MS. KIMBERLY SUE DEREAMER (NPI# 1669699237) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669699237 |
| Entity Type | Individual |
| Full Name | MS. KIMBERLY SUE DEREAMER |
| Credential | ATC |
| Practice Address |
1076 Ribaut Rd Ste 102 Beaufort SC 29902-5490 |
| Mailing Address |
4 Salt Wind Way Hilton Head Island SC 29926-1954 |
| Practice Telephone | 8435211970 |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
868 | SC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1076 RIBAUT RD STE 102 |
| City | BEAUFORT |
| State | SC |
| Zip Code | 29902-5490 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548884372 | Carolyn Darr | Physical Therapist | 1076 Ribaut Rd Ste 102, Beaufort, SC 29902-5490 | 2020-06-08 |
| 1336774728 | Alexa Mcateer | Physical Therapy Assistant | 1076 Ribaut Rd Ste 102, Beaufort, SC 29902-5490 | 2020-03-06 |
| 1336784321 | Hendrika Muehlfeld | Physical Therapy Assistant | 1076 Ribaut Rd Ste 102, Beaufort, SC 29902-5490 | 2019-11-13 |
| 1023666203 | Michael Wayne Twitty | Physical Therapist | 1076 Ribaut Rd Ste 102, Beaufort, SC 29902-5490 | 2019-08-30 |
| 1144798281 | Ann Marie Tullock | Physical Therapist | 1076 Ribaut Rd Ste 102, Beaufort, SC 29902-5490 | 2018-11-07 |
| 1134695059 | Katherine Elizabeth Workman | Physical Therapy Assistant | 1076 Ribaut Rd Ste 102, Beaufort, SC 29902-5490 | 2018-10-18 |
| 1063935856 | Carley Jane Murdock Parkison | Specialist/Technologist | 1076 Ribaut Rd Ste 102, Beaufort, SC 29902-5490 | 2017-07-24 |
| 1982005690 | Abby Raye Pallister | Physical Therapy Assistant | 1076 Ribaut Rd Ste 102, Beaufort, SC 29902-5490 | 2014-09-12 |
| 1881979334 | Julie M Baucher | Physical Therapy Assistant | 1076 Ribaut Rd Ste 102, Beaufort, SC 29902-5490 | 2011-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063024578 | Beaufort County Memorial Hospital | Family Medicine | Beaufort Memorial Preoperative Assessment Clinic, 989 Ribaut Road Suite 370, Beaufort, SC 29902 | 2020-08-18 |
| 1750992475 | Fayth Polite | Social Worker | 2210 Salem Drive East, Beaufort, SC 29902 | 2020-08-14 |
| 1417509530 | Andrew Grant Miner | Dentist | Naval Hospital Beaufort, 1 Pinckney Blvd., Fpo, AA 29902 | 2019-07-09 |
| 1376029777 | Edward Dela Fuente | Counselor | Coastal Empire Mental Health Center, 1050 Ribaut Road, Beaufort, SC 29902 | 2018-07-18 |
| 1114440419 | Kristin Webb | Registered Nurse | 607 Wilmington Street, Beaufort, SC 29902 | 2017-07-19 |
| 1326582081 | Annemarie Gierling Gault | Nurse Practitioner | Beaufort Memorial Medical Oncology Infusion Center, 989 Ribaut Rd, Ste 103, Beaufort, SC 29902 | 2016-12-14 |
| 1114396579 | Jacquelyn Faith Proulx | Dentist | 1 Pickney Blvd., Naval Hospital Beaufort, Beaufort, SC 29902 | 2015-09-16 |
| 1386028413 | Howard Family Dental - Beaufort, Pllc | Dentist | 35 Robert Smalls Pkwy, Beaufort, SC 29902 | 2015-07-18 |
| 1598018103 | Lisa Marie Johnson | Occupational Therapist | 9555 Ribaut Road, Beaufort Memorial Hospital, Beaufort, SC 29902 | 2012-10-19 |
| 1134497860 | Jeremy Michael Simmons | Pharmacist | 2127 Boundary Street, Suite 19, Beaufort, SC 29902 | 2011-12-08 |
| Find all providers in zip 29902 | ||||
| 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 |
|---|---|---|---|---|
| 1780048918 | Katlin Goude | Specialist/Technologist | 16 Dreamcatcher Ln, Beaufort, SC 29906-8850 | 2016-04-13 |
| 1619384781 | David P Shervin | Specialist/Technologist | 108 Bryan Dr, Beaufort, SC 29902-5261 | 2014-07-21 |
| 1063412740 | Kevin Usif Ennis | Specialist/Technologist | 1076 Ribaut Rd, Suite 102, Beaufort, SC 29902-5476 | 2005-07-26 |
| 1063935856 | Carley Jane Murdock Parkison | Specialist/Technologist | 1076 Ribaut Rd Ste 102, Beaufort, SC 29902-5490 | 2017-07-24 |
| 1043272560 | Anne C Curry | Specialist/Technologist | 1076 Ribaut Rd, Suite 102, Beaufort, SC 29902-5476 | 2006-04-03 |
| 1811957301 | Amy Jane Stephenson | Specialist/Technologist | 1076 Ribaut Rd, Ste. 102, Beaufort, SC 29902-5476 | 2006-03-27 |
| 1518927359 | Joshua Eric Ferguson | Specialist/Technologist | 1076 Ribaut Rd, Beaufort, SC 29902-5476 | 2006-03-24 |
| 1578522272 | Alison Emily Williams | Specialist/Technologist | 1076 Ribaut Rd, Ste 102, Beaufort, SC 29902-5476 | 2006-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548869563 | Brandon Lundin | Specialist/Technologist | 259 Dorchester Manor Blvd, North Charleston, SC 29420-8107 | 2020-10-21 |
| 1578160123 | Emma Faith Cornell | Specialist/Technologist | 9345 Blue House Rd, Apt 9302, Ladson, SC 29456-4093 | 2020-10-07 |
| 1932706587 | Devynn Galloway | Specialist/Technologist | 111 Springview Ln Apt 623, Summerville, SC 29485-8773 | 2020-10-07 |
| 1750988309 | Kirstyn Owen | Specialist/Technologist | 9345 Blue House Rd Apt 9302, Ladson, SC 29456-4093 | 2020-10-07 |
| 1902418106 | Kelli Brianna Adams | Specialist/Technologist | 12 He Mccracken Cir, Bluffton, SC 29910-5866 | 2020-08-19 |
| 1770195208 | Chely Mckoy | Specialist/Technologist | 126 Tidwell Ln, Swansea, SC 29160-8348 | 2020-08-17 |
| 1922610500 | Alexis Lauren Elrod | Specialist/Technologist | 907 Wesleyan Dr, Central, SC 29630-9748 | 2020-08-17 |
| 1356969737 | Skylar Brynn Hudgens-wallace | Specialist/Technologist | 208 Amelia Oaks Way, Columbia, SC 29209-1753 | 2020-07-11 |
| 1295353936 | Kayla Faylyn Nicole Mckenzie | Specialist/Technologist | 1905 Southern Drive, Unit 1905a, Columbia, SC 29201 | 2020-07-09 |
| 1235757162 | Jordan-lee Elizabeth Dobbins | Specialist/Technologist | 1011 Catawba Cir, Columbia, SC 29201-5252 | 2020-07-07 |
| 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.