BROOKE DAVIS (NPI# 1710371844) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710371844 |
| Entity Type | Individual |
| Full Name | BROOKE DAVIS |
| Practice Address |
59 College Ave Buckhannon WV 26201-2600 |
| Mailing Address |
3 Sussex Ct Bridgeport WV 26330-2816 |
| Practice Telephone | 3044738349 |
| Enumeration Date | 2015-03-26 |
| Last Update Date | 2015-03-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AT001329 | WV | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215554589 | Brooke Brianne Davis | Speech-Language Pathologist | 1406 Bellevue Rd, Dublin, GA 31021-2956 | 2020-07-02 |
| 1982231254 | Brooke Davis | Student in an Organized Health Care Education/Training Program | 1600 S Andrews Ave, Fort Lauderdale, FL 33316-2510 | 2020-03-25 |
| 1407491087 | Brooke Lynette Davis | Student in an Organized Health Care Education/Training Program | 2450 S Vine St, Denver, CO 80210-5264 | 2019-11-07 |
| 1003463969 | Brooke Alyssa Davis | Nurse Practitioner | 2630 E 7th St Ste 210, Charlotte, NC 28204-4319 | 2019-08-23 |
| 1720632615 | Brooke Davis | Health Educator | 2101 N Waldron St, Hutchinson, KS 67502-1197 | 2019-07-29 |
| 1629534979 | Brooke Renee Davis | Registered Nurse | 1340 Hal Greer Blvd, Huntington, WV 25701-0195 | 2019-02-12 |
| 1346753662 | Brooke Davis | Counselor | 111 N High St, Waverly, OH 45690 | 2017-11-08 |
| 1235686759 | Brooke Davis | Nurse Practitioner | 1302 Franklin Ave, Suite 4800, Normal, IL 61761-3551 | 2016-09-01 |
| 1437603636 | Brooke Davis | Social Worker | 12271 Us Highway 301 N, Parrish, FL 34219-8410 | 2016-08-05 |
| 1396128013 | Brooke Davis | Community Health Worker | 400 North East Third, Kingston, OK 73439 | 2015-06-30 |
| Street Address |
59 COLLEGE AVE |
| City | BUCKHANNON |
| State | WV |
| Zip Code | 26201-2600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558481515 | Rae Lee Emrick | Specialist/Technologist | 59 College Ave, West Virginia Wesleyan College, Buckhannon, WV 26201-2600 | 2007-03-30 |
| 1871144071 | Jacob Lee Hanshaw | Specialist/Technologist | 59 College Ave, Buckhannon, WV 26201-2600 | 2019-09-28 |
| 1679123848 | Toni Michelle Bolar | Specialist/Technologist | 59 College Ave, Buckhannon, WV 26201-2600 | 2019-09-18 |
| 1134779390 | Robert Daniel Martin | Specialist/Technologist | 59 College Ave, Buckhannon, WV 26201-2600 | 2019-09-18 |
| 1255994018 | Shelbi Holloman | Specialist/Technologist | 59 College Ave, Buckhannon, WV 26201-2600 | 2019-04-17 |
| 1487145769 | Community Care of West Virginia, Inc. | Clinic/Center | 59 College Ave, Buckhannon, WV 26201-2600 | 2018-05-23 |
| 1295128577 | Jun Matsuno | Specialist/Technologist | 59 College Ave, Buckhannon, WV 26201-2600 | 2015-03-11 |
| 1982096137 | Ira Edward Fowler IIi | Specialist/Technologist | 59 College Ave, Buckhannon, WV 26201-2600 | 2015-02-25 |
| 1780076117 | Chris Cole | Specialist/Technologist | 59 College Ave, Buckhannon, WV 26201-2600 | 2015-02-23 |
| 1871985200 | Jerelyn Rothrock | Specialist/Technologist | 59 College Ave, Buckhannon, WV 26201-2600 | 2015-02-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417570334 | Susan Boyce | Homemaker | 62692 Tallmasville Road, Buckhannon, WV 26201 | 2020-05-27 |
| 1316590177 | Jk Marketing, LLC | Clinic/Center | 4 Hartman Plaza, Buckhannon, WV 26201 | 2019-07-22 |
| 1841759412 | Deborah Lynn Wilson | Massage Therapist | 47 East Main St., Suite 202, Buckhann, WV 26201 | 2019-03-13 |
| 1275041766 | Town of Anmoore Vol Fire Dept | Ambulance | 100 S Ash Street, Anmoore, WV 26201 | 2018-01-18 |
| 1265824411 | Erik Brown | Specialist/Technologist | 36 College Avenue, Buckhannon, WV 26201 | 2015-02-25 |
| 1053735118 | Jonas Layne Phares | Chiropractor | Rt 20 Professional Arts Plaza Dr, Buckhannon, WV 26201 | 2014-02-10 |
| 1750621132 | Drew Foster Mason | Specialist/Technologist | 54 College Avenue, Box 1746, Buckhannon, WV 26201 | 2013-02-22 |
| 1295070241 | Cynthia Jean Hurst | Physician Assistant | 50 Bu Drive, Buckhannon, WV 26201 | 2012-12-03 |
| 1679876197 | Holly Evans | Pharmacist | Route 20 South, Buckhannon, WV 26201 | 2010-12-07 |
| 1407069990 | Upshur-buckhannon Health Department | Public Health or Welfare | 15 North Locust Street, Buckhannon, WV 26201 | 2007-05-08 |
| Find all providers in zip 26201 | ||||
| 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 |
|---|---|---|---|---|
| 1902457591 | Maggie Tomlinson | Specialist/Technologist | 59 College Ave # Msc1667, Buckhannon, WV 26201-2600 | 2019-09-25 |
| 1104390004 | Trey Short | Specialist/Technologist | 417 Red Rock Rd, Buckhannon, WV 26201-6024 | 2019-01-14 |
| 1699217521 | Emily Boggs | Specialist/Technologist | 120 Buckhannon Crossroads, #112, Buckhannon, WV 26201-8476 | 2016-11-09 |
| 1265824411 | Erik Brown | Specialist/Technologist | 36 College Avenue, Buckhannon, WV 26201 | 2015-02-25 |
| 1417349846 | John Ponton Jr. | Specialist/Technologist | 270 Bu Dr, Buckhannon, WV 26201-9689 | 2015-02-23 |
| 1750621132 | Drew Foster Mason | Specialist/Technologist | 54 College Avenue, Box 1746, Buckhannon, WV 26201 | 2013-02-22 |
| 1043429061 | Tammie Jo Hammon | Specialist/Technologist | 59 College Ave # 1795, Buckhannon, WV 26201-2600 | 2007-05-22 |
| 1558481515 | Rae Lee Emrick | Specialist/Technologist | 59 College Ave, West Virginia Wesleyan College, Buckhannon, WV 26201-2600 | 2007-03-30 |
| 1679601199 | Michael D Moore | Specialist/Technologist | 50 B U Dr, Buckhannon, WV 26201-9411 | 2007-02-28 |
| 1457402604 | John Zubal | Specialist/Technologist | 59 College Ave West Virginia Wesleyan Athletic Training, Buckhannon, WV 26201 | 2007-01-15 |
| Find all providers in BUCKHANNON | ||||
| City | BUCKHANNON |
| Zip Code | 26201 |
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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.