MAZIE SUNSHINE UNDERWOOD (NPI# 1962055632) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962055632 |
| Entity Type | Individual |
| Full Name | MAZIE SUNSHINE UNDERWOOD |
| Credential | MS, ATC, CSCS |
| Practice Address |
1951 Clements Ferry Rd Charleston SC 29492-8322 |
| Practice Telephone | 8437975050 |
| Mailing Telephone | 8437975050 |
| Mailing Fax Number | 8437973633 |
| Enumeration Date | 2019-07-22 |
| Last Update Date | 2019-07-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
1906 | SC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | SC DHEC | 1906 | 01 |
| Street Address |
1951 CLEMENTS FERRY RD |
| City | CHARLESTON |
| State | SC |
| Zip Code | 29492-8322 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790010825 | Michael Paul Hanna | Physician Assistant | 1951 Clements Ferry Rd, Charleston, SC 29492-8322 | 2009-10-07 |
| 1265949291 | Doctors Care, P.a. | Emergency Medicine | 1951 Clements Ferry Rd, Charleston, SC 29492-8322 | 2017-12-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144877333 | Megan Potter | Speech-Language Pathologist | Wellmore Daniel Island, 580 Robert Daniel Drive, Charleston, SC 29492 | 2019-08-22 |
| 1013408301 | River Landing Dentistry LLC | Clinic/Center | 145 River Landing Drive, Suite 102, Daniel Island, SC 29492 | 2018-05-23 |
| 1972018026 | Wellmore of Daniel Island LLC | Skilled Nursing Facility | 580 Robert Daniel Drive, Charleston, SC 29492 | 2017-12-12 |
| 1245758283 | Lindsey Alyse Vanbeusecum | Speech-Language Pathologist | 211 River Landing Dr, Daniel Island, SC 29492 | 2017-08-30 |
| 1508302423 | Sleep Better Sc, LLC | Clinic/Center | 210 Seven Farms Drive # 103, Daniel Island, SC 29492 | 2017-01-17 |
| 1164899696 | Employer's Collective | Pharmacy | 100 Calhoun Street, Suite 210, Charleston, SC 29492 | 2015-09-01 |
| 1376933440 | Rachel F. Henry | Counselor | 260 Seven Farms Dr Ste C, Daniel Island, SC 29492 | 2015-01-28 |
| 1417352253 | Kristen Helmly | Speech-Language Pathologist | 135 Pier View Street, Unit 304, Charleston, SC 29492 | 2014-10-22 |
| 1215268578 | Newton Gaston Quantz Jr. | Otolaryngology | 401 Ralston Creek Street, Charleston, SC 29492 | 2010-01-26 |
| 1053541581 | Chet Allen Tharpe Jr. | Allergy & Immunology | 6051 Grand Council St, Daniel Island, SC 29492 | 2009-07-17 |
| Find all providers in zip 29492 | ||||
| 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 |
|---|---|---|---|---|
| 1689291874 | Stephanie Davey | Specialist/Technologist | 1250 Marshview Dr, Charleston, SC 29412-8200 | 2020-07-03 |
| 1730704669 | Lester Groves Pittman | Specialist/Technologist | 1 Bishop Gadsden Way Apt 130, Charleston, SC 29412-3569 | 2020-06-16 |
| 1174159594 | Meagan B. Rasberry | Specialist/Technologist | 1047 Barbados Way, Charleston, SC 29412-8648 | 2020-03-17 |
| 1740744994 | Kalissa Bannister | Specialist/Technologist | 408 Jerick Cir, Charleston, WV 25302-4470 | 2019-01-22 |
| 1083188759 | Kailey Garten | Specialist/Technologist | 5242 Kanawha Blvd E, Charleston, WV 25306-6256 | 2019-01-16 |
| 1528532645 | Madyson Paige Hawley | Specialist/Technologist | 118 Shadowmoss Pkwy, Charleston, SC 29414-6845 | 2019-01-11 |
| 1174093413 | Perry Louisa Mcghee | Specialist/Technologist | 1390 Nottingham Rd, Charleston, WV 25314-2432 | 2018-11-29 |
| 1922575562 | Casandre Worsdorfer | Specialist/Technologist | 123 Presidio Pointe, Charleston, WV 25313-1591 | 2018-11-01 |
| 1679066773 | Jennifer Hess | Specialist/Technologist | 2506 Lantz Building, Charleston, IL 61920 | 2018-06-13 |
| 1144759689 | Julie Ann Bamberg | Specialist/Technologist | 1906 Gammon St, Charleston, SC 29414-8129 | 2017-06-08 |
| Find all providers in CHARLESTON | ||||
| City | CHARLESTON |
| Zip Code | 29492 |
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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.