STEPHANIE OTTIMO


Address: 5730 Glenridge Dr Ste 200, Atlanta, GA 30328
Phone: 4042525206

STEPHANIE OTTIMO (NPI# 1033635925) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1033635925
Entity Type Individual
Full Name STEPHANIE OTTIMO
Credential NP
Practice Address 5730 Glenridge Dr Ste 200
Atlanta
GA 30328
Mailing Address 3495 Piedmont Rd Ne
Bldg 9 1st Floor
Atlanta
GA 30305-1736
Practice Telephone 4042525206
Mailing Telephone 4043650966
Enumeration Date 2017-08-22
Last Update Date 2019-04-15
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
RN235965 GA Physician Assistants & Advanced Practice Nursing Providers
N 363LP2300X Nurse Practitioner
Specialization: Primary Care
RN235965 GA Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
GA RN LICENSE RN235965 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
3367 Buford Hwy Ne Ste 910, Brookhaven, GA 303291833 4043214692

Office Location

Street Address 5730 GLENRIDGE DR STE 200
City ATLANTA
State GA
Zip Code 30328

Providers in the same location

NPI Name Taxonomy Address Enumeration
1710089404 Mark A Haber Urology 5730 Glenridge Dr Ste 200, Atlanta, GA 30328-5579 2006-09-02
1679137467 Shannon Suarez Nurse Practitioner 5730 Glenridge Dr Ste 200, Atlanta, GA 30328-5579 2019-04-26
1336623222 Beniam Tefera Abebe Physician Assistant 5730 Glenridge Dr Ste 200, Atlanta, GA 30328-5579 2018-09-18
1194230961 Carrie Collin Nurse Practitioner 5730 Glenridge Dr Ste 200, Atlanta, GA 30328 2017-12-02
1770093213 Callie Denmark Duggan Nurse Practitioner 5730 Glenridge Dr Ste 200, Atlanta, GA 30328-5579 2017-10-11
1851821805 Kristin L Wellman Nurse Practitioner 5730 Glenridge Dr Ste 200, Atlanta, GA 30328-5579 2017-06-13
1578925129 Jennifer Garner Nurse Practitioner 5730 Glenridge Dr Ste 200, Atlanta, GA 30328-5579 2016-03-23
1003244013 Andrea Mitchell Center Nurse Practitioner 5730 Glenridge Dr Ste 200, Atlanta, GA 30328-5579 2013-10-30
1740520543 Karmon Janssen Urology 5730 Glenridge Dr Ste 200, Atlanta, GA 30328-5579 2013-02-15
1215283775 Shenelle Wilson Urology 5730 Glenridge Dr Ste 200, Atlanta, GA 30328-5579 2012-08-01
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1467910042 Amber Andrews Behavior Technician 750 Hammond Drive Bldg 7 Suite 100, Atlanta, GA 30328 2019-03-04
1215492830 Ryan William Dubinin Behavior Technician 750 Hammond Drive, Building 7, Suite 100, Atlanta, NJ 30328 2019-02-07
1346710142 Emily Rose Lloyd Swavely Speech-Language Pathologist 5825 Glenridge Rd., Building 1, Suite 133, Atlanta, GA 30328 2018-12-05
1063994481 Mark Edward Brachmanski Optometrist 800 Mount Vernon Highway Ne, Suite 130, Atlanta, GA 30328 2018-09-01
1407352578 Nina Brown Massage Therapist 7100 Peachtree Dunwoody Rd Ste 110, Sandy Springs, GA 30328 2018-04-05
1336657741 Renee Usher Reeves Assistant Behavior Analyst 750 Hammond Dr Building 7, Suite 100, Atlanta, GA 30328 2018-01-19
1487168274 Patricia Nicole Felder Student in an Organized Health Care Education/Training Program 270 Carpenter Dr, Ne, Suite # 400, Atlanta, GA 30328 2017-12-01
1447762927 Ponders Podiatry LLC Podiatrist 275 Carpenter Drive Ne, Suite 106, Atlanta, GA 30328 2017-10-24
1770093601 Syed M Rasheed Physician Assistant 5788 Roswell Rd Ste 100, Atlanta, GA 30328 2017-10-05
1437678190 Jeanette Denise Jones Counselor 270 Carpenter Drive, Suite 400, Sandy Springs, GA 30328 2017-09-13
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1144820614 Nia Charnice Griffin Nurse Practitioner 5670 Peachtree Dunwoodyroad, Suite 900, Atlanta, GA 30342 2020-10-26
1790398790 Starr Patrice Dickerson Nurse Practitioner 655 Dot Dr, Atlanta, GA 30349-2730 2020-08-28
1265042162 Habida Elachola Nurse Practitioner 2533 Henderson Mill Rd Ne, Atlanta, GA 30345-2135 2020-08-05
1184249815 Nichelle Osborne Nurse Practitioner 5785 Roswell Rd, Atlanta, GA 30328-4903 2020-06-09
1902427149 Oasis Health Services, LLC Nurse Practitioner 6595 Roswell Rd Ste G1255, Atlanta, GA 30328-3152 2020-04-28
1063042927 Mary Gillon Hall Nurse Practitioner 90 La Rue Pl Nw, Atlanta, GA 30327-4075 2020-01-20
1396382321 Stacey Brinkley Nurse Practitioner 3725 Princeton Lakes Pkwy Sw Apt 7304, Atlanta, GA 30331-5564 2019-12-10
1801439401 Debadrita Mondal Nurse Practitioner 180 Jackson St Ne Apt 2506, Atlanta, GA 30312-1373 2019-10-26
1265075170 Cecile Veronica Maner Nurse Practitioner 105 Collier Rd Nw Ste 3040, Atlanta, GA 30309-1733 2019-10-23
1194366567 Tondalaya K Sanford Nurse Practitioner 3119 Fonseca Pass, Atlanta, GA 30349-8140 2019-10-07
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Competitor

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City ATLANTA
Zip Code 30328

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Dataset Information

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.

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