TREVOR ANDREW SHIM (NPI# 1902423593) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902423593 |
| Entity Type | Individual |
| Full Name | TREVOR ANDREW SHIM |
| Practice Address |
1185 Mountain Creek Rd Apt 209 Chattanooga TN 37405-1650 |
| Practice Telephone | 4783967898 |
| Mailing Telephone | 4783967898 |
| Enumeration Date | 2020-06-29 |
| Last Update Date | 2020-06-29 |
| Gender Code | M |
| 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 | ||
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
1185 MOUNTAIN CREEK RD APT 209 |
| City | CHATTANOOGA |
| State | TN |
| Zip Code | 37405-1650 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649878059 | Natasha A Anderson | Social Worker | 711 Signal Mountain Rd., 241, Chattanooga, TN 37405 | 2020-10-16 |
| 1093340333 | Dave Aitken | Chiropractor | 110 Woodland Ave., Chattanooga, TN 37405 | 2020-03-06 |
| 1285127944 | Kristin Stark | Marriage & Family Therapist | 1307 Hixson Pike, Chattanooga, TN 37405 | 2018-06-07 |
| 1205339033 | Ignite Chiropractic, LLC | Chiropractor | 200 Manufacturers Rd, Ste 210, Chattanooga, TN 37405 | 2018-03-18 |
| 1710486881 | Alexis Beasley Gaylor | Specialist/Technologist | 1185 Mountian Creek Road, Apt 405, Chattanooga, TN 37405 | 2018-02-05 |
| 1821538562 | Red Bank Operations, LLC | Skilled Nursing Facility | 1020 Runyan Drive, Chattanooga, TN 37405 | 2017-02-28 |
| 1619414166 | Jacquelyn Ann Casey | Social Worker | 201 Frazier Avenue, Suite E, Chattanooga, TN 37405 | 2017-01-23 |
| 1154876746 | Joan Stewart Mickles | Counselor | 9 Fairhills Drive, Chattanooga, TN 37405 | 2016-08-24 |
| 1750741088 | Weena Rivera | Counselor | 936 Mountain Creek Rd E-59, Apt E59, Chattanooga, TN 37405 | 2016-02-29 |
| 1063814515 | Mcallister Personal Care Consultants | Home Health | 419 N. Market Street, Chattanooga, TN 37405 | 2014-09-16 |
| Find all providers in zip 37405 | ||||
| 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 |
|---|---|---|---|---|
| 1437776143 | Kayla Hayes | Specialist/Technologist | 305 W Bell Ave, Chattanooga, TN 37405-3401 | 2020-06-29 |
| 1659998367 | Kristopher Ace Ippolito | Specialist/Technologist | 212 Walnut St Apt 254, Chattanooga, TN 37403-4400 | 2020-06-29 |
| 1710504469 | Shelby Marie Gonser | Specialist/Technologist | 210 Citygreen Way Apt 102, Chattanooga, TN 37405-1477 | 2020-06-29 |
| 1265059851 | Destiny Wihite | Specialist/Technologist | 6574 E Brainerd Rd Apt 920, Chattanooga, TN 37421-3710 | 2020-06-29 |
| 1821618869 | Luis Dariel Rodas | Specialist/Technologist | 4650 Buccaneer Trl, Chattanooga, TN 37411-1247 | 2020-04-20 |
| 1639714371 | Matthew Garrett Myers | Specialist/Technologist | 210 Citygreen Way Apt 304, Chattanooga, TN 37405-1475 | 2019-11-15 |
| 1033771332 | Jaimie Mills | Specialist/Technologist | 103 Metropolitan Building, Chattanooga, TN 37403 | 2019-07-08 |
| 1952963514 | Bonnie Joanne Blevins | Specialist/Technologist | 615 Mccallie Ave Bldg Dept6606, Chattanooga, TN 37403-2504 | 2019-07-03 |
| 1356903025 | Joseph Francisco Martell | Specialist/Technologist | 651 Mccallie Ave, Chattanooga, TN 37403-2504 | 2019-07-02 |
| 1346802006 | Andrew Evans | Specialist/Technologist | 6526 Ido Way Ste 100, Chattanooga, TN 37421-5150 | 2019-07-02 |
| Find all providers in CHATTANOOGA | ||||
| City | CHATTANOOGA |
| Zip Code | 37405 |
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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.