CHRISTINE CLANCY (NPI# 1730324559) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730324559 |
| Entity Type | Individual |
| Full Name | CHRISTINE CLANCY |
| Credential | MAT, LAT, ATC |
| Practice Address |
150 W University Blvd Melbourne FL 32901-6982 |
| Practice Telephone | 3216748438 |
| Mailing Telephone | 3216748438 |
| Enumeration Date | 2008-12-08 |
| Last Update Date | 2014-07-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AT001560 | GA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487677084 | Christine Nieroda Clancy | Nurse Practitioner | 211 S. 9th Street, Suite 600, Philadelphia, PA 19107 | 2006-07-25 |
| 1184813776 | Christine Anne Clancy | Clinical Neuropsychologist | 4800 Sand Point Way Ne, M/s W-6839, Seattle, WA 98105-3901 | 2007-10-18 |
| Street Address |
150 W UNIVERSITY BLVD |
| City | MELBOURNE |
| State | FL |
| Zip Code | 32901-6982 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053492397 | Michael E Kelley | Psychologist | 150 W University Blvd, Melbourne, FL 32901-6982 | 2006-10-17 |
| 1124632328 | Maasa Nishimuta | Behavior Technician | 150 W University Blvd, Melbourne, FL 32901-6982 | 2020-09-04 |
| 1861005548 | Blake Churchman | Behavioral Analyst | 150 W University Blvd, Melbourne, FL 32901-6982 | 2020-08-24 |
| 1780296996 | Bailey Bauman | Behavior Technician | 150 W University Blvd, Melbourne, FL 32901-6982 | 2020-08-19 |
| 1245842749 | Soray Nicole Castro | Behavioral Analyst | 150 W University Blvd, Melbourne, FL 32901-6982 | 2020-08-18 |
| 1932710589 | Haley Nicole Harber | Behavior Technician | 150 W University Blvd, Melbourne, FL 32901-6982 | 2020-08-16 |
| 1841801495 | Kailey Taylor Cravo | Behavior Technician | 150 W University Blvd, Melbourne, FL 32901-6982 | 2020-08-16 |
| 1083225155 | Eliza Jane Goben | Behavior Technician | 150 W University Blvd, Melbourne, FL 32901-6982 | 2020-08-12 |
| 1811508955 | Shauna Marie Blady | Behavior Technician | 150 W University Blvd, Melbourne, FL 32901-6982 | 2020-08-12 |
| 1609408244 | Autumn Grant | Behavioral Analyst | 150 W University Blvd, Melbourne, FL 32901-6982 | 2020-02-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467062943 | George Pappas | Anesthesiologist Assistant | 1775 W. Hibiscus Blvd., Ste 215, Melbourne, FL 32901 | 2020-08-09 |
| 1124676820 | Abbi Dell Lee | Behavioral Analyst | 3251 Engineering St, Melbourne, FL 32901 | 2019-08-27 |
| 1750856878 | Jeffrey Michael Cavanagh | Behavior Technician | 3251 Engineering Street, Melbourne, FL 32901 | 2018-10-04 |
| 1740766021 | Amanda Miller | Behavior Technician | 1885 W Hibiscus Blvd, Melbourne, FL 32901 | 2018-07-19 |
| 1396244406 | Dragen II LLC | Urology | 129 W Hibiscus Blvd Ste D, Melbourne, FL 32901 | 2018-02-03 |
| 1225550692 | Cabrit Psychotherapy Services LLC | Marriage & Family Therapist | 100 Rialto Place, Suite 700, Melbourne, FL 32901 | 2017-07-07 |
| 1487188058 | Project Response, Inc. | Clinic/Center | 747 S. Apollo Boulevard, Melbourne, FL 32901 | 2017-04-20 |
| 1184174575 | Paulette Swanson | Physical Therapist | 611 East Sheridan Rd, Melbourne, FL 32901 | 2016-10-10 |
| 1841747839 | Nicholas Wilson | Social Worker | 3661 S. Babcock St., Melbourne, FL 32901 | 2016-09-07 |
| 1467804278 | Nickolas Hetherington | Occupational Therapist | 1900 S Harbor City Blvd Ste 108, Melbourne, FL 32901 | 2016-07-05 |
| Find all providers in zip 32901 | ||||
| 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 |
|---|---|---|---|---|
| 1356985188 | Shannon Carmody | Specialist/Technologist | 4063 Estancia Way, Melbourne, FL 32934-8709 | 2019-11-05 |
| 1558833731 | Deborah J Gaffney | Specialist/Technologist | 3060 Kershaw Court, Melbourne, FL 32934 | 2018-12-27 |
| 1801313051 | Michael Joespeh Mcgovern | Specialist/Technologist | 4121 Long Leaf Dr, Melbourne, FL 32940-1462 | 2017-08-28 |
| 1174058572 | Brandon Hudnall | Specialist/Technologist | 2231 Hampton Greens Blvd, Apt 105, Melbourne, FL 32935-5637 | 2017-04-24 |
| 1750822011 | Kayleen Laurendi | Specialist/Technologist | 2489 Kingdom Ave, Melbourne, FL 32934-7585 | 2017-03-19 |
| 1508228685 | Megan Delgaudio | Specialist/Technologist | 4773 Outlook Dr, Melbourne, FL 32940-2333 | 2016-03-28 |
| 1659768885 | Cassandra Mall | Specialist/Technologist | 521 Briarcliff Ct, Melbourne, FL 32940-8122 | 2015-04-26 |
| 1508020934 | Stephen Gober IIi | Specialist/Technologist | 5600 Stadium Pkwy, Melbourne, FL 32940-8001 | 2008-07-15 |
| 1578762969 | Sandor Melian | Specialist/Technologist | 2010 W Eau Gallie Blvd Unit 104, Melbourne, FL 32935-4033 | 2007-07-16 |
| 1568671147 | Shannon Cooper Mcmahon | Specialist/Technologist | 100 E Florida Ave, Melbourne, FL 32901-8302 | 2007-05-21 |
| Find all providers in MELBOURNE | ||||
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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.