MRS. KELLY PIAZZA (NPI# 1770021917) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770021917 |
| Entity Type | Individual |
| Full Name | MRS. KELLY PIAZZA |
| Credential | MED, LAT, ATC |
| Practice Address |
17301 Old Vic Blvd Olney MD 20832-1603 |
| Practice Telephone | 2402833242 |
| Enumeration Date | 2017-02-08 |
| Last Update Date | 2017-02-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
A00202 | MD | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043560915 | Kelly J. Piazza | Physician Assistant | 1510 E Main St Ste 101, Santa Maria, CA 93454-4826 | 2012-09-18 |
| Street Address |
17301 OLD VIC BLVD |
| City | OLNEY |
| State | MD |
| Zip Code | 20832-1603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285026435 | Erin Will | Specialist/Technologist | 17301 Old Vic Blvd, Olney, MD 20832-1603 | 2015-02-25 |
| 1417585399 | Ashley Zajac | Specialist/Technologist | 17301 Old Vic Blvd, Olney, MD 20832-1603 | 2020-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417443532 | Ludmila Costenco | Behavior Technician | 18218 Fox Chase Cir, Olney, MD 20832 | 2018-07-02 |
| 1912422874 | Shannon Denham Nguy | Nurse Practitioner | 18109 Prince Philip Dr Ste 300, Olney, MD 20832 | 2017-08-11 |
| 1578092904 | Rodney John Bohlmann | Naturopath | 17517 Queen Elizabeth Drive, Olney, MD 20832 | 2017-06-08 |
| 1972999746 | Arooj Babar | Internal Medicine | 18101 Prince Philip Dr Ste 230n, Olney, MD 20832 | 2015-04-08 |
| 1437547684 | Cynthia Ann Cook | Social Worker | 18006 Vintage River Terrace, Olney, MD 20832 | 2014-12-22 |
| 1598165334 | Gedion Haile | Pharmacist | 3110 Onley Sandy Spring Rd, Onley, MD 20832 | 2014-08-29 |
| 1285047902 | Melanie Ann Grady | Family Medicine | 18109 Prince Phillip Drive, Suite B200, Olney, MD 20832 | 2014-06-10 |
| 1063847267 | Mari Nako Tchantcho | Home Health Aide | 17149 Moss Side Lane, Olney, MD 20832 | 2013-09-06 |
| 1033558358 | Emily Sue Browning | Dentist | 3416 Olandwood Court, Suite 205, Suite 205, Olney, MD 20832 | 2013-06-19 |
| 1487093167 | Centers for Advanced Orthopaedics, LLC | Orthopaedic Surgery | 3414 Olandwood Court, Olney, MD 20832 | 2013-06-17 |
| Find all providers in zip 20832 | ||||
| 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 |
|---|---|---|---|---|
| 1306471578 | Kari Sue Nohren | Specialist/Technologist | 305 N West St, Olney, IL 62450-1043 | 2020-03-09 |
| 1285026435 | Erin Will | Specialist/Technologist | 17301 Old Vic Blvd, Olney, MD 20832-1603 | 2015-02-25 |
| 1417585399 | Ashley Zajac | Specialist/Technologist | 17301 Old Vic Blvd, Olney, MD 20832-1603 | 2020-03-27 |
| 1134570898 | John Vipperman | Specialist/Technologist | 18109 Prince Philip Dr, Olney, MD 20832 | 2016-06-23 |
| 1366672081 | Jacob William Tucker | Specialist/Technologist | 800 E Locust St, Olney, IL 62450-2553 | 2009-07-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487253928 | Haleemah Muhaymin | Specialist/Technologist | 4701 Cedar Ct, Beltsville, MD 20705-2849 | 2020-10-24 |
| 1093328775 | Meghan Rose Pugh | Specialist/Technologist | 411 Penwood Dr, Edgewater, MD 21037-3441 | 2020-08-24 |
| 1023620978 | Tyler Francis Miller | Specialist/Technologist | 103 Cara Cove Rd, North East, MD 21901-5405 | 2020-08-21 |
| 1598376238 | Jessica Henslee | Specialist/Technologist | 8500 Paint Branch Dr, College Park, MD 20742-0001 | 2020-08-16 |
| 1164031811 | Deshanae Michelle Meaders | Specialist/Technologist | 2742 Lorring Dr Apt 204, District Heights, MD 20747-3434 | 2020-07-29 |
| 1487263760 | Patricia Ann Nativio | Specialist/Technologist | University of Maryland University Eastern Shore, William P Hytche Athletic Center, Princess Anne, MD 21801 | 2020-07-23 |
| 1871118810 | Jordyn Milan Brown | Specialist/Technologist | 9 Lee Airpark Dr # 400, Edgewater, MD 21037-1229 | 2020-06-16 |
| 1184249567 | Kirsten Helman | Specialist/Technologist | 23327 Ringgold Pike, Smithsburg, MD 21783-1114 | 2020-06-11 |
| 1902428188 | Dwanye D Molock | Specialist/Technologist | 11550 Crossroads Cir Unit 649, Middle River, MD 21220-2994 | 2020-05-11 |
| 1154942043 | Alysia Frances Henderson | Specialist/Technologist | 7675 Baltimore Avenue, Ritchie Coliseum 0100, College Park, MD 21144 | 2020-05-01 |
| Find all providers with the same taxonomy | ||||
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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.