ALEXIS MIEDICO (NPI# 1811546518) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811546518 |
| Entity Type | Individual |
| Full Name | ALEXIS MIEDICO |
| Practice Address |
315 Turnpike St North Andover MA 01845-5806 |
| Mailing Address |
4 Quail Run Rd Windham NH 03087-1257 |
| Practice Telephone | 6035602232 |
| Enumeration Date | 2019-09-05 |
| Last Update Date | 2019-09-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | U2345020504 | 05 |
| Street Address |
315 TURNPIKE ST |
| City | NORTH ANDOVER |
| State | MA |
| Zip Code | 01845-5806 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972562338 | Carol Baumgarten | Nurse Practitioner | 315 Turnpike St, North Andover, MA 01845-5806 | 2006-03-22 |
| 1770199242 | Hope Tula | Student in an Organized Health Care Education/Training Program | 315 Turnpike St, North Andover, MA 01845-5800 | 2020-09-21 |
| 1043856594 | Kerry Madden | Specialist/Technologist | 315 Turnpike St, North Andover, MA 01845-5806 | 2019-11-20 |
| 1528617909 | Gabrielle Beijer | Specialist/Technologist | 315 Turnpike St, North Andover, MA 01845-5806 | 2019-09-09 |
| 1710536131 | Gabrielle Rego Vieira | Student in an Organized Health Care Education/Training Program | 315 Turnpike St, North Andover, MA 01845-5806 | 2019-09-09 |
| 1801445358 | Brandon Matthews | Specialist/Technologist | 315 Turnpike St, North Andover, MA 01845-5806 | 2019-09-07 |
| 1417506957 | Letti R Hibbard | Student in an Organized Health Care Education/Training Program | 315 Turnpike St, North Andover, MA 01845-5800 | 2019-09-07 |
| 1114576964 | Taylor Marie Hoagland | Specialist/Technologist | 315 Turnpike St, North Andover, MA 01845-5806 | 2019-09-04 |
| 1811546773 | Samantha Vitale | Specialist/Technologist | 315 Turnpike St, North Andover, MA 01845-5806 | 2019-09-04 |
| 1073072922 | Nicolas Stratton | Specialist/Technologist | 315 Turnpike St, North Andover, MA 01845-5806 | 2019-03-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780222091 | Bh Brightview North Andover Opco, LLC | Alzheimer Center (Dementia Center) | 1275 Turnpike Street, North Andover, MA 01845 | 2019-12-17 |
| 1770132052 | Nancy Boshar | Social Worker | 109 Saw Mill Road, North Andover, MA 01845 | 2019-09-09 |
| 1497307854 | Maria Nappa | Nurse Practitioner | 47 High Street, Suite 101, North Andover, MA 01845 | 2019-07-15 |
| 1235794041 | North Andover Women's Care Pllc | Obstetrics & Gynecology | 100 Andover Bypass, Suite 300, North Andover, MA 01845 | 2019-05-07 |
| 1891278040 | Kristen Dee | Counselor | 6 Garnet Circle, North Andover, MA 01845 | 2018-09-13 |
| 1154809770 | Oped Medical, Inc. | Durable Medical Equipment & Medical Supplies | 37 Flagship Drive, North Andover, MA 01845 | 2018-08-06 |
| 1902382658 | Barry Myers | Physical Therapist | 231 Sutton Street, Suite 1c, North Andover, MA 01845 | 2018-07-16 |
| 1174042337 | Beth Israel Lahey Health Primary Care, Inc. | Internal Medicine | Lahey Health Primary Care, North Andover, 170 Pleasant St., N. Andover, MA 01845 | 2017-09-19 |
| 1174041792 | Eric Tweedie | Specialist/Technologist | 72 Fernview Ave Apt 2, North Andover, MA 01845 | 2017-09-04 |
| 1043734379 | Hiron Health | Internal Medicine | 820a Turnpike Street, North Andover, MA 01845 | 2017-07-28 |
| Find all providers in zip 01845 | ||||
| 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 |
|---|---|---|---|---|
| 1306451091 | Stephanie Wilson | Specialist/Technologist | 315 Turnpike St Stop 2247, North Andover, MA 01845-5800 | 2020-09-10 |
| 1467067116 | Devon Choi | Specialist/Technologist | Merrimack College, 315 Turnpike St, North Andover, MA 01845-0184 | 2020-09-10 |
| 1811538044 | Elvin Cheung | Specialist/Technologist | 315 Turnpike St # Ms 4925, North Andover, MA 01845-5806 | 2019-09-29 |
| 1336798453 | Christopher Cervantes | Specialist/Technologist | 1160 Great Pond Rd, North Andover, MA 01845-1206 | 2019-09-11 |
| 1760031561 | Kaitlyn Marie Maguire | Specialist/Technologist | 315 Turnpike St # 3381, North Andover, MA 01845-5800 | 2019-09-05 |
| 1174041792 | Eric Tweedie | Specialist/Technologist | 72 Fernview Ave Apt 2, North Andover, MA 01845 | 2017-09-04 |
| 1932629482 | Christopher James Crawley Jr. | Specialist/Technologist | 315 Turnpike St # 2380, North Andover, MA 01845-5806 | 2017-06-26 |
| 1528459013 | Alison Mccarthy | Specialist/Technologist | 393 Sutton St, North Andover, MA 01845-1516 | 2015-02-05 |
| 1043856594 | Kerry Madden | Specialist/Technologist | 315 Turnpike St, North Andover, MA 01845-5806 | 2019-11-20 |
| 1528617909 | Gabrielle Beijer | Specialist/Technologist | 315 Turnpike St, North Andover, MA 01845-5806 | 2019-09-09 |
| Find all providers in NORTH ANDOVER | ||||
| City | NORTH ANDOVER |
| Zip Code | 01845 |
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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.