TAMMY VARDEMAN AGUILAR (NPI# 1013251859) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013251859 |
| Entity Type | Individual |
| Full Name | TAMMY VARDEMAN AGUILAR |
| Credential | RN, NNP-BC |
| Practice Address |
101 W Ponce De Leon Ave Suite #242 Decatur GA 30030-2542 |
| Practice Telephone | 4047787622 |
| Practice Fax Number | 4047787645 |
| Mailing Telephone | 4047787622 |
| Mailing Fax Number | 4047787645 |
| Enumeration Date | 2012-11-17 |
| Last Update Date | 2012-11-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LN0000X |
Nurse Practitioner Specialization: Neonatal |
RN117954 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255664215 | Tammy M Aguilar | Counselor | 2504 Camino Entrada, Santa Fe, NM 87507 | 2009-09-09 |
| Street Address |
101 W PONCE DE LEON AVE SUITE #242 |
| City | DECATUR |
| State | GA |
| Zip Code | 30030-2542 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366516304 | James Mitchell Hughes | Internal Medicine | 101 W Ponce De Leon Ave, Suite 300, Decatur, GA 30030-2528 | 2006-11-20 |
| 1811329204 | Sharon Christina Benton | Nurse Practitioner | 101 W Ponce De Leon Ave, #242, Decatur, GA 30030-2542 | 2013-08-07 |
| 1740547033 | The Emory Clinic | Preferred Provider Organization | 101 W Ponce De Leon Ave, Decatur, GA 30030-2542 | 2012-04-12 |
| 1306112511 | Erika Phindile Chowa | Emergency Medicine | 101 W Ponce De Leon Ave, Annex Building, Decatur, GA 30030-2542 | 2012-04-02 |
| 1629345798 | Kathryn Lisa Bennett | Nurse Practitioner | 101 W Ponce De Leon Ave, #242, Decatur, GA 30030-2542 | 2011-11-17 |
| 1831492438 | Hallie Turkish Brinn | Nurse Practitioner | 101 W Ponce De Leon Ave, Decatur, GA 30030-2542 | 2010-12-21 |
| 1851606487 | Jessica Ross | Nurse Practitioner | 101 W Ponce De Leon Ave, Suite 242, Decatur, GA 30030-2542 | 2010-08-06 |
| 1720285653 | The Emory Clinic Pediatric Providers | Anesthesiology | 101 W Ponce De Leon Ave, Ste 300, Decatur, GA 30030-2528 | 2007-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801413174 | Pa-c Surgical Assist, LLC | Clinic/Center | 520 W Ponce Leon Ave #1706, Decatur, GA 30030 | 2020-07-02 |
| 1417587478 | Elizabeth Heffron | Acupuncturist | 619b East College Avenue, Decatur, GA 30030 | 2020-01-17 |
| 1669016143 | Atlanta Upper Cervical Chiropractic LLC | Chiropractor | 125 E Trinity Place, Suite #247, Decatur, GA 30030 | 2019-10-29 |
| 1831757418 | Jessica Stewart | Counselor | 755 Commerce Dr Ste 903, Decatur, GA 30030 | 2019-05-30 |
| 1699238733 | Dinah Augustin | Registered Nurse | 1458 Church St., Unit B, Decatur, GA 30030 | 2019-04-06 |
| 1093284291 | Eliza Segell | Social Worker | 165 Dekalb Industrial Way Ste D-1, Decatur, GA 30030 | 2018-11-16 |
| 1912476466 | Positive Impact Health Centers, Inc. | Pharmacy | 523 Church Street, Suite B, Decatur, GA 30030 | 2018-11-14 |
| 1932685096 | T2 Imaging | Radiology | 1376 Church Street, Suite 100, Decatur, GA 30030 | 2018-07-12 |
| 1992292858 | Keeanna M Powell | Counselor | Agape Transformation Practice, 235 E. Ponce De Leon Ave Suite 103, Decatur, GA 30030 | 2018-04-17 |
| 1780185488 | Solutions Ae Inc | Counselor | One West Square Court, Suite 710, Decatur, GA 30030 | 2018-02-27 |
| Find all providers in zip 30030 | ||||
| Taxonomy Code | 363LN0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Neonatal |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861450058 | Paula Lynn Young | Nurse Practitioner | 2701 North Decatur Rd, Dekalb Medical Center, Decatur, GA 30033 | 2006-05-04 |
| 1780196493 | Maria A Ruiz | Nurse Practitioner | 2701 N Decatur Rd, Decatur, GA 30033-5918 | 2017-11-03 |
| 1811329204 | Sharon Christina Benton | Nurse Practitioner | 101 W Ponce De Leon Ave, #242, Decatur, GA 30030-2542 | 2013-08-07 |
| 1629345798 | Kathryn Lisa Bennett | Nurse Practitioner | 101 W Ponce De Leon Ave, #242, Decatur, GA 30030-2542 | 2011-11-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265944896 | Jennifer Michelle Kerhin | Nurse Practitioner | 777 Hemlock St Fl 3, Macon, GA 31201-2102 | 2017-11-05 |
| 1871034587 | Stephanie Joseph | Nurse Practitioner | 4316 Sublime Trl, Atlanta, GA 30349-8882 | 2017-03-14 |
| 1659810935 | Stephanie Gale Devers | Nurse Practitioner | 52 Johnny Wortham Rd, Newnan, GA 30263-4823 | 2017-02-19 |
| 1851757520 | Dawn Michelle Tripp | Nurse Practitioner | 10141 Flat Shoals Rd Sw, Covington, GA 30014-3707 | 2016-01-11 |
| 1295080414 | Christa Noel Brown | Nurse Practitioner | 142 Bryce Ryan Cir, Kingsland, GA 31548-7812 | 2012-07-14 |
| 1336398726 | Robin Domm Burch | Nurse Practitioner | 1790 Mulkey Rd Ste 10, Newborn Clinics of America LLC At Wellstar Cobb Clinic, Austell, GA 30106-1122 | 2008-09-10 |
| 1073730032 | Diane Arlene Doherty-chandler | Nurse Practitioner | 1191 Arbor Ln, Madison, GA 30650-3791 | 2007-04-19 |
| 1396886370 | Barbara Elaine Smith | Nurse Practitioner | 5335 Spot Creek Dr, Cumming, GA 30040-9554 | 2007-02-10 |
| 1245315118 | Sara Gelson Martin | Nurse Practitioner | 1762 Clifton Rd Ne Ste 103, Emory University, Atlanta, GA 30322-4001 | 2006-10-26 |
| 1225036015 | Kathy Mcknight Lockett | Nurse Practitioner | 1790 Mulkey Rd, Austell, GA 30106-1122 | 2005-07-14 |
| Find all providers with the same taxonomy | ||||
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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.