KELBY RAE HURLOCKER (NPI# 1962017798) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962017798 |
| Entity Type | Individual |
| Full Name | KELBY RAE HURLOCKER |
| Credential | LAT, ATC |
| Practice Address |
500 Center Park Dr Charlotte NC 28217 |
| Mailing Address |
212 Brackenberry Cir Mount Pleasant NC 28124-9405 |
| Practice Telephone | 7047915795 |
| Mailing Telephone | 7047915795 |
| Enumeration Date | 2020-09-09 |
| Last Update Date | 2020-09-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
LAT-2991 | NC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
500 CENTER PARK DR |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28217 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356967749 | Optum Pharmacy 701, LLC | Pharmacy | 4015 Shopton Rd, Suite 600, Charlotte, NC 28217 | 2020-06-22 |
| 1598302937 | Brigit Boyce | Occupational Therapist | 8848 Red Oak Blvd, Ste Aa, Charlotte, NC 28217 | 2019-12-04 |
| 1275016933 | Zarah Pulfrey | Physician Assistant | Womack Medical Center, 2817 Riley Road, Fort Bragg, NC 28217 | 2018-09-10 |
| 1972085918 | Dynamic Health Medical Group Pllc | Pain Medicine | 4705 South Blvd, Charlotte, NC 28217 | 2018-09-06 |
| 1184102048 | Charday Caple | Counselor | 735 Echodale Dr, Charlotte, NC 28217 | 2018-08-02 |
| 1326532250 | Dupont Livery LLC | Non-emergency Medical Transport (VAN) | 4200 S Tryon St, Charlotte, NC 28217 | 2018-06-14 |
| 1891215232 | Lakesha Shamise Welch | Counselor | 5709 South Hampton R., Charlotte, NC 28217 | 2017-06-27 |
| 1245768282 | Allison Harris Lafone | Counselor | 515 Clanton Road, Charlotte, NC 28217 | 2017-06-02 |
| 1619416906 | Charlie Randolph Taylor Jr. | Counselor | 517 Clanton Road, Charlotte, NC 28217 | 2017-02-20 |
| 1316483472 | Health Saver Rx, LLC | Pharmacy | 3809 Beam Road Suite H, Suite H, Charlotte, NC 28217 | 2017-01-13 |
| Find all providers in zip 28217 | ||||
| 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 |
|---|---|---|---|---|
| 1306444278 | Tania Michelle Wilcox | Specialist/Technologist | 702 Potenza Dr Apt A, Charlotte, NC 28262-4601 | 2020-10-13 |
| 1629695085 | Zawadi Brown | Specialist/Technologist | 1621 Waybridge Ln Apt 1b, Charlotte, NC 28210-5774 | 2020-07-01 |
| 1518591973 | Brianna Marsicano | Specialist/Technologist | 4607 Rock Stream Dr, Charlotte, NC 28269-7150 | 2020-02-25 |
| 1124658075 | Mark Anthony Wright | Specialist/Technologist | 2301 Torrington Ln, Charlotte, NC 28262-3175 | 2020-01-20 |
| 1386281228 | Danielle Torp | Specialist/Technologist | 8920 Cliff Cameron Dr Apt 107, Charlotte, NC 28269-1059 | 2019-12-10 |
| 1568028470 | Cristian Black | Specialist/Technologist | 4845 Ashley Park Ln Apt 205, Charlotte, NC 28210-4126 | 2019-05-15 |
| 1841764545 | Jacqueline Marie Frithsen | Specialist/Technologist | 10220 Ardrey Kell Rd, Charlotte, NC 28277-4328 | 2019-01-15 |
| 1790259760 | Raul A Bermudez | Specialist/Technologist | 1410 Abbey Pl Apt 115, Charlotte, NC 28209-3039 | 2019-01-14 |
| 1750858429 | Lynnsey Morgan Price | Specialist/Technologist | 8464 Highland Glen Dr, Charlotte, NC 28269-6110 | 2018-10-30 |
| 1598249245 | Annie Theresa Francis | Specialist/Technologist | 6818 Dulverton Dr, Charlotte, NC 28226-7568 | 2018-09-19 |
| Find all providers in CHARLOTTE | ||||
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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.