TARA SHELLEY (NPI# 1669839742) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669839742 |
| Entity Type | Individual |
| Full Name | TARA SHELLEY |
| Credential | ATC |
| Practice Address |
105 Ashland Ave Clinton SC 29325-2960 |
| Mailing Address |
973 Old Milton Rd Clinton SC 29325-6154 |
| Practice Telephone | 8642000636 |
| Mailing Telephone | 9043929518 |
| Enumeration Date | 2016-01-21 |
| Last Update Date | 2016-01-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
1692 | SC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902412463 | Tara Shelley | Physician Assistant | 300 Community Dr, Manhasset, NY 11030-3876 | 2020-09-21 |
| Street Address |
105 ASHLAND AVE |
| City | CLINTON |
| State | SC |
| Zip Code | 29325-2960 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326455734 | Christine Hess | Specialist/Technologist | 105 Ashland Ave, Clinton, SC 29325-2960 | 2014-07-17 |
| 1437794278 | Danielle Rebecca Heidt | Specialist/Technologist | 105 Ashland Ave, Clinton, SC 29325-2960 | 2019-11-15 |
| 1063921146 | Kristen Marie Dodge | Specialist/Technologist | 105 Ashland Ave, Clinton, SC 29325-2960 | 2017-09-21 |
| 1154873057 | Michaela L Jackson | Student in an Organized Health Care Education/Training Program | 105 Ashland Ave, Clinton, SC 29325-2960 | 2016-10-27 |
| 1427432657 | Nelson Jones | Specialist/Technologist | 105 Ashland Ave, Clinton, SC 29325-2960 | 2015-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295353100 | Mason Paige Gambrell | Student in an Organized Health Care Education/Training Program | 107 Shellcreek Ct, Clinton, SC 29325 | 2020-07-07 |
| 1386207975 | Tammy Binger | Registered Nurse | 22725 U.S. 76, Clinton, SC 29325 | 2019-04-18 |
| 1154828945 | Lillian Smith | Physical Therapy Assistant | Nhc Clinton, 304 Jacobs Highway, Clinton, SC 29325 | 2018-04-09 |
| 1134519366 | Nora Pace | Specialist/Technologist | 18132 Hwy 72 E, Clinton, SC 29325 | 2015-01-26 |
| 1497186845 | John M. Griz | Orthopaedic Surgery | 22971 Hwy 76e, Clinton, SC 29325 | 2013-12-11 |
| 1992131171 | Sharon Kay Stoia | Occupational Therapist | 600 Plaza Circle, Clinton, SC 29325 | 2013-09-19 |
| 1578800256 | Hayes Ambulance Service LLC | Ambulance | 2143 Torrington Road, Clinton, SC 29325 | 2013-01-14 |
| 1083943518 | Margaret Estelle Shreve | Chiropractor | 209 Musgrove St, Clinton, SC 29325 | 2009-12-11 |
| 1750556213 | Piedmont Regional Urology | Urology | 300 Plantation Plaza, Suite F, Clinton, SC 29325 | 2008-04-25 |
| 1285821587 | Assisted Living Concepts Inc | Assisted Living Facility | 939 Springdale Drive, Clinton, SC 29325 | 2007-10-01 |
| Find all providers in zip 29325 | ||||
| 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 |
|---|---|---|---|---|
| 1225684111 | Moriah Perry | Specialist/Technologist | 7905 Malcom Rd, Clinton, MD 20735-2073 | 2019-08-15 |
| 1669024089 | Kristin M Higgins | Specialist/Technologist | 64 Forest St, Clinton, MA 01510-1727 | 2019-07-16 |
| 1326510413 | Lauren E Linn | Specialist/Technologist | 155 Sieber Rd, Clinton, PA 15026-1345 | 2018-12-30 |
| 1255827242 | Kerry Lynn Showalter | Specialist/Technologist | 13405 Turah Rd, Clinton, MT 59825-9776 | 2018-07-02 |
| 1578093704 | Melinda A Weisenberger | Specialist/Technologist | 4600 W Northside Drive, Clinton, MS 39056 | 2017-06-20 |
| 1699221507 | Jaclyn Arave | Specialist/Technologist | 1336 N 3000 W, Clinton, UT 84015-7512 | 2016-08-30 |
| 1750836755 | Marcus Moberg | Specialist/Technologist | 71308 310th St, Clinton, MN 56225-2062 | 2016-08-18 |
| 1063865228 | Erin Healy | Specialist/Technologist | 143 Leigh St, Clinton, NJ 08809-1311 | 2016-07-22 |
| 1386093201 | William Hudson Byrnes | Specialist/Technologist | 200 South Capitol Street, Clinton, MS 39058 | 2016-06-10 |
| 1841648359 | Shane Sigler | Specialist/Technologist | 69738 310th St, Clinton, MN 56225-2058 | 2016-05-25 |
| Find all providers in CLINTON | ||||
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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.