KYNLEA BRANTLEY (NPI# 1043874142) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1043874142 |
Entity Type | Individual |
Full Name | KYNLEA BRANTLEY |
Practice Address |
200 Beaver Run Dr Dublin GA 31021-3862 |
Practice Telephone | 4786890488 |
Enumeration Date | 2019-04-24 |
Last Update Date | 2019-04-24 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
Street Address |
200 BEAVER RUN DR |
City | DUBLIN |
State | GA |
Zip Code | 31021-3862 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497213748 | Ronald E. Johnson | Peer Specialist | Carl Vinson Va Medical Center, 1826 Veterans Blvd., Dublin, GA 31021 | 2019-03-06 |
1902384811 | Nieka Jackson | Pharmacist | 75 Woodlawn Dr, Apt. C-1, Dublin, GA 31021 | 2018-08-02 |
1407341522 | Empower Psychiatry & Weight Loss, LLC | Nurse Practitioner | 112 Rowe St Ste B, Dublin, GA 31021 | 2018-06-30 |
1619462207 | Kara Emily Frost | Speech-Language Pathologist | 1406 Bellevue Rd, Dublin, GA 31021 | 2018-06-26 |
1376035410 | Owens Speech Services, LLC | Speech-Language Pathologist | 401 Barfield Court, Dublin, GA 31021 | 2018-06-05 |
1558878884 | Tattnall Hospital Company, LLC | Neurological Surgery | 242 Industrial Blvd, Dublin, GA 31021 | 2018-01-09 |
1376991000 | Eatonton Facility Development Company, LLC | Hospice, Inpatient | 155 Greensboro Rd, Eatonton, GA 31021 | 2016-06-03 |
1801261177 | Jones Community Health Center, LLC | Clinic/Center | 115 Shadow Pond, Dublin, GA 31021 | 2015-12-11 |
1508237561 | Cancer Center of Middle Georgia | Specialist | 26 Erin Office Park, Dublin, GA 31021 | 2015-10-15 |
1922477249 | Mickey Jackson | Non-emergency Medical Transport (VAN) | 610 John Robinson Tl., Dublin, GA 31021 | 2015-09-16 |
Find all providers in zip 31021 |
Taxonomy Code | 390200000X |
Grouping | Student, Health Care |
Classification | Student in an Organized Health Care Education/Training Program |
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
Notes: [1/1/2005: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568083046 | Shivani Phanse | Student in an Organized Health Care Education/Training Program | 2130 Forino Dr, Dublin, CA 94568-2328 | 2020-05-06 |
1174144711 | Rebecca C Puckett | Student in an Organized Health Care Education/Training Program | 5584 Old Finglas Ct, Dublin, OH 43017-2441 | 2020-05-06 |
1255966461 | Marjon Khairy | Student in an Organized Health Care Education/Training Program | 7673 Turquoise St, Dublin, CA 94568-3478 | 2020-03-09 |
1255964250 | Anna Rosselit | Student in an Organized Health Care Education/Training Program | 5468 Flint Creek Ave, Dublin, OH 43016-9648 | 2020-02-18 |
1013552231 | Salma Abdel-latif | Student in an Organized Health Care Education/Training Program | 5675 Perimeter Drive, Dublin, OH 43017-4301 | 2019-11-12 |
1659935104 | Shanthi Chodagiri | Student in an Organized Health Care Education/Training Program | 3605 Whitworth Dr, Dublin, CA 94568-1379 | 2019-04-30 |
1508328089 | Alexandrea Lynn Netto | Student in an Organized Health Care Education/Training Program | 5581 Stockton Way, Dublin, OH 43016-7038 | 2019-04-03 |
1649731506 | Timur Abashev | Student in an Organized Health Care Education/Training Program | 5300 Iron Horse Pkwy Apt 358, Dublin, CA 94568-7030 | 2019-03-25 |
1518353432 | Rahul Kar | Student in an Organized Health Care Education/Training Program | 6623 Greensway Loop, Dublin, OH 43016-8424 | 2015-04-07 |
1336533678 | Tanya Williams | Student in an Organized Health Care Education/Training Program | 6154 Michaelkenney Ln, Dublin, OH 43017-1902 | 2015-03-25 |
Find all providers in DUBLIN |
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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.