STEPHANIE E CHANDLER (NPI# 1023406162) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023406162 |
| Entity Type | Individual |
| Full Name | STEPHANIE E CHANDLER |
| Other Name | STEPHANIE E WADE |
| Credential | CRNP |
| Practice Address |
1631 Highway 20 W Mcdonough GA 30253-7311 |
| Practice Telephone | 7702882822 |
| Practice Fax Number | 7706928177 |
| Mailing Telephone | 7702882822 |
| Mailing Fax Number | 7706928177 |
| Enumeration Date | 2014-12-23 |
| Last Update Date | 2018-04-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SF0001X |
Clinical Nurse Specialist Specialization: Family Health |
RN256117 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 364SF0001X |
Clinical Nurse Specialist Specialization: Family Health |
SP014653 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700486503 | Stephanie Patricia Chandler | Nurse Practitioner | 2221 Orange Ave E Apt 215, Tallahassee, FL 32311-6154 | 2020-10-30 |
| 1033771993 | Stephanie N Chandler | Nurse Practitioner | 6340 Pine Ridge Rd, Suite 201, Naples, FL 34119 | 2019-07-01 |
| 1295233047 | Stephanie Chandler | Behavior Technician | 116 N 8th St, Wilmington, NC 28401-4234 | 2018-01-26 |
| 1194929794 | Stephanie Marie Chandler | Pediatrics | 3030 S Mason Rd, Katy, TX 77450-7633 | 2007-06-14 |
| 1932587789 | Stephanie Gregg Chandler | Speech-Language Pathologist | 3615 Braselton Hwy Ste 103, Dacula, GA 30019-5907 | 2015-05-13 |
| 1043535503 | Stephanie Frances Chandler | Pediatrics | 225 E Chicago Ave, Chicago, IL 60611-2991 | 2010-03-28 |
| Street Address |
1631 HIGHWAY 20 W |
| City | MCDONOUGH |
| State | GA |
| Zip Code | 30253-7311 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245237700 | Allan B Imes Jr. | Physician Assistant | 1631 Highway 20 W, Mcdonough, GA 30253-7311 | 2005-06-30 |
| 1740721521 | Jorge Roberto Menjivar | Nurse Practitioner | 1631 Highway 20 W, Mcdonough, GA 30253-7311 | 2017-03-14 |
| 1225587280 | Family Medical Associates, LLC | Family Medicine | 1631 Highway 20 W, Mcdonough, GA 30253-7311 | 2016-09-30 |
| 1871982124 | Vladimir Odinets | Physician Assistant | 1631 Highway 20 W, Mcdonough, GA 30253-7311 | 2015-01-09 |
| 1346505179 | Robert T Sikes | Physician Assistant | 1631 Highway 20 W, Mcdonough, GA 30253-7311 | 2012-07-09 |
| 1427146125 | Jeffrey Scott Reed | Family Medicine | 1631 Highway 20 W, Mcdonough, GA 30253-7311 | 2006-10-10 |
| 1922040781 | Coral Rochelle Benge | Physician Assistant | 1631 Highway 20 W, Mcdonough, GA 30253-7311 | 2006-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518565159 | First Choice Home Health Care LLC | In Home Supportive Care | 600 Westridge Parkway, Suite 707, Mcdonough, GA 30253 | 2020-10-15 |
| 1164033783 | Tanequa S Dorsey | Counselor | 40 Macon Street, Suite D, Mcdonough, GA 30253 | 2020-08-17 |
| 1396369195 | Ikponmwosa Obakpolor | Physical Therapist | 234 Village Drive, Mcdonough, GA 30253 | 2020-06-08 |
| 1205392305 | Healthstat Onsite Clinic-henry County | Preventive Medicine | 141 Henry Parkway, Healthstat Clinic, Mcdonough, GA 30253 | 2019-02-13 |
| 1588128557 | Vernette R Mathurin | Licensed Practical Nurse | 97 Atl Street Suite 100, Mcdonough, GA 30253 | 2019-01-24 |
| 1083196836 | Peta-gaye C Pilote | Registered Nurse | 319 Regal Way E, Mcdonough, GA 30253 | 2018-08-29 |
| 1275021586 | Heritage Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 155 Westridge Pkwy Ste 217, Mcdonough, GA 30253 | 2018-04-23 |
| 1457853236 | Sherrille Greene | Counselor | 609 Autumn Leaf Circle, Mcdonough, GA 30253 | 2018-03-07 |
| 1376052696 | Kendra Oreggio | Private Vehicle | 117 Janney Circle, Mcdonough, GA 30253 | 2017-09-29 |
| 1245758788 | Pamela Hobbs | Home Health Aide | 5011 Monarch Dr, Mcdonough, GA 30253 | 2017-09-05 |
| Find all providers in zip 30253 | ||||
| Taxonomy Code | 364SF0001X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Family Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396344586 | Lynester Williams | Clinical Nurse Specialist | 1876 Rock Chapel Rd, Lithonia, GA 30058-5105 | 2020-10-20 |
| 1942819545 | Alicia Haisley | Clinical Nurse Specialist | 504 Village Pt, Fairburn, GA 30213-5100 | 2020-07-29 |
| 1609314376 | Sajani Paresh Patel | Clinical Nurse Specialist | 4775 Jimmy Carter Blvd Ste 201, Norcross, GA 30093-3760 | 2017-02-02 |
| 1750827242 | Mahlet Abebe | Clinical Nurse Specialist | 621 Windcroft Cir Nw, Acworth, GA 30101-3797 | 2017-01-09 |
| 1952780389 | Beverley Murray | Clinical Nurse Specialist | 210 Long Bridge Rd, Helena, GA 31037-2804 | 2015-05-19 |
| 1013337690 | Elizabeth Anne Dykeman | Clinical Nurse Specialist | 3035 Highway 17, Sautee Nacoochee, GA 30571-3013 | 2014-04-22 |
| 1205258431 | Gary Steven Koller | Clinical Nurse Specialist | 76 Holder Road, Lumpkin, GA 31815 | 2014-01-07 |
| 1801135280 | Sharon Templeton Matson | Clinical Nurse Specialist | 2950 Ashbyrn Ct, Buford, GA 30519-3989 | 2013-02-05 |
| 1205061371 | Tami Mitchell Hefner | Clinical Nurse Specialist | 290 Emerald Dr, Clarkesville, GA 30523-4290 | 2009-05-19 |
| 1275796559 | Tawnya Lynette Pringle | Clinical Nurse Specialist | 3196 Mount Zion Rd, Apt 804, Stockbridge, GA 30281-9304 | 2008-07-07 |
| 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.