ANDREA ISAMAR AVILA (NPI# 1043679913) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1043679913 |
Entity Type | Individual |
Full Name | ANDREA ISAMAR AVILA |
Other Name | ANDREA ISAMAR NAJARRO |
Credential | CPNP-PC |
Practice Address |
4166 Buford Hwy Ne Suite 1102 Atlanta GA 30345-1081 |
Mailing Address |
2378 Iron Horse Dr Douglasville GA 30135-1383 |
Practice Telephone | 4047855437 |
Mailing Telephone | 6788993556 |
Enumeration Date | 2016-02-19 |
Last Update Date | 2016-02-19 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
RN243475 | GA | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073900528 | Andrea Avila | Psychologist | 4747 Pioneers Blvd, Lincoln, NE 68506-5313 | 2015-04-22 |
1083824429 | Andrea Yvette Avila | Social Worker | 9300 Valley Childrens Pl, Madera, CA 93638-8761 | 2007-05-23 |
Street Address |
4166 BUFORD HWY NE SUITE 1102 |
City | ATLANTA |
State | GA |
Zip Code | 30345-1081 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689625592 | Jose A Rios | Pediatrics | 4166 Buford Hwy Ne, Ste 1102, Atlanta, GA 30345-1081 | 2006-05-15 |
1881084879 | Primary Care At Childrens, LLC | Pediatrics | 4166 Buford Hwy Ne, Suite 1102, Atlanta, GA 30345-1081 | 2015-01-28 |
1811241854 | Aikaterine Sofia Pottinger | Nurse Practitioner | 4166 Buford Hwy Ne, Atlanta, GA 30345-1081 | 2012-10-30 |
1679845739 | Mary R Coello | Optometrist | 4166 Buford Hwy Ne, Plaza Fiesta Mall Suite S6-t5, Atlanta, GA 30345-1081 | 2012-02-06 |
1306074406 | Imelda Reyes | Nurse Practitioner | 4166 Buford Hwy Ne, Suite 1102, Atlanta, GA 30345-1081 | 2009-06-26 |
1780844365 | Optica Familiar Corp | Optometrist | 4166 Buford Hwy Ne, Ste R6 ; Mb I 10, Atlanta, GA 30345-1081 | 2008-06-17 |
1194919100 | Maria Isabel Rosso | Pediatrics | 4166 Buford Hwy Ne, Suite 1102, Atlanta, GA 30345-1081 | 2007-09-03 |
1053352161 | Christopher Lee Hoskin | Optometrist | 4166 Buford Hwy Ne, Suite R6 ; Mb I - 10, Atlanta, GA 30345-1081 | 2006-06-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306358726 | Marian Barton Kalvert | Counselor | 2300 Henderson Mill Rd Ne Ste 310, Atlanta, GA 30345 | 2017-10-25 |
1417478439 | Reexist Counseling LLC | Clinic/Center | 1955 Vance Drive Ne, Atlanta, GA 30345 | 2017-06-29 |
1366862930 | Creative Behavior Consulting | Counselor | 6212 Northlake Circle Ne, Atlanta, GA 30345 | 2014-04-22 |
1215375209 | Shakeia Cowan | Counselor | 2302 Parklake Drive, Suite 350, Atlanta, GA 30345 | 2013-06-12 |
1154673259 | Phyllis Carrera | Counselor | 1788-b Century Blvd, Atlanta, GA 30345 | 2012-10-12 |
1417216128 | Procare Pharmacy, LLC | Pharmacy | 2700 Northeast Expy Ne, Suite B-800, Atlanta, GA 30345 | 2012-05-15 |
1962794479 | Nicole Renee Buttery | Behavioral Analyst | 1776 Century Blvd Ne Ste A, Atlanta, GA 30345 | 2011-05-03 |
1972839371 | Barbara Lopes Cardozo | Psychiatry & Neurology | 2500 Century Blvd, Mailstop V 25-1, Atlanta, GA 30345 | 2009-10-20 |
1568615193 | Zouheir A Shama Sr. | Surgery | 2536 Cosmos Drive N.e., Atlanta, GA 30345 | 2008-10-28 |
1396930558 | Munir Kashlan | Dentist | 4800 Briarcliff Rd, Ste 2037 American Dental Group Dba Great Expressions, Atlanta, GA 30345 | 2007-09-11 |
Find all providers in zip 30345 |
Taxonomy Code | 363LP0200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Pediatrics |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518565811 | Rebecca Danielle Wegman | Nurse Practitioner | 5445 Meridian Mark Rd Ste 380, Atlanta, GA 30342-4755 | 2020-10-09 |
1629675657 | Casey Cullins | Nurse Practitioner | 980 Johnson Fy Rd Ne Ste 680, Atlanta, GA 30342-1608 | 2020-10-02 |
1538798095 | Brittany Nicole Heitkamp | Nurse Practitioner | 5461 Meridian Mark Rd Ste 540, Atlanta, GA 30342-3283 | 2020-04-06 |
1093342131 | Lindsay Pare | Nurse Practitioner | 2225 Twin Lakes Dr, Atlanta, GA 30339-4123 | 2020-03-26 |
1487290581 | Fawn Aryana Hastay | Nurse Practitioner | 1400 Tullie Rd Ne Fl 6, Atlanta, GA 30329-2309 | 2019-11-23 |
1245798057 | Rebecca Emory | Nurse Practitioner | 975 Johnson Ferry Rd Ste 340, Atlanta, GA 30342-4735 | 2019-03-11 |
1497265904 | Stephanie Edlhuber | Nurse Practitioner | 1100 Lake Hearn Dr Ste 100, Atlanta, GA 30342-1524 | 2017-10-10 |
1275074924 | Anna Louise Kelly | Nurse Practitioner | 993 Johnson Ferry Rd # 440, Atlanta, GA 30342-1620 | 2017-03-14 |
1518410984 | Brie Batchelor Baxter | Nurse Practitioner | 5461 Meridian Marks Rd, Suite 200, Atlanta, GA 30342 | 2016-08-02 |
1649630310 | Mary Bertossi | Nurse Practitioner | 1800 Howell Mill Rd Nw Ste 475, Atlanta, GA 30318-0920 | 2016-02-24 |
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.