LANCE GHOLSTON (NPI# 1851945513) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851945513 |
| Entity Type | Individual |
| Full Name | LANCE GHOLSTON |
| Practice Address |
301 W Warrior Trl Grand Prairie TX 75052-5718 |
| Practice Telephone | 9723431676 |
| Practice Fax Number | 9723431515 |
| Mailing Telephone | 9723431676 |
| Mailing Fax Number | 9723431515 |
| Enumeration Date | 2019-07-30 |
| Last Update Date | 2019-07-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AT4061 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
301 W WARRIOR TRL |
| City | GRAND PRAIRIE |
| State | TX |
| Zip Code | 75052-5718 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629590476 | Alexis Addison Anderson | Social Worker | 301 W Warrior Trl, Grand Prairie, TX 75052-5718 | 2017-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487265542 | Beyond Home Health Care LLC | Registered Nurse | 3531 Pecos Way, Grand Prairie, TX 75052 | 2020-08-12 |
| 1497370332 | Michael Cooper | Dentist | 3154 South Hwy 161 Ste 640, Grand Prairie, TX 75052 | 2020-06-16 |
| 1043835788 | Amanda Azubike | Licensed Practical Nurse | 4593 Mt Laurel Dr, Grand Prairie, TX 75052 | 2020-06-09 |
| 1457992844 | Epic West Family Dnetistry Pllc | Dentist | 3166 Sh 161, Ste 190, Grand Prairie, TX 75052 | 2019-10-07 |
| 1033777487 | National Vision Inc | Optometrist | 3166 South Highway 161, Suite 160, Grand Prairie, TX 75052 | 2019-05-31 |
| 1689136624 | Raushanah Taherrah Shareef-jefferson | Dental Hygienist | 831 Ridgecrest Rd, Grand Prairie, TX 75052 | 2019-04-01 |
| 1053812552 | Dfw Better Care Physicians, Pllc | Clinic/Center | 5204 Tx 360 #400, Grand Prairie, TX 75052 | 2018-02-21 |
| 1629586797 | Grand Prairie Marvel Dental Pllc | Clinic/Center | 5020 S Hwy 360, Suite 200, Grand Prairie, TX 75052 | 2018-01-11 |
| 1033626221 | Thad Taylor Iv Dds | Dentist | 3261 S. Carrier Pkwy., Grand Prairie, TX 75052 | 2018-01-09 |
| 1902312796 | Real Dental Pllc | Dentist | 1215 W. Pioneer Pkwy, Suite 130, Grand Prairie, TX 75052 | 2017-12-16 |
| Find all providers in zip 75052 | ||||
| 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 |
|---|---|---|---|---|
| 1538772082 | Oluwatomi C Kehinde | Specialist/Technologist | 1201 E Marshall Dr Apt C, Grand Prairie, TX 75051-5204 | 2020-08-25 |
| 1285269720 | Joshua Peralta | Specialist/Technologist | 3709 Lemon Dr, Grand Prairie, TX 75052-6614 | 2020-03-05 |
| 1639710130 | Randall Wayne Taylor II | Specialist/Technologist | 914 Clark Trl, Grand Prairie, TX 75052-2324 | 2019-10-05 |
| 1629533419 | Ann Meiners | Specialist/Technologist | 1221 E Seeton Rd, Grand Prairie, TX 75054-6713 | 2019-02-05 |
| 1588145510 | Alexia Rae Leal | Specialist/Technologist | 522 Newberry St, Grand Prairie, TX 75052-3420 | 2018-08-28 |
| 1669971370 | Justin Thomas Nadeau | Specialist/Technologist | 2880 N State Highway 360, Grand Prairie, TX 75050-6411 | 2018-02-08 |
| 1679091656 | Brian Fisher | Specialist/Technologist | 3509 Vista Circle, Grand Prairie, TX 75052 | 2017-08-30 |
| 1750833067 | Angela Batts | Specialist/Technologist | 2752 Garden Grove Rd, Grand Prairie, TX 75052-4431 | 2016-11-03 |
| 1477000883 | Marshall Anderson | Specialist/Technologist | 101 Gopher Boulevard, Grand Prairie, TX 75051 | 2016-09-01 |
| 1740665421 | Brittany Blunt | Specialist/Technologist | 3456 Braes Meadow Dr, Grand Prairie, TX 75052-8057 | 2015-07-23 |
| Find all providers in GRAND PRAIRIE | ||||
| City | GRAND PRAIRIE |
| Zip Code | 75052 |
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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.