MIRANDA E SLACK (NPI# 1508494220) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508494220 |
| Entity Type | Individual |
| Full Name | MIRANDA E SLACK |
| Practice Address |
525 Frank Thomas Ave Apt 5 Tuscaloosa AL 35401-2265 |
| Practice Telephone | 8013269911 |
| Mailing Telephone | 8013269911 |
| Enumeration Date | 2020-03-29 |
| Last Update Date | 2020-03-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | AL | Student, Health Care |
| Street Address |
525 FRANK THOMAS AVE APT 5 |
| City | TUSCALOOSA |
| State | AL |
| Zip Code | 35401-2265 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942768031 | Serenity and Hope LLC | Clinic/Center | 2703 7th Street, Tuscaloosa, AL 35401 | 2019-03-07 |
| 1356834428 | Heather Glenn Macleod | Social Worker | 303 Hargrove Rd E Ste A, Tuscaloosa, AL 35401 | 2018-06-12 |
| 1154832921 | Imc of Alabama | Physical Therapist | 5101 21st Street, Tuscaloosa, AL 35401 | 2017-10-19 |
| 1316466238 | Parents Resource Institute for Drug Education (pride) of Tuscaloosa | Community/Behavioral Health | 620 14th Street, Suite E, Tuscaloosa, AL 35401 | 2017-09-12 |
| 1871967075 | Jeri Zemke | Specialist/Technologist | 504 University Blvd, Tuscaloosa, AL 35401 | 2015-11-25 |
| 1356719033 | Jimmy Dean Winters | Nurse Practitioner | Five Horizons Health Services, 2720 6th Street, Tuscaloosa, AL 35401 | 2015-09-11 |
| 1831505429 | Jennifer Baggett | Speech-Language Pathologist | 603 Hackberry Lane, Tuscaloosa, AL 35401 | 2014-07-03 |
| 1184045684 | Samantha Pasteur | Massage Therapist | 2601 12 St, Tuscaloosa, AL 35401 | 2013-12-31 |
| 1386089282 | John Logan Bailey | Pharmacist | 809 University Boulevard, Dch Regional Medical Center, Tuscaloosa, AL 35401 | 2013-05-06 |
| 1104170539 | Kristin C Townsend | Technician, Other | 500 -b Paul Bryant Drive East, Tuscaloosa, AL 35401 | 2012-11-07 |
| Find all providers in zip 35401 | ||||
| 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 |
|---|---|---|---|---|
| 1063010270 | Jane Ferguson | Specialist/Technologist | 3831 3rd Ave, Apt 31, Tuscaloosa, AL 35405 | 2020-10-12 |
| 1144850132 | Alicia Catherine Ingargiola | Specialist/Technologist | 900 Hargrove Rd Apt 18, Tuscaloosa, AL 35401-4857 | 2020-01-19 |
| 1780235838 | Allie Sheree Mccarthy | Specialist/Technologist | 504 University Boulevard, Tuscaloosa, AL 35487 | 2019-09-20 |
| 1689142267 | Courtney Dimitris | Specialist/Technologist | 600 13th St E Apt 641, Tuscaloosa, AL 35401-3396 | 2018-11-13 |
| 1295219871 | Anthony Lavon Truelove | Specialist/Technologist | 6131 Covington Villas Dr, Tuscaloosa, AL 35405-7025 | 2018-09-19 |
| 1659870897 | Bailey Nicole Duck | Specialist/Technologist | 1618 1st Ave, Tuscaloosa, AL 35401-3630 | 2018-02-02 |
| 1699294355 | William Olsey | Specialist/Technologist | 1321 8th Ave, Tuscaloosa, AL 35401-3412 | 2017-09-13 |
| 1043739709 | Bailey Elizabeth Stark | Specialist/Technologist | 309 21st Ave, Tuscaloosa, AL 35401-1041 | 2017-09-13 |
| 1275051591 | Brittany Marie Ingram | Specialist/Technologist | 718 Magnolia Drive, Tuscaloosa, AL 35487-0001 | 2017-09-07 |
| 1760928410 | Laurin Ackerson | Specialist/Technologist | 1901 5th Ave E, Unit 3206, Tuscaloosa, AL 35401-3741 | 2017-01-18 |
| Find all providers in TUSCALOOSA | ||||
| City | TUSCALOOSA |
| Zip Code | 35401 |
Please comment or provide details below to improve the information on MIRANDA E SLACK.
| 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.