MRS. VIRGINIA SOURIS KEATING (NPI# 1023474582) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1023474582 |
Entity Type | Individual |
Full Name | MRS. VIRGINIA SOURIS KEATING |
Credential | NP-C |
Practice Address |
3715 Northside Pkwy Nw 400 Northcreek, Ste. 150 Atlanta GA 30327-2882 |
Mailing Address |
4035 Whitewater Creek Rd Nw Atlanta GA 30327-3946 |
Practice Telephone | 4042335252 |
Practice Fax Number | 4042330490 |
Mailing Telephone | 4042335252 |
Mailing Fax Number | 4042330490 |
Enumeration Date | 2016-01-13 |
Last Update Date | 2016-01-13 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
RN181526 | GA | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
GA | PROFESSIONAL LICENSE NP-C | RN181526 | 01 |
Street Address |
3715 NORTHSIDE PKWY NW 400 NORTHCREEK, STE. 150 |
City | ATLANTA |
State | GA |
Zip Code | 30327-2882 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891879813 | A.g. Rhodes Extendacare, Inc. | Hospice Care, Community Based | 3715 Northside Pkwy Nw, Building 400, Suite 305, Atlanta, GA 30327-2806 | 2006-10-25 |
1891270443 | Aminat Aina Babalola | Nurse Practitioner | 3715 Northside Pkwy Nw, Atlanta, GA 30327-2886 | 2018-09-29 |
1093175549 | Blue Ridge Senior Housing, LLC | Assisted Living Facility | 3715 Northside Pkwy Nw, Building 300, Suite 110, Atlanta, GA 30327-2882 | 2016-02-26 |
1629445192 | Mariana Sirbu | Nurse Practitioner | 3715 Northside Pkwy Nw, Atlanta, GA 30327-2882 | 2015-08-31 |
1972901759 | Callie Logan | Nurse Practitioner | 3715 Northside Pkwy Nw, Atlanta, GA 30327-2882 | 2014-12-10 |
1013336759 | Denise Tracy | Nurse Practitioner | 3715 Northside Pkwy Nw, Atlanta, GA 30327-2882 | 2014-04-09 |
1194076539 | Songeun Choi | Nurse Practitioner | 3715 Northside Pkwy Nw, Bldg 200 Suite 100, Atlanta, GA 30327-2882 | 2012-09-25 |
1356545289 | John G Keating | Specialist | 3715 Northside Pkwy Nw, Building 400 Suite 150, Atlanta, GA 30327-2806 | 2007-06-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497388730 | Brand New Start Treatment Center- Paulding LLC | Clinic/Center | 311 Wi Pkwy, Suite 500, Dallas, GA 30327 | 2020-02-14 |
1477039741 | Atlanta Knee and Shoulder Clinic PC | Orthopaedic Surgery | 3200 Downwood Cir Nw Ste 410, Atlanta, GA 30327 | 2018-07-19 |
1336636174 | One Group LLC | In Home Supportive Care | 3150 Howell Mill Road, Atlanta, GA 30327 | 2018-04-17 |
1609313949 | Michelle Perry | Specialist/Technologist | 4075 Paces Ferry Road Nw, Atlanta, GA 30327 | 2017-01-25 |
1447706981 | Cailey Ann Binkley | Counselor | 4200 Northside Parkway, Building 7, Atlanta, GA 30327 | 2016-08-25 |
1902256555 | Carlos Alberto Prays | Family Medicine | 3200 Downwood Cir Nw Ste 200, Atlanta, GA 30327 | 2016-06-14 |
1851793210 | Laura Goydich Rhein | Anesthesiologist Assistant | 3193 Howell Mill Rd Nw Ste 100, Atlanta, GA 30327 | 2014-09-17 |
1699115451 | Jeffrey Alan Bernstein | Obstetrics & Gynecology | 655 Widgeon Lane, Atlanta, GA 30327 | 2013-06-26 |
1053755207 | Thomas Windrow Marks | Orthopaedic Surgery | 1011 West Paces Ferry Rd.n.w., Atlanta, GA 30327 | 2013-04-18 |
1245572643 | Valerie Lananh Truong | Dermatology | 3193 Howell Mill Rd Nw Ste 220, Atlanta, GA 30327 | 2013-03-23 |
Find all providers in zip 30327 |
Taxonomy Code | 363LG0600X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Gerontology |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063053478 | Emily Elizabeth Adams | Nurse Practitioner | 887 W Marietta St Nw, Atlanta, GA 30318-5252 | 2019-10-07 |
1316461221 | Thera Donaldson | Nurse Practitioner | 550 Peachtree St Ne Fl St7, Atlanta, GA 30308-2247 | 2017-08-01 |
1083010961 | Shelley-ann Beaubrun | Nurse Practitioner | 1017 Fayetteville Rd Se Ste A, Atlanta, GA 30316-2932 | 2014-11-05 |
1063853133 | Tammy Felicia Blackmon | Nurse Practitioner | 270 17th St Nw Unit 2501, Atlanta, GA 30363-1218 | 2013-07-17 |
1629415880 | Gina Kim | Nurse Practitioner | 5673 Peachtree Dunwoody Rd Ste 300, Atlanta, GA 30342-1775 | 2013-05-29 |
1750559837 | Phyllis Powell Wright | Nurse Practitioner | 3037 Loridan Way Se, Atlanta, GA 30339-5710 | 2008-02-12 |
1710036686 | Amy D Imes | Nurse Practitioner | 1155 Perimeter Ctr Fl 11, Atlanta, GA 30338-5463 | 2007-01-09 |
1821106733 | Holly Lynne Brown | Nurse Practitioner | 925 Garrett St Se, Suite 313, Atlanta, GA 30316-6826 | 2006-08-29 |
1700496981 | Debra Beckum | Nurse Practitioner | 320 Parkway Dr Ne, Atlanta, GA 30312-1213 | 2020-08-03 |
1356803357 | Racheal Sowole | Nurse Practitioner | 303 Parkway Dr Ne, Atlanta, GA 30312-1212 | 2019-04-01 |
Find all providers in ATLANTA |
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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.