MR. STANLEY WAYNE CRADDOCK (NPI# 1619905478) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1619905478 |
Entity Type | Individual |
Full Name | MR. STANLEY WAYNE CRADDOCK |
Credential | LAT |
Practice Address |
7301 Sardis Rd Charlotte NC 28270-6063 |
Mailing Address |
3208 Raven Glen Ct Charlotte NC 28212-1509 |
Practice Telephone | 7043637147 |
Practice Fax Number | 7043665678 |
Mailing Telephone | 7045767785 |
Mailing Fax Number | 7043665678 |
Enumeration Date | 2006-06-29 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
0086 | NC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
7301 SARDIS RD |
City | CHARLOTTE |
State | NC |
Zip Code | 28270-6063 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497911663 | Amanda Jade Estep | Specialist/Technologist | 7301 Sardis Rd, Charlotte, NC 28270-6063 | 2008-08-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265902837 | Gregory David Lineberger Sr. | Counselor | 1811 Sardis Road North Suite 207, Charlotte, NC 28270 | 2018-11-27 |
1174093751 | Lineberger Christian Counseling, Pllc | Clinic/Center | 1811 Sardis Road North, Suite 207, Charlotte, NC 28270 | 2018-11-27 |
1922524818 | Danielle Jean Whittington | Social Worker | 7309 Harrisonwoods Pl, Charlotte, NC 28270 | 2017-08-22 |
1588185508 | Mary Wennen | Social Worker | 801 Lansdowne Road, Charlotte, NC 28270 | 2017-06-29 |
1982089595 | Jessica Davis | Pharmacist | 1021 Morehead Medical Drive, Charlotte, NC 28270 | 2015-07-24 |
1275958399 | Matthews Psychological and Family Services, Pllc | Psychologist | 1811 Sardis Road North, Suite 207, Charlotte, NC 28270 | 2014-02-26 |
1467886978 | G Abrams R Cohen Vii PC | Dentist | 1605 Galleria Blvd., Suite 110, Charlotte, NC 28270 | 2013-09-03 |
1093148041 | Shari Howie | Lactation Consultant, Non-RN | 4400 Bellwood Lane, Charlotte, NC 28270 | 2013-08-14 |
1225477052 | L Richardson Home | Psychiatric Residential Treatment Facility | 9828 Addison Gray Lane, Charlotte, NC 28270 | 2013-06-14 |
1619287083 | Linda Virginia Stewart | Social Worker | 9314 Valley Road, Charlotte, NC 28270 | 2010-10-19 |
Find all providers in zip 28270 |
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 |
---|---|---|---|---|
1306444278 | Tania Michelle Wilcox | Specialist/Technologist | 702 Potenza Dr Apt A, Charlotte, NC 28262-4601 | 2020-10-13 |
1962017798 | Kelby Rae Hurlocker | Specialist/Technologist | 500 Center Park Dr, Charlotte, NC 28217 | 2020-09-09 |
1629695085 | Zawadi Brown | Specialist/Technologist | 1621 Waybridge Ln Apt 1b, Charlotte, NC 28210-5774 | 2020-07-01 |
1518591973 | Brianna Marsicano | Specialist/Technologist | 4607 Rock Stream Dr, Charlotte, NC 28269-7150 | 2020-02-25 |
1124658075 | Mark Anthony Wright | Specialist/Technologist | 2301 Torrington Ln, Charlotte, NC 28262-3175 | 2020-01-20 |
1386281228 | Danielle Torp | Specialist/Technologist | 8920 Cliff Cameron Dr Apt 107, Charlotte, NC 28269-1059 | 2019-12-10 |
1568028470 | Cristian Black | Specialist/Technologist | 4845 Ashley Park Ln Apt 205, Charlotte, NC 28210-4126 | 2019-05-15 |
1841764545 | Jacqueline Marie Frithsen | Specialist/Technologist | 10220 Ardrey Kell Rd, Charlotte, NC 28277-4328 | 2019-01-15 |
1790259760 | Raul A Bermudez | Specialist/Technologist | 1410 Abbey Pl Apt 115, Charlotte, NC 28209-3039 | 2019-01-14 |
1750858429 | Lynnsey Morgan Price | Specialist/Technologist | 8464 Highland Glen Dr, Charlotte, NC 28269-6110 | 2018-10-30 |
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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.