GABRIELLE ANNASTASIA HARTAGE (NPI# 1013413343) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013413343 |
| Entity Type | Individual |
| Full Name | GABRIELLE ANNASTASIA HARTAGE |
| Practice Address |
120 N Dudley St Americus GA 31709-3410 |
| Mailing Address |
138 Charleston Dr Americus GA 31709-5427 |
| Practice Telephone | 2298155454 |
| Mailing Telephone | 2299389584 |
| Enumeration Date | 2018-04-04 |
| Last Update Date | 2018-04-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | LPN095787 | GA | Nursing Service Providers |
| Street Address |
120 N DUDLEY ST |
| City | AMERICUS |
| State | GA |
| Zip Code | 31709-3410 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518405174 | Brianna Dyson | Social Worker | 120 N Dudley St, Americus, GA 31709-3410 | 2017-02-03 |
| 1184266363 | Cassandra Smith | Counselor | 120 N Dudley St, Americus, GA 31709-3410 | 2019-10-09 |
| 1548822190 | Wendy White | Case Manager/Care Coordinator | 120 N Dudley St, Americus, GA 31709-3410 | 2019-07-03 |
| 1235678723 | Leslie Green | Counselor | 120 N Dudley St, Americus, GA 31709-3410 | 2017-02-16 |
| 1699213256 | Estella Bradley | Social Worker | 120 N Dudley St, Americus, GA 31709-3410 | 2017-02-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073113668 | Sherita Patricia Green | Non-emergency Medical Transport (VAN) | 397 Brady Road, Americus, GA 31709 | 2020-10-31 |
| 1679199723 | Alitha Lannette Hawkins | Licensed Practical Nurse | 415 Tripp St, Americus, GA 31709 | 2020-06-24 |
| 1346710076 | Julie Howell Horn | Nurse Practitioner | 199a Southland Rd., Americus, GA 31709 | 2018-11-26 |
| 1831667948 | Heather Marie Pickle | Nurse Practitioner | 915 Elmo Street, Americus, GA 31709 | 2018-11-06 |
| 1114442100 | Thunderbolt Trailers, Inc. | Durable Medical Equipment & Medical Supplies | 128 E Forsyth St Unit 6542, Americus, GA 31709 | 2017-08-10 |
| 1083137384 | Lannelle German Wilson | Social Worker | 100 Heads Avenue, Americus, GA 31709 | 2017-07-19 |
| 1386173706 | April Owen | Behavioral Analyst | 302 E Furlow, Americus, GA 31709 | 2017-06-08 |
| 1396274726 | Dionna Shaunta Johnson | Case Manager/Care Coordinator | 211 North Jackson Street, Americus, GA 31709 | 2017-06-08 |
| 1972049377 | Lionel Brown | Nurse Anesthetist, Certified Registered | 211 Elliott, Americus, GA 31709 | 2017-01-10 |
| 1528426400 | Pamela Gordon | Counselor | 411 North Jackson Street, Americus, GA 31709 | 2016-02-05 |
| Find all providers in zip 31709 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679199723 | Alitha Lannette Hawkins | Licensed Practical Nurse | 415 Tripp St, Americus, GA 31709 | 2020-06-24 |
| 1851868327 | Ciera Raven | Licensed Practical Nurse | 205 E Church St, Americus, GA 31709-3603 | 2018-11-01 |
| 1235761057 | Carswella Benita Major | Licensed Practical Nurse | 415 N Jackson St, Americus, GA 31709-3015 | 2020-02-10 |
| 1760049670 | Arthur L Raven Jr. | Licensed Practical Nurse | 205 E Church St, Americus, GA 31709-3603 | 2019-05-27 |
| 1164933917 | Ansley Ragan | Licensed Practical Nurse | 415 N Jackson St, Americus, GA 31709-3015 | 2017-10-19 |
| 1114450020 | Pennelope Jones English | Licensed Practical Nurse | 415 N Jackson St, Americus, GA 31709-3015 | 2017-04-07 |
| 1245685775 | Alyssa Larkins | Licensed Practical Nurse | 415 N Jackson St, Americus, GA 31709-3015 | 2016-05-03 |
| 1194106120 | Natalie Tullis | Licensed Practical Nurse | 415 N Jackson St, Americus, GA 31709-3015 | 2015-06-16 |
| 1821478165 | Janice Pitts | Licensed Practical Nurse | 415 N Jackson St, Americus, GA 31709-3015 | 2015-06-02 |
| 1578808341 | Lauren Taylor Lloyd | Licensed Practical Nurse | 415 N Jackson St, Po Drawer 1348, Americus, GA 31709-3015 | 2012-12-06 |
| Find all providers in AMERICUS | ||||
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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.