OLIVIA VITA-FARNSWORTH (NPI# 1497163422) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497163422 |
| Entity Type | Individual |
| Full Name | OLIVIA VITA-FARNSWORTH |
| Credential | MS, LAT, ATC |
| Practice Address |
288 Lakeview Drive Mississippi State MS 39762 |
| Mailing Address |
Po Box 5327 Mississippi State MS 39762-5327 |
| Practice Telephone | 6623252165 |
| Practice Fax Number | 6623255145 |
| Mailing Telephone | 6623252165 |
| Mailing Fax Number | 6623255145 |
| Enumeration Date | 2014-07-22 |
| Last Update Date | 2020-07-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
A992 | MS | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
0126003204 | VA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4400 University Dr, Fairfax, VA 22030 | 7039933277 | 7039933360 |
| Street Address |
288 LAKEVIEW DRIVE |
| City | MISSISSIPPI STATE |
| State | MS |
| Zip Code | 39762 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467956508 | Jimmy Eric Knox | Occupational Therapist | 326 Hordy Rd, Mississippi State, MI 39762 | 2018-03-22 |
| 1912440082 | Brittany Winter | Specialist/Technologist | 235 Lakeview Dr, Mississippi State, MS 39762 | 2016-11-22 |
| 1699177477 | Denty Paul Vaughn Jr. | Veterinarian | 240 Wise Center Dr, Mississippi State, MS 39762 | 2014-09-23 |
| 1497939052 | T. K. Martin Center for Technology & Disability | Rehabilitation Counselor | 326 Hardy Road, Mississippi State, MS 39762 | 2007-12-19 |
| 1134339898 | Christopher Scott Johnson | Specialist/Technologist | Humphrey Coliseum-coliseum Drive, Mississippi State University, Mississippi State, MS 39762 | 2007-05-23 |
| 1780787622 | Stephen Paul Mock | Specialist/Technologist | 1 Shira Fieldhouse, Lakeview Drive, Mississippi State, MS 39762 | 2006-09-06 |
| 1366455685 | Mary Kathryn Mclendon | Specialist/Technologist | Lakeview Drive, Shira Field House, Mississippi State, MS 39762 | 2006-08-15 |
| 1245290386 | Katrina Poe | Family Medicine | 360 Hardy Road, Misissippi State University, MS 39762 | 2006-03-24 |
| 1225012255 | Mississippi State University | Clinic/Center | 2 Hardy Rd, Mississippi State, MS 39762 | 2005-12-02 |
| 1407830433 | Sheila W Crowley | Family Medicine | 2 Hardy Road, Mississippi State, MS 39762 | 2005-12-02 |
| Find all providers in zip 39762 | ||||
| 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 |
|---|---|---|---|---|
| 1912440082 | Brittany Winter | Specialist/Technologist | 235 Lakeview Dr, Mississippi State, MS 39762 | 2016-11-22 |
| 1134339898 | Christopher Scott Johnson | Specialist/Technologist | Humphrey Coliseum-coliseum Drive, Mississippi State University, Mississippi State, MS 39762 | 2007-05-23 |
| 1780787622 | Stephen Paul Mock | Specialist/Technologist | 1 Shira Fieldhouse, Lakeview Drive, Mississippi State, MS 39762 | 2006-09-06 |
| 1366455685 | Mary Kathryn Mclendon | Specialist/Technologist | Lakeview Drive, Shira Field House, Mississippi State, MS 39762 | 2006-08-15 |
| 1376667949 | Lindsey T Gentry | Specialist/Technologist | 2 Hardy Rd, Mississippi State, MS 39762 | 2007-03-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942817895 | Thaxton Sullivan | Specialist/Technologist | 3 Courtland Dr Apt 50, Hattiesburg, MS 39402-8186 | 2020-09-24 |
| 1114532587 | David Vincent Hughes Jr. | Specialist/Technologist | 1 Priority Plaza, West Point, MS 39773 | 2020-09-13 |
| 1194333484 | Rebbecca Alister Ruckes | Specialist/Technologist | 741 Cr 503, Ripley, MS 38663-3866 | 2020-07-22 |
| 1164049102 | Catherine Meredith Pendergast | Specialist/Technologist | 36 Hill Dr., University, MS 38677 | 2020-06-25 |
| 1972137685 | Pamela Sue Ezell | Specialist/Technologist | 920 Cedar Lake Rd Ste C, Biloxi, MS 39532-2107 | 2020-03-03 |
| 1629600606 | Weldon Meng | Specialist/Technologist | 1084 Looxahoma Tyro Rd, Senatobia, MS 38668-6518 | 2020-02-07 |
| 1295374536 | Celia Shields | Specialist/Technologist | 1776 Brookhaven Dr, Southaven, MS 38671-3554 | 2020-01-03 |
| 1396384947 | Natasha Lea Hayes | Specialist/Technologist | 254 Springhill Rd, Laurel, MS 39443-7874 | 2019-12-30 |
| 1184263048 | Keizia Davidson | Specialist/Technologist | 153 Ripon Ct, Ridgeland, MS 39157-1265 | 2019-12-24 |
| 1730726530 | Stephen Thompson | Specialist/Technologist | 2816 Jim St, Tupelo, MS 38801-6763 | 2019-11-30 |
| Find all providers with the same taxonomy | ||||
| City | MISSISSIPPI STATE |
| Zip Code | 39762 |
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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.