MR. KEVIN M SHEAMON (NPI# 1710470166) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710470166 |
| Entity Type | Individual |
| Full Name | MR. KEVIN M SHEAMON |
| Credential | ATC |
| Practice Address |
470 Western Hwy Orangeburg NY 10962-1210 |
| Mailing Address |
100 Woodhills Dr Apt 112 Goshen NY 10924-1421 |
| Practice Telephone | 8458486003 |
| Mailing Telephone | 8458007614 |
| Enumeration Date | 2018-06-11 |
| Last Update Date | 2018-06-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
2000032471 | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
470 WESTERN HWY |
| City | ORANGEBURG |
| State | NY |
| Zip Code | 10962-1210 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790892875 | Cameron Hillis | Specialist/Technologist | 470 Western Hwy, Orangeburg, NY 10962-1210 | 2006-08-24 |
| 1154807378 | Victoria Jelenek | Specialist/Technologist | 470 Western Hwy, Orangeburg, NY 10962-1210 | 2018-07-11 |
| 1487176558 | Kayla Rosario | Specialist/Technologist | 470 Western Hwy, Orangeburg, NY 10962-1210 | 2017-07-11 |
| 1407093966 | Eva Humbach | Nurse Practitioner | 470 Western Hwy, Orangeburg, NY 10962-1210 | 2009-01-20 |
| 1972756203 | Lynda A. Chesterman | Nurse Practitioner | 470 Western Hwy, Orangeburg, NY 10962-1210 | 2008-10-30 |
| 1073710570 | Samantha A James | Specialist/Technologist, Other | 470 Western Hwy, Orangeburg, NY 10962-1210 | 2007-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346730298 | Bv Lake Tappan Operator LLC | Alzheimer Center (Dementia Center) | 31 Hunt Road, Orangeburg, NY 10962 | 2018-05-16 |
| 1659681369 | Vanessa Jean Mckay | Acupuncturist | 516 Route 303 Suite #3, Orangeburg, NY 10962 | 2010-10-15 |
| 1144535766 | Theodora Andreopoulos | Pharmacist | 1 Orangeburg Road, Orangeburg, NY 10962 | 2010-08-09 |
| 1083925598 | Scott David Cicero | Psychologist | 2 First Ave., Orangeburg, NY 10962 | 2010-06-30 |
| 1003135849 | Kerry Deanna Davis | Social Worker | 140 Old Orangeburg Rd, Building #1, Orangeburg Bilingual Clinic-english/asl, Rockland Psych, Orangeburg, NY 10962 | 2010-05-19 |
| 1730407271 | Anthony Zuccaro | Social Worker | 140 Old Orangeburg Road, Rockland Psychiatric Center, Orangeburg, NY 10962 | 2010-05-07 |
| 1750511960 | Eileen Elizabeth Buckley | Nurse Practitioner | 32 Fairview Lane, Orangeburg, NY 10962 | 2009-07-22 |
| 1528296464 | Lisa Kubie | Nurse Practitioner | 140 Old Orangeburg Rd., Building 57 Fourth Floor, Orangeburg, NY 10962 | 2009-06-30 |
| 1518147248 | Susan M. Nordstrom | Registered Nurse | 67 Dutch Hollow Dr, Orangeburg, NY 10962 | 2007-11-09 |
| 1386787786 | Ralph A Nixon | Psychiatry & Neurology | Nathan Kline Institute, Orangeburg, NY 10962 | 2007-02-15 |
| Find all providers in zip 10962 | ||||
| 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 |
|---|---|---|---|---|
| 1578097697 | Briana Newman | Specialist/Technologist | 269 Murray Rd, Orangeburg, SC 29115-7639 | 2017-04-14 |
| 1225570419 | Tiffany Davis | Specialist/Technologist | 400 Magnolia St, Orangeburg, SC 29115-6815 | 2016-11-06 |
| 1982012696 | Jeremy Morry Eith | Specialist/Technologist | 300 College Street, Orangeburg, SC 29115 | 2014-07-25 |
| 1194049650 | Craig Ashley Harward | Specialist/Technologist | S Carolina State University, 300 College Street, N.e., Orangeburg, SC 29117-0001 | 2010-03-26 |
| 1790892875 | Cameron Hillis | Specialist/Technologist | 470 Western Hwy, Orangeburg, NY 10962-1210 | 2006-08-24 |
| 1255368908 | George Harkness | Specialist/Technologist | 300 College St Ne, Orangeburg, SC 29117-0001 | 2006-06-27 |
| 1538135629 | Jennifer Michelle Tacinelli-hach | Specialist/Technologist | 470 Western Highway, Prusmack Hall #323, Orangeburg, NY 10962 | 2006-02-27 |
| 1003438771 | Bria Adams | Specialist/Technologist | 300 College Ave, Orangeburg, SC 29115-4427 | 2020-05-15 |
| 1154807378 | Victoria Jelenek | Specialist/Technologist | 470 Western Hwy, Orangeburg, NY 10962-1210 | 2018-07-11 |
| 1487176558 | Kayla Rosario | Specialist/Technologist | 470 Western Hwy, Orangeburg, NY 10962-1210 | 2017-07-11 |
| Find all providers in ORANGEBURG | ||||
| City | ORANGEBURG |
| Zip Code | 10962 |
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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.