CAROLE RIDER (NPI# 1700282860) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700282860 |
| Entity Type | Individual |
| Full Name | CAROLE RIDER |
| Practice Address |
418 W Minnesota St Brookhaven MS 39601-3764 |
| Practice Telephone | 6016691995 |
| Mailing Telephone | 6016691995 |
| Enumeration Date | 2014-11-17 |
| Last Update Date | 2014-11-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
ATO457 | MS | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
418 W MINNESOTA ST |
| City | BROOKHAVEN |
| State | MS |
| Zip Code | 39601-3764 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093329633 | Mary Lindsey Lumley | Nurse Practitioner | 620 Hwy 51, Brookhaven, MS 39601 | 2020-09-01 |
| 1306371687 | Rocky Mountain Holdings, LLC | Ambulance | 411 Highway 51 N, Brookhaven, MS 39601 | 2017-04-25 |
| 1043759269 | Candace C Turner | Counselor | 860 E River Pl Suite 100, Jackson, MS 39601 | 2017-02-21 |
| 1619419694 | Therapy Nook PC | Speech-Language Pathologist | 520 Schwem Avenue, Brookhaven, MS 39601 | 2016-11-08 |
| 1851742639 | Melanie Smith | Specialist/Technologist | 325 Low Water Lane, Brookhaven, MS 39601 | 2016-06-23 |
| 1134597107 | Passionate Care Home Health,llc | Home Health | 537 St Charles Places, Brookhaven, MS 39601 | 2015-09-09 |
| 1205218690 | Nurse Practitioner Professionals, Pllc | Clinic/Center | 427 Highway 51 Se, Kings Daughters Medical Center-wound Healing Center, Brookhaven, MS 39601 | 2015-06-23 |
| 1043639289 | Joseph S Moak Jr Md Pa | Internal Medicine | 1040 Biglane Drive, Brookhaven, MS 39601 | 2014-04-15 |
| 1902239197 | Melanie Hammill Bishop | Pharmacist | 427 Ms Highway 51 North, Brookhaven, MS 39601 | 2013-08-12 |
| 1386930113 | Hospice Advantage, LLC. | Hospice Care, Community Based | 120 W Cherokee St, Brookhaven, MS 39601 | 2011-06-20 |
| Find all providers in zip 39601 | ||||
| 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 |
|---|---|---|---|---|
| 1164049136 | Levi William Wilson | Specialist/Technologist | 1575 N East Expy Ne, Brookhaven, GA 30329-2401 | 2020-06-25 |
| 1851742639 | Melanie Smith | Specialist/Technologist | 325 Low Water Lane, Brookhaven, MS 39601 | 2016-06-23 |
| 1023488558 | Keisuke Kagawa | Specialist/Technologist | 2803 Clairmont Rd Ne, Apartment C, Brookhaven, GA 30329-2627 | 2015-09-26 |
| 1467065441 | Aja Nicole Benn | Specialist/Technologist | 1968 Hawks Ln Ne Ste 200, Brookhaven, GA 30329-2283 | 2020-08-28 |
| 1730657024 | Paige Constance Mccririe | Specialist/Technologist | 4484 Peachtree Rd Ne, Brookhaven, GA 30319-2797 | 2018-11-05 |
| 1518459262 | Samantha Marie Falcone | Specialist/Technologist | 1968 Hawks Ln Ne, Brookhaven, GA 30329 | 2018-05-30 |
| 1598117749 | Tina Thomas | Specialist/Technologist | 507 Highway 51 N, Brookhaven, MS 39601-2334 | 2016-07-11 |
| 1902278997 | Kimberly Burr | Specialist/Technologist | 507 Highway 51 N, Brookhaven, MS 39601-2334 | 2015-10-29 |
| 1518306208 | Lee Dunaway | Specialist/Technologist | 507 Highway 51 N, Brookhaven, MS 39601-2334 | 2013-06-17 |
| 1083053763 | Dara E Moak | Specialist/Technologist | 507 Highway 51 N, Brookhaven, MS 39601-2334 | 2013-06-17 |
| Find all providers in BROOKHAVEN | ||||
| City | BROOKHAVEN |
| Zip Code | 39601 |
Please comment or provide details below to improve the information on CAROLE RIDER.
| 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.