SHANTASIA WIMBERLY (NPI# 1831592682) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831592682 |
| Entity Type | Individual |
| Full Name | SHANTASIA WIMBERLY |
| Credential | ATC |
| Practice Address |
5070 Warm Springs Rd Apt 106 Columbus GA 31909-4172 |
| Practice Telephone | 4044228584 |
| Mailing Telephone | 4044228584 |
| Enumeration Date | 2014-10-07 |
| Last Update Date | 2015-04-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
5070 WARM SPRINGS RD APT 106 |
| City | COLUMBUS |
| State | GA |
| Zip Code | 31909-4172 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235747403 | Abundant Heart Healthcare Solution, LLC | Adult Companion | 6361 Talokas Lane, Ste C 140-279, Columbus, GA 31909 | 2020-07-14 |
| 1477185791 | Shandis Denise Phaneuf | Licensed Practical Nurse | 6545 Gregg Dr, Columbus, GA 31909 | 2020-02-05 |
| 1164086203 | Brock Musick | Physical Therapist | 100 First Court, Columbus, GA 31909 | 2019-04-24 |
| 1407340037 | Courtney Patterson | Behavior Technician | 5900 Warm Springs Road, Suite J, Columbus, GA 31909 | 2018-06-18 |
| 1225543515 | Oral & Facial Surgery of East Alabama, LLC | Dentist | 4405 N Stadium Drive, Suite A, Columbus, GA 31909 | 2017-12-08 |
| 1528577368 | Courtney Anne Young | Nurse Practitioner | 2700 Double Churches Rd, Apt 1207, Columbus, GA 31909 | 2017-09-25 |
| 1427573542 | Megan Renee Kwon | Dietitian, Registered | 4343 Warm Springs Road Apt. 110, Columbus, GA 31909 | 2017-08-09 |
| 1942659305 | Stephanie Mcghee | Dental Hygienist | 4835 Turnberry Lane, Columbus, GA 31909 | 2016-06-07 |
| 1770932162 | Tammy Allen | Dental Assistant | 701 Hoff Rd Building 9240, Ft. Benning, GA 31909 | 2016-06-07 |
| 1003265406 | Rhonda Mills | Dental Assistant | 7101 Hoff Rd Building 9240, Ft. Benning, GA 31909 | 2016-06-07 |
| Find all providers in zip 31909 | ||||
| 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 |
|---|---|---|---|---|
| 1700486313 | Jenifer Bojanowski | Specialist/Technologist | 1009 Parkleigh Rd, Columbus, OH 43220-4041 | 2020-11-01 |
| 1295332914 | Cayla Mckeon | Specialist/Technologist | 11 W 11th St Apt 17, Columbus, GA 31901-4239 | 2020-10-06 |
| 1558973495 | Kaitlyn Anne Burnham | Specialist/Technologist | 3003 White Bark Pl, Columbus, OH 43221-4738 | 2020-08-21 |
| 1053922211 | Derek Lutz | Specialist/Technologist | 834 Thurber Dr W Apt 25, Columbus, OH 43215-1278 | 2020-08-12 |
| 1083224380 | Hailee Wilhelm | Specialist/Technologist | 7733 Candlewood Ln, Columbus, OH 43235-1625 | 2020-08-03 |
| 1083232623 | Jessica Caroline Steger | Specialist/Technologist | 8823 Evening Star Rd, Columbus, OH 43240-1106 | 2020-07-09 |
| 1447877360 | Jalisa Howard | Specialist/Technologist | 2621 Weyburn Rd, Columbus, OH 43232-4824 | 2020-06-26 |
| 1619513231 | Barbara Anna Hausmann | Specialist/Technologist | 9375 Conway Dr Bldg 3425, Columbus, GA 31905-5920 | 2019-11-19 |
| 1417507393 | Zachary Gordon Moss | Specialist/Technologist | 223 Pine Branch Cir, Columbus, GA 31909-2121 | 2019-09-12 |
| 1083173371 | Alexis Richardson | Specialist/Technologist | 2125 N High St, Columbus, OH 43210-1127 | 2019-03-15 |
| Find all providers in COLUMBUS | ||||
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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.