LATASHA NICOLE TEMPLE (NPI# 1477830180) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477830180 |
| Entity Type | Individual |
| Full Name | LATASHA NICOLE TEMPLE |
| Credential | ATC |
| Practice Address |
1975 Highway 54 W Suite 210 Fayetteville GA 30214-4794 |
| Mailing Address |
7304 Chads Cir Jonesboro GA 30236-5702 |
| Practice Telephone | 7706322060 |
| Mailing Telephone | 4047257850 |
| Enumeration Date | 2011-11-08 |
| Last Update Date | 2011-11-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AT001984 | GA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1975 HIGHWAY 54 W SUITE 210 |
| City | FAYETTEVILLE |
| State | GA |
| Zip Code | 30214-4794 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841629516 | Kyle Harris | Nurse Practitioner | 1975 Highway 54 W, Fayetteville, GA 30214-4794 | 2013-11-04 |
| 1396188967 | Lagniappe LLC | Clinic/Center | 1975 Highway 54 W, Suite 100, Fayetteville, GA 30214-4794 | 2013-04-12 |
| 1982882775 | G Clay Taylor | Durable Medical Equipment & Medical Supplies | 1975 Highway 54 W, Ste 205, Fayetteville, GA 30214-4794 | 2008-02-05 |
| 1508860032 | Nick M Gabbay | Podiatrist | 1975 Highway 54 W, Suite 205, Fayetteville, GA 30214-4794 | 2005-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548872468 | Phyllis Kelly Wood | Nurse Practitioner | 217 Banks Rd, Suite 31, Fayetteville, GA 30214 | 2020-08-21 |
| 1073139317 | Tyisha Salter Scott | Counselor | 110 Habersham Drive, Suite 142, Fayetteville, GA 30214 | 2020-06-23 |
| 1194341412 | Camille Franncine Bolton | Physical Therapist | 500 Floy Farr Parkway, Suite 303, Fayetteville, GA 30214 | 2020-06-23 |
| 1205465895 | Gillian Vaughan Heard | Physician Assistant | 1275 Ga-54 #201, Fayetteville, GA 30214 | 2020-04-06 |
| 1881234557 | Peach Fits,inc | Mastectomy Fitter | 285 Glynn Street South, Suites 102 and 104, Fayetteville, GA 30214 | 2020-01-10 |
| 1255981072 | Delta Healthcare Providers | Clinic/Center | 1275 W Lanier Ave, #200, Fayetteville, GA 30214 | 2019-09-13 |
| 1861965592 | Hierarchy for Wellness | Specialist | 805 S Glynn St Bldg 127 142, Fayetteville, GA 30214 | 2019-01-04 |
| 1356810634 | Fayette Dental Group PC | Clinic/Center | 720 W Lanier Ave, Fayetteville, GA 30214 | 2018-11-16 |
| 1891263299 | Mattie Mae Farmer Clark | Specialist/Technologist, Other | Piedmont Fayette Hospital, 1255 Highway 54 West, Fayetteville, GA 30214 | 2018-11-05 |
| 1093293607 | Allyson Holland | Pharmacist | 880 Highway 85 South, Fayetteville, GA 30214 | 2018-08-06 |
| Find all providers in zip 30214 | ||||
| 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 |
|---|---|---|---|---|
| 1124628979 | Casey Brooks | Specialist/Technologist | 1223 Huntsville Hwy, Fayetteville, TN 37334-3617 | 2020-10-30 |
| 1053971622 | Elizabeth Bacon Studdard | Specialist/Technologist | 1671 S Colonnade Dr Apt 203, Fayetteville, AR 72701-7819 | 2019-06-17 |
| 1457818486 | Kyle Cravey | Specialist/Technologist | 7 Sonoma Dr, Fayetteville, TN 37334-4837 | 2019-02-26 |
| 1023574654 | Katie Nichole Buria | Specialist/Technologist | 1247 W Mount Comfort Rd Apt 309, Fayetteville, AR 72703-1597 | 2019-02-19 |
| 1700341682 | Elli Dinkmeyer | Specialist/Technologist | 640 N Wordsworth Ln, Fayetteville, AR 72704-5127 | 2019-02-05 |
| 1225520828 | Jacoby Markie Clemons | Specialist/Technologist | 1201 West Leroy Pond Dr, Fayetteville, AR 72701 | 2018-05-31 |
| 1952892390 | Ambur Dryer | Specialist/Technologist | 994 W Mlk Jr. Blvd., Fayetteville, AR 72701 | 2018-05-22 |
| 1346745791 | Ruth Maria Pacheco | Specialist/Technologist | 2306 Bathgate Ct, Fayetteville, NC 28312-9614 | 2018-03-28 |
| 1306354469 | Nataya Nija Geddie | Specialist/Technologist | 720 Larkspur Dr, Fayetteville, NC 28311-6957 | 2018-01-11 |
| 1326588286 | Shelby Baez | Specialist/Technologist | 717 Brougham Rd, Fayetteville, NC 28311-0305 | 2017-02-26 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 30214 |
Please comment or provide details below to improve the information on LATASHA NICOLE TEMPLE.
| 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.