SARIKA MISHRA (NPI# 1003445313) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003445313 |
| Entity Type | Individual |
| Full Name | SARIKA MISHRA |
| Credential | NP |
| Practice Address |
1350 Walton Way Augusta GA 30901-2612 |
| Mailing Address |
Po Box 1705 Augusta GA 30903-1705 |
| Practice Telephone | 7067745542 |
| Practice Fax Number | 7067745789 |
| Mailing Telephone | 7067747263 |
| Mailing Fax Number | 7067747230 |
| Enumeration Date | 2020-04-07 |
| Last Update Date | 2020-10-16 |
| NPI Deactivation Date | 10/07/2020 |
| NPI Reactivation Date | 2020-10-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | RN244634 | GA | Nursing Service Providers |
| N | 163WE0003X |
Registered Nurse Specialization: Emergency |
95158236 | CA | Nursing Service Providers |
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
RN244634 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1366 Wind Chime Ct, Lawrenceville, GA 300455481 | 4049665543 |
| Street Address |
1350 WALTON WAY |
| City | AUGUSTA |
| State | GA |
| Zip Code | 30901-2612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811993926 | Mary Jo Goolsby | Nurse Practitioner | 1350 Walton Way, Augusta, GA 30901-2612 | 2005-06-23 |
| 1750989810 | Trang Khanh Nguyen | Nurse Practitioner | 1350 Walton Way, Augusta, GA 30901-2629 | 2020-10-12 |
| 1245842152 | Margaret Anne Rossi | Registered Nurse | 1350 Walton Way, Augusta, GA 30901-2612 | 2020-08-21 |
| 1508491812 | Kyle Guderian | Nurse Practitioner | 1350 Walton Way, Augusta, GA 30901-2612 | 2020-03-06 |
| 1982246070 | Aisha Ford | Registered Nurse | 1350 Walton Way, Augusta, GA 30901-2612 | 2019-10-10 |
| 1588214977 | Alexander S Elsen | Physical Medicine & Rehabilitation | 1350 Walton Way, Augusta, GA 30901-2629 | 2019-09-17 |
| 1215599527 | Sherwin Goering | Nurse Practitioner | 1350 Walton Way, Augusta, GA 30901-2612 | 2019-07-08 |
| 1417418807 | Christopher Brandon Walker | Student in an Organized Health Care Education/Training Program | 1350 Walton Way, Augusta, GA 30901-2612 | 2019-03-27 |
| 1205309333 | Rachel Ann Shaver | Registered Nurse | 1350 Walton Way, Augusta, GA 30901-2629 | 2019-01-11 |
| 1578038915 | Lisa Rene'e Carpenter | Nurse Practitioner | 1350 Walton Way, Augusta, GA 30901-2629 | 2018-10-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477019925 | Courtney Erin Fairchild | Physician Assistant | 1101 15th Street, Pa-224, Augusta, GA 30901 | 2019-02-20 |
| 1699263921 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1022 Walton Way Spc C, Augusta, GA 30901 | 2018-04-23 |
| 1235684192 | Heather Raborn | Allergy & Immunology | 1350 Walton Way Ste 5100, Augusta, GA 30901 | 2016-08-22 |
| 1457690745 | Rehab Without Walls, Inc. | In Home Supportive Care | 820 St Sebastin Way Se, Augusta, GA 30901 | 2013-02-06 |
| 1861788051 | Christina Weidner Belcher | Physical Therapist | 1246 Pine St, Augusta, GA 30901 | 2011-06-25 |
| 1750695979 | C H Martin Company | Durable Medical Equipment & Medical Supplies | 1456 Walton Way Suite B, Augusta, GA 30901 | 2010-07-29 |
| 1366773905 | Csb of East Central Ga | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4027 Wheeler Rd, Augusta, GA 30901 | 2010-01-21 |
| 1851622484 | Csb of East Central Ga | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1715 Forest Drive, Augusta, GA 30901 | 2010-01-21 |
| 1760615280 | Absolute Family PCh | Point of Service | 2035 Old Savannah Rd., Augusta, GA 30901 | 2009-09-01 |
| 1073740643 | Ryan J Altenburg | Internal Medicine | 820 Saint Sebastian Way Ste 8a, Augusta, GA 30901 | 2009-06-22 |
| Find all providers in zip 30901 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508147844 | Cassie Alexander | Nurse Practitioner | 1120 15th St # Bp-3448, Augusta, GA 30912-0004 | 2011-08-31 |
| 1700491503 | Chelsey Elana Pye | Nurse Practitioner | 820 Saint Sebastian Way Ste 7c, Augusta, GA 30901-2641 | 2020-09-09 |
| 1245857002 | Morgan Rowe | Nurse Practitioner | 1120 15th St, Augusta, GA 30912-0004 | 2020-06-28 |
| 1558993576 | Robert Steven Blackwelder | Nurse Practitioner | 1120 15th St, Augusta, GA 30912-0004 | 2020-02-07 |
| 1962055590 | Victoria Aileen Shaver | Nurse Practitioner | 3651 Wheeler Rd, Augusta, GA 30909 | 2019-07-23 |
| 1215599527 | Sherwin Goering | Nurse Practitioner | 1350 Walton Way, Augusta, GA 30901-2612 | 2019-07-08 |
| 1487214151 | Cassandra Ebony Brown | Nurse Practitioner | 2258 Wrightsboro Rd Ste 400, Augusta, GA 30904-4788 | 2019-06-16 |
| 1801354816 | Daniel Mark Perrine | Nurse Practitioner | 1120 15th St # Bi1056, Augusta, GA 30912-0004 | 2019-03-08 |
| 1346720596 | Caroline Flake | Nurse Practitioner | 1348 Walton Way Ste 6700, Augusta, GA 30901-5111 | 2018-08-17 |
| 1639655301 | James Brinson IIi | Nurse Practitioner | 1120 15th St, Augusta, GA 30912-0004 | 2018-07-16 |
| Find all providers in AUGUSTA | ||||
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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.