MISS SANTANA M WILSON (NPI# 1548590839) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548590839 |
| Entity Type | Individual |
| Full Name | MISS SANTANA M WILSON |
| Credential | LATC |
| Practice Address |
275 Bath Rd Brunswick ME 04011-2671 |
| Mailing Address |
26a Garden St Bath ME 04530-2620 |
| Practice Telephone | 2077294998 |
| Practice Fax Number | 2077296225 |
| Mailing Telephone | 2073817941 |
| Mailing Fax Number | 2077296225 |
| Enumeration Date | 2010-01-08 |
| Last Update Date | 2010-01-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AT363 | ME | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
275 BATH RD |
| City | BRUNSWICK |
| State | ME |
| Zip Code | 04011-2671 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043210875 | Stephen R Vance | Physical Therapist | 275 Bath Rd, Suite 2, Brunswick, ME 04011-2671 | 2005-07-22 |
| 1770760910 | Donald Crane | Specialist/Technologist | 275 Bath Rd, Brunswick, ME 04011-2671 | 2008-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093276370 | Convenientmd LLC | Clinic/Center | 193 Bath Road, Brunswick, ME 04011 | 2019-03-28 |
| 1326571241 | Psychology Specialists of Maine | Psychologist | 14 Maine St., Suite 309, Brunswick, ME 04011 | 2017-04-07 |
| 1992249775 | Avita Brunswick LLC | Alzheimer Center (Dementia Center) | 89 Admiral Fitch Way, Brunswick, ME 04011 | 2016-12-13 |
| 1215303433 | Mary K Kunhardt | Social Worker | 116 Maquoit Rd, Brunswick, ME 04011 | 2015-08-12 |
| 1861803843 | Gretchen Jane Stevens | Counselor | 136 Maine Street, Suite #6, Brunswick, ME 04011 | 2014-05-13 |
| 1356764567 | Kid Function, Inc. | Clinic/Center | 225 Thomas Point Road, Brunswick, ME 04011 | 2014-01-23 |
| 1356788921 | Jacques M. Reynolds | Psychiatry & Neurology | 81 Medical Center Dr # 2400, Brunswick, ME 04011 | 2013-05-23 |
| 1922369891 | Charles Russell Thorp | Pharmacist | 147 Bath Rd, Rtes 1 and 24, Merry Meeting Plaza, Brunswick, ME 04011 | 2012-06-06 |
| 1992076111 | Benjamin C. Tyau | Physician Assistant | 193 Bath Rd, Brunswick, ME 04011 | 2012-01-19 |
| 1841575339 | Bluesage Therapies Inc. | Social Worker | 214 Raymond Road, Brunswick, ME 04011 | 2011-10-15 |
| Find all providers in zip 04011 | ||||
| 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 |
|---|---|---|---|---|
| 1659929537 | Bronte Annette Fontaine | Specialist/Technologist | 7 Bickford Ave, Brunswick, ME 04011-3125 | 2019-09-03 |
| 1568936516 | Trey James Koermer | Specialist/Technologist | 3021 Grafton Rd, Brunswick, OH 44212-4348 | 2019-01-13 |
| 1821504077 | Chantal Pierre | Specialist/Technologist | 3885 Altama Ave, Brunswick, GA 31520-3634 | 2017-12-26 |
| 1265989768 | Shannon Hearns | Specialist/Technologist | 2034 Coventry Drive, Brunswick, OH 44212 | 2016-09-01 |
| 1851777080 | Rebecca Knor | Specialist/Technologist | 132 Deborah Ln, Brunswick, GA 31525-9489 | 2015-08-11 |
| 1871990093 | Megan Thompson | Specialist/Technologist | 9000 College Sta, Bowdoin College, Brunswick, ME 04011-8490 | 2014-12-03 |
| 1386045664 | Michael Cintron | Specialist/Technologist | 4899 Grafton Rd, Brunswick, OH 44212-1020 | 2014-09-05 |
| 1497161475 | Ashley Ippolito | Specialist/Technologist | 101 Cummings Dr, Brunswick, MD 21716-1857 | 2014-07-10 |
| 1518994987 | Mark Paul Hanak | Specialist/Technologist | 1131 Chapel Crossing Rd, Federal Law Enforcement Training Center-bldg. 252/ptd, Brunswick, GA 31524-2002 | 2006-06-28 |
| 1740839547 | Christopher Sanborn | Specialist/Technologist | 14 Thomas Point Rd, Brunswick, ME 04011-3911 | 2019-09-05 |
| Find all providers in BRUNSWICK | ||||
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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.