Technologist | 310 College St, Barbourville, KY 40906-1410 | 2018-01-08 |
| 1063947505 | Philip Jacob Janutolo | Specialist/Technologist | 310 College St, Box D22, Barbourville, KY 40906-1410 | 2017-04-21 |
| 1801320460 | Alvin Gambrel | Specialist/Technologist | 310 College St, Barbourville, KY 40906-1410 | 2017-04-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477187334 | Barbourville Prescription Center, LLC | Pharmacy | 1881 South U.S. Highway 25e, Barbourville, KY 40906 | 2020-02-28 |
| 1992368617 | Carolyn Disney Byble | Counselor | 1909 Hwy. 3439, Barbourville, KY 40906 | 2019-04-18 |
| 1386139111 | Amy Lynn Mills | Adult Companion | 12 Knox Plaza, Barbourville, KY 40906 | 2018-06-25 |
| 1457858250 | Angela Turner | Nurse Practitioner | 1927 Us S Hwy 25e, Barbourville, KY 40906 | 2018-04-09 |
| 1376049437 | Kalee Elizabeth Howard | Case Manager/Care Coordinator | 415 Highway 225, Barbourville, KY 40906 | 2018-04-05 |
| 1063949303 | Robin Renee Carr | Counselor | 415 Ky Hwy 225, Barbourville, KY 40906 | 2017-05-17 |
| 1770940736 | Jennifer Nicole James | Case Manager/Care Coordinator | 415 Ky 225, Barbourville, KY 40906 | 2016-01-21 |
| 1891116455 | Glenna Bargo | Nurse Practitioner | 728 S Us Highway 25e Loop Number 2, Loop Number 2, Barbourville, KY 40906 | 2013-12-30 |
| 1275883050 | Brian Keith Abner | Physician Assistant | 215 North Allison Avenue, Barbourville, KY 40906 | 2012-09-19 |
| 1558660944 | Sleep Diagnostics of Kentucky, Inc | Clinic/Center | 606a Knox Street, Barbourville, KY 40906 | 2011-03-24 |
| Find all providers in zip 40906 | ||||
| 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 |
|---|---|---|---|---|
| 1144785502 | Teresa Tracyann Brown | Specialist/Technologist | 200 1st St Apt 39, Barbourville, KY 40906-1855 | 2019-02-09 |
| 1649760646 | Byron David Asher | Specialist/Technologist | 101 Ketcham St Apt 3, Barbourville, KY 40906-1849 | 2018-05-15 |
| 1700311255 | Glenda Boles | Specialist/Technologist | 310 College Street, Box D22, Barbourville, KY 40906-1410 | 2017-04-21 |
| 1992339550 | Charles-phillip Austin North | Specialist/Technologist | 310 College St, Barbourville, KY 40906-1410 | 2020-02-23 |
| 1386274983 | Jennifer Noelle Boehmer | Specialist/Technologist | 310 College St, Barbourville, KY 40906-1410 | 2020-01-22 |
| 1144866484 | William Robert Collier | Specialist/Technologist | 140 School St, Barbourville, KY 40906-1534 | 2019-11-21 |
| 1992358204 | Sydney Raquel Harris | Specialist/Technologist | 310 College St, Barbourville, KY 40906-1410 | 2019-07-17 |
| 1275186587 | Collin Lane Wesco | Specialist/Technologist | 310 College St, Barbourville, KY 40906-1410 | 2019-07-17 |
| 1972068336 | Kourtney Elise Current | Specialist/Technologist | 310 College St, Barbourville, KY 40906-1410 | 2019-02-09 |
| 1083121487 | Shelby Elizabeth Rudd | Specialist/Technologist | 310 College St, Barbourville, KY 40906-1410 | 2018-01-08 |
| Find all providers in BARBOURVILLE | ||||
| City | BARBOURVILLE |
| Zip Code | 40906 |
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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.