TIFFANY ANN BEAUCHAMP (NPI# 1801380217) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801380217 |
| Entity Type | Individual |
| Full Name | TIFFANY ANN BEAUCHAMP |
| Credential | ATC |
| Practice Address |
9001 Summa Ave Baton Rouge LA 70809-3726 |
| Mailing Address |
5584 Highway 966 Saint Francisville LA 70775-7445 |
| Practice Telephone | 9852473275 |
| Mailing Telephone | 9852473275 |
| Enumeration Date | 2018-06-19 |
| Last Update Date | 2018-06-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
309228 | LA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
9001 SUMMA AVE |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70809-3726 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700888997 | Douglas K Mendoza | Internal Medicine | 9001 Summa Ave, Baton Rouge, LA 70809-3726 | 2005-06-01 |
| 1134696941 | Grace Elisabeth Mansfield | Nutritionist | 9001 Summa Ave, Baton Rouge, LA 70809-3726 | 2018-10-30 |
| 1437644739 | Blakeney Mcknight | Physician Assistant | 9001 Summa Ave, Baton Rouge, LA 70809-3726 | 2018-06-28 |
| 1265925515 | Aimee Elizabeth Lestage | Speech-Language Pathologist | 9001 Summa Ave, Baton Rouge, LA 70809-3726 | 2018-06-12 |
| 1053800599 | Tyesha Taylor | Nurse Practitioner | 9001 Summa Ave, Baton Rouge, LA 70809-3726 | 2018-05-09 |
| 1124479357 | Mary Hufft | Physician Assistant | 9001 Summa Ave, Baton Rouge, LA 70809-3726 | 2016-06-29 |
| 1144689399 | Rachelle Sanders | Nurse Practitioner | 9001 Summa Ave, Baton Rouge, LA 70809-3726 | 2016-02-16 |
| 1932568250 | Gina Heagy Braud | Dietitian, Registered | 9001 Summa Ave, Baton Rouge, LA 70809-3726 | 2016-02-15 |
| 1366816837 | Kelly Chambers Mendoza | Nurse Practitioner | 9001 Summa Ave, Baton Rouge, LA 70809-3726 | 2015-11-21 |
| 1174999734 | Alison Kuske Verlander | Physician Assistant | 9001 Summa Ave, Baton Rouge, LA 70809-3726 | 2015-08-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619582640 | Lisha Kerr Jacobsen | Counselor | 7936 Wrenwood Drive, Bldg # A, Baton Rouge, LA 70809 | 2020-09-15 |
| 1790301596 | Louisiana Regenerative Medicine Center | Clinic/Center | 9456 Jefferson Hwy St A, Baton Rouge, LA 70809 | 2020-06-18 |
| 1093337305 | Sew Luxe Customs, LLC | Prosthetic/Orthotic Supplier | 8674 Quarters Lake Road, Building 11 Suit 1, Baton Rouge, LA 70809 | 2020-05-08 |
| 1366903908 | Tamika Wyna Piper | Counselor | 11445 Reiger Road, Baton Rouge, LA 70809 | 2019-03-27 |
| 1548734213 | Urg-hab Surgical Specialists | Pain Medicine | 8558 Jefferson Hwy, Baton Rouge, LA 70809 | 2019-01-16 |
| 1205306610 | Monique West | Case Manager/Care Coordinator | 9441 Common Street, Suite B, Baton Rouge, LA 70809 | 2018-11-28 |
| 1679061618 | Sara Elizabeth Nicole Altaean | Massage Therapist | Ability Massage & Day Spa, 7656 Jefferson Hwy Suite 1a, Baton Rouge, LA 70809 | 2018-04-25 |
| 1871098921 | Gary Bernard Jr. | Massage Therapist | 7656 Jefferson Hwy Suite 1a, Baton Rouge, LA 70809 | 2018-03-29 |
| 1619476355 | De'andria Banks | Behavior Technician | 9150 Bareford Drive, Baton Rouge, LA 70809 | 2018-02-08 |
| 1427561679 | Angiogenesis Medical LLC | Durable Medical Equipment & Medical Supplies | 8032 Summa Ave Ste D, Baton Rouge, LA 70809 | 2017-11-09 |
| Find all providers in zip 70809 | ||||
| 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 |
|---|---|---|---|---|
| 1346848116 | Kerry Michael Ruiz | Specialist/Technologist | 2378 Kensington Dr, Baton Rouge, LA 70809-1210 | 2020-10-14 |
| 1770199531 | Ryan Petrossi | Specialist/Technologist | 11959 Nicholson Dr Apt 17304, Baton Rouge, LA 70810-7626 | 2020-09-17 |
| 1265068241 | Bryan C Hutson | Specialist/Technologist | 10200 E Brookside Dr, Baton Rouge, LA 70818-5499 | 2020-03-21 |
| 1013552512 | Kelly Stephens | Specialist/Technologist | 1 North Stadium Dr, Baton Rouge, LA 70803-0001 | 2019-11-08 |
| 1326681115 | Carlie Mays | Specialist/Technologist | 339 Florida St, Baton Rouge, LA 70801-1721 | 2019-10-24 |
| 1649822164 | Joshua Vaughn Bunch | Specialist/Technologist | Lsu Athletic Department, Athletic Training, North Stadium Drive, Baton Rouge, LA 70803 | 2019-07-15 |
| 1740832906 | Meghan Reid Jackson | Specialist/Technologist | 777 Summer Breeze Dr, Baton Rouge, LA 70810-6187 | 2019-07-09 |
| 1801455928 | Cory Couture | Specialist/Technologist | 15535 Babblingbrook Dr, Baton Rouge, LA 70816-3295 | 2019-06-12 |
| 1821554635 | Jolie Tang | Specialist/Technologist | 1 Swan St, Baton Rouge, LA 70813-2260 | 2019-02-17 |
| 1003371527 | Reagan Claire Skidmore | Specialist/Technologist | 17017 Culps Bluff Ave, Baton Rouge, LA 70817-3339 | 2019-02-08 |
| Find all providers in BATON ROUGE | ||||
| City | BATON ROUGE |
| Zip Code | 70809 |
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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.