JEANCARLO ALENCASTRO (NPI# 1891025235) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891025235 |
| Entity Type | Individual |
| Full Name | JEANCARLO ALENCASTRO |
| Credential | ATC/L |
| Practice Address |
777 Cleveland Ave Sw Suite 406 Atlanta GA 30315-7101 |
| Mailing Address |
117 B Valleywood Rd Tyrone GA 30290 |
| Practice Telephone | 4042283112 |
| Practice Fax Number | 4047630135 |
| Mailing Telephone | 6788528091 |
| Enumeration Date | 2010-01-07 |
| Last Update Date | 2015-01-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AT001665 | GA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
777 CLEVELAND AVE SW SUITE 406 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30315-7101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083181341 | Erin Cole | Specialist/Technologist | Lakewood Ave Se, Atlanta, GA 30315 | 2018-10-25 |
| 1942701081 | Julie Crocker | Dental Hygienist | 1046 Ridge Ave. Sw, Atlanta, GA 30315 | 2018-02-23 |
| 1457695850 | Dominica Aquino Morales-gibson | Physical Therapist | 2850 Springdale Road Sw, Atlanta, GA 30315 | 2012-11-26 |
| 1912264813 | Maxwell Uhakheme | Internal Medicine | 6875 Douglas Blvd, Suite A, Kaiser Permanente Douglasville Medical Center, Douglasville, GA 30315 | 2012-04-16 |
| 1427329093 | Sulonda Smith | Counselor | 34 Atlanta Ave. Se, Hank Aaron Blvd, Atlanta, GA 30315 | 2012-01-13 |
| 1407152507 | Gerald Leroy Griffin | Pharmacist | 520 Boulevard, Atlanta, GA 30315 | 2011-02-07 |
| 1245404854 | Tunisia Finch Cornelius | Dermatology | 1039 Grant St Se Ste A-11, Atlanta, GA 30315 | 2008-04-15 |
| 1356512180 | Chandra Blakely | Counselor | 215 Lakewood Way, Suite 205, Atlanta, GA 30315 | 2008-03-19 |
| 1104043967 | Alvin H. Clair, M.d.p.c. | Dermatology | 777 Cleveland Ave.,sw Ste.500, Atlanta, GA 30315 | 2007-04-20 |
| 1396877742 | Scott M Russell | Speech-Language Pathologist | 1364 Clifton Road, Atlanta, GA 30315 | 2007-03-12 |
| Find all providers in zip 30315 | ||||
| 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 |
|---|---|---|---|---|
| 1376157933 | Jesus E Aviles | Specialist/Technologist | 755 Battery Ave Se, Atlanta, GA 30339-3017 | 2020-09-01 |
| 1407467590 | Samantha Jean Libby | Specialist/Technologist | 2550 Akers Mill Rd Se Apt F14, Atlanta, GA 30339-3271 | 2020-08-12 |
| 1063033033 | Katelynn Moore | Specialist/Technologist | 805 Mt Vernon Hwy Nw, Atlanta, GA 30327-4338 | 2020-04-30 |
| 1427689017 | Lorraine Kelly Mccall | Specialist/Technologist | 2241 Jernigan Dr Se, Atlanta, GA 30315-7557 | 2020-02-01 |
| 1962049577 | Yoichiro Shimada | Specialist/Technologist | 4222 Rickenbacker Dr Ne Unit 14, Atlanta, GA 30342-3768 | 2019-12-02 |
| 1245882398 | Jaycie Gail Emery | Specialist/Technologist | 5385 Peachtree Dunwoody Rd Apt 803, Atlanta, GA 30342-2167 | 2019-07-09 |
| 1053973313 | Robert Chavis | Specialist/Technologist | 150 Bobby Dodd Way Edge Building Athletic Training Room, Atlanta, GA 30332-0001 | 2019-07-07 |
| 1649832403 | Sarah Twomey | Specialist/Technologist | 1100 Circle 75 Pkwy Se Ste 1400, Atlanta, GA 30339-3067 | 2019-07-02 |
| 1881159028 | Brandon Norris Spires | Specialist/Technologist | 6000 S Terminal Pkwy, Atlanta, GA 30344 | 2019-02-01 |
| 1083181341 | Erin Cole | Specialist/Technologist | Lakewood Ave Se, Atlanta, GA 30315 | 2018-10-25 |
| Find all providers in ATLANTA | ||||
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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.