MARYELLEN HOLE (NPI# 1841825239) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841825239 |
| Entity Type | Individual |
| Full Name | MARYELLEN HOLE |
| Practice Address |
1600 Stadium Drive Prairie View TX 77446 |
| Mailing Address |
Po Box 519 - Ms 1500 Prairie View TX 77446 |
| Practice Telephone | 9362613965 |
| Enumeration Date | 2020-03-06 |
| Last Update Date | 2020-03-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AT5720 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1600 STADIUM DRIVE |
| City | PRAIRIE VIEW |
| State | TX |
| Zip Code | 77446 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063059350 | Kayla Martinez Johnson | Psychologist | 1125 Reda Bland Evans St, Prairie View, TX 77446 | 2019-12-05 |
| 1063940369 | Ruth Smith | Nurse Practitioner | 1125 Reda Bland Evans Street, Owens-franklin Health Center, Prairie View A&m Universi, Prairie View, TX 77446 | 2017-05-31 |
| 1013327253 | Amor Supply | Durable Medical Equipment & Medical Supplies | 20707 Emerald Dr., Prairie View, TX 77446 | 2014-04-28 |
| 1295079317 | Star of Texas Home Health LLC | Home Health | 509 Ellen Powell Dr, Prairie View, TX 77446 | 2012-11-15 |
| 1649579533 | Owens Franklin Health Center, Prairie View A&m University | Clinic/Center | Ofhc, Reda Bland Evans @ O. J. Baker Street, Prairie View A&m University, Prairie View, TX 77446 | 2011-03-18 |
| 1316101009 | Sarah B Williams | Social Worker | 205 Hill St, Prairie View, TX 77446 | 2008-07-11 |
| 1689725723 | Christopher Ethan Bartholomew | Dentist | 528 Bus Hwy 290, Prairie View, TX 77446 | 2007-01-16 |
| 1639239874 | Prairie View A&m University | Clinic/Center | 1125 Reda Bland & Oj Baker St, Prairie View, TX 77446 | 2006-12-11 |
| 1962578831 | Glenn Edward Berry | Internal Medicine | Oj Baker At Reda Bland Evans, Prairie View, TX 77446 | 2006-11-24 |
| 1790850691 | Fort Bend Family Health Center, Inc. | Clinic/Center | Reda Bland Evans At O.j. Baker Street, Owen Franklin Health Ctr, 2nd Fl., Prairie View A&m, Prairie View, TX 77446 | 2006-11-24 |
| Find all providers in zip 77446 | ||||
| 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 |
|---|---|---|---|---|
| 1255932562 | Kyndall Leigh Soukup | Specialist/Technologist | 16002 Rosethorn Ct, Cypress, TX 77429-3490 | 2020-11-03 |
| 1447850631 | Claire Oliver-dehaven | Specialist/Technologist | 7012 Ridgetop Rd, North Richland Hills, TX 76182-3331 | 2020-10-28 |
| 1609476894 | Tessa Mcelroy | Specialist/Technologist | 1606 Trail Glen Ct, Pantego, TX 76013-3152 | 2020-10-28 |
| 1265031702 | Kiana Angelique Leveston | Specialist/Technologist | 2820 W Frey St Apt 7209, Stephenville, TX 76401-1905 | 2020-10-24 |
| 1205435856 | Jessica Moreno | Specialist/Technologist | 3718 Duck Creek Dr, Garland, TX 75043-2962 | 2020-10-23 |
| 1437758612 | Dina Y Scott | Specialist/Technologist | 107 N Greenville Ave Ste B, Allen, TX 75002-9161 | 2020-10-20 |
| 1275131864 | Kasie Bell | Specialist/Technologist | 215 Richland Dr, Kilgore, TX 75662-2049 | 2020-10-15 |
| 1184222663 | Zachary Mitchell Kimo Mitsui | Specialist/Technologist | 7311 Bluestone Rd, San Antonio, TX 78249 | 2020-10-15 |
| 1538766191 | Francisco Ruben Perez | Specialist/Technologist | 2503 6th St, Lubbock, TX 79409-9806 | 2020-10-07 |
| 1356958128 | Brandi Neeley | Specialist/Technologist | 12131 Kirby Dr, Houston, TX 77045-4857 | 2020-09-25 |
| Find all providers with the same taxonomy | ||||
| City | PRAIRIE VIEW |
| Zip Code | 77446 |
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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.