ANGELA RENEE BROLIN (NPI# 1629323795) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629323795 |
| Entity Type | Individual |
| Full Name | ANGELA RENEE BROLIN |
| Credential | ATC |
| Practice Address |
119 Boxwood Ln Fairmont WV 26554-2126 |
| Mailing Address |
119 Boxwood Lane Fairmont WV 26554 |
| Practice Telephone | 3048167462 |
| Mailing Telephone | 3048167462 |
| Enumeration Date | 2012-07-16 |
| Last Update Date | 2012-07-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
WV | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
119 BOXWOOD LN |
| City | FAIRMONT |
| State | WV |
| Zip Code | 26554-2126 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801497680 | Vanquisha Clay | Technician | 118 Conaway St, Fairmont, WV 26554 | 2020-11-06 |
| 1851903363 | Denise S Greer | Technician | 1029 Prickett Road, Fairmont, WV 26554 | 2020-08-18 |
| 1730790775 | Darla Lee Mcrobie | Technician | 105 C'anna Square, Fairmont, WV 26554 | 2020-08-13 |
| 1376025718 | Jason Batten | Counselor | 621 Maryland Ave, Fairmont, WV 26554 | 2018-09-02 |
| 1437669066 | Ultimate Health & Wellness, LLC | Naturopath | 2862 Whitehall Blvd, Whitehall, WV 26554 | 2017-10-10 |
| 1457872376 | Michele R Lilley | Nurse Practitioner | 177 Middletown Rd, Ste1, Upc Whitehall Medical, Fairmont, WV 26554 | 2017-06-30 |
| 1477906154 | Rebecca Hayes-merrill | Counselor | 212 Adams St., 3rd Floor, Fairmont, WV 26554 | 2016-07-19 |
| 1790173417 | Dennis Michael Lynch | Counselor | 5 Turf Lane, Fairmont, WV 26554 | 2015-01-05 |
| 1336558725 | Nicole Savage | Home Health Aide | 122 Abbott St, Fairmont, WV 26554 | 2014-08-11 |
| 1124434550 | Achuta Ram Aynampudi | Psychiatry & Neurology | 100 Stoney Hill Rd, Fairmont, WV 26554 | 2014-07-07 |
| Find all providers in zip 26554 | ||||
| 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 |
|---|---|---|---|---|
| 1578100780 | Brandon Alfred Akers | Specialist/Technologist | 1216 Morgantown Ave, Fairmont, WV 26554-4504 | 2019-12-06 |
| 1194372185 | Alicia Cuthbertson | Specialist/Technologist | 1201 Locust Ave, Fairmont, WV 26554-2451 | 2019-08-23 |
| 1972150977 | Aubrey Greathouse | Specialist/Technologist | 1993 Airport Rd Apt B, Fairmont, WV 26554-9138 | 2019-08-23 |
| 1679603906 | Robert Joseph Cable | Specialist/Technologist | 1201 Locust Ave., Fairmont, WV 26554 | 2007-03-06 |
| 1356961759 | Daniel Joseph Page | Specialist/Technologist | 1201 Locust Ave, Fairmont, WV 26554-2451 | 2020-04-26 |
| 1558761205 | Valentina Bustamante | Specialist/Technologist | 1993 Airport Rd, Fairmont, WV 26554-9138 | 2014-08-31 |
| 1013316850 | Zachary Dahl | Specialist/Technologist | 717 S State St Ste 900, Fairmont, MN 56031-4478 | 2014-08-18 |
| 1871852335 | Brant Michael Boekelman | Specialist/Technologist | 717 S State St, Fairmont, MN 56031-4469 | 2012-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083215693 | Linda B. Bell | Specialist/Technologist | 44 Europa Way, Martinsburg, WV 25405-1436 | 2020-11-02 |
| 1609482629 | Cory Tyler Donley | Specialist/Technologist | 2648 Main St Apt 8, Hurricane, WV 25526-1439 | 2020-09-16 |
| 1215542121 | Gary E Mcilvain | Specialist/Technologist | 1 John Marshall Drive Gullickson Hall 1, Huntington, WV 25755-0001 | 2020-09-09 |
| 1417588765 | Yasmin Neve Mosby | Specialist/Technologist | 1000 Vermillion St # C417, Athens, WV 24712-9027 | 2020-01-27 |
| 1255978458 | Katherine Elizabeth Bryant | Specialist/Technologist | 306 Dawn St, Scott Depot, WV 25560-9014 | 2019-12-06 |
| 1093352296 | Jayde Shaianne Vanriper | Specialist/Technologist | 102 Birch Ln, Morgantown, WV 26505-2509 | 2019-12-06 |
| 1992342190 | Brittney Justine Demarco | Specialist/Technologist | 182 Bronte Ave, Inwood, WV 25428-4390 | 2019-12-06 |
| 1801433008 | Kailee Selders | Specialist/Technologist | 1111 Valley View Ave Trlr 12, Morgantown, WV 26505-3682 | 2019-12-06 |
| 1083250328 | Razhane Kelecce Kelecce Nicole Andrews | Specialist/Technologist | 209 19th St Apt 15, Huntington, WV 25703-1145 | 2019-11-21 |
| 1457996183 | Christopher Matthews | Specialist/Technologist | 2216 Guthrie Ct, Huntington, WV 25703-2040 | 2019-11-18 |
| Find all providers with the same taxonomy | ||||
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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.