MELANIE DAWN WEATHINGTON (NPI# 1073171799) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1073171799 |
Entity Type | Individual |
Full Name | MELANIE DAWN WEATHINGTON |
Practice Address |
122 Gordon Commercial Dr Ste D Lagrange GA 30240-5754 |
Practice Telephone | 7068454054 |
Practice Fax Number | 7068454430 |
Mailing Telephone | 7068454054 |
Mailing Fax Number | 7068454430 |
Enumeration Date | 2019-05-29 |
Last Update Date | 2019-05-29 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 164W00000X | Licensed Practical Nurse | LPN079088 | GA | Nursing Service Providers |
Street Address |
122 GORDON COMMERCIAL DR STE D |
City | LAGRANGE |
State | GA |
Zip Code | 30240-5754 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659784833 | Valerie Kuecker Cleveland | Counselor | 122 Gordon Commercial Dr Ste D, Lagrange, GA 30240-5754 | 2014-06-05 |
1194361873 | Michele B Flowers | Counselor | 122 Gordon Commercial Dr Ste D, Lagrange, GA 30240-5754 | 2019-11-18 |
1861034332 | Grayson West | Counselor | 122 Gordon Commercial Dr Ste D, Lagrange, GA 30240-5754 | 2019-10-16 |
1811452774 | Margaret Mallory Green | Counselor | 122 Gordon Commercial Dr Ste D, Lagrange, GA 30240-5754 | 2019-02-05 |
1881176600 | Annies Louise Smith-mccarden | Licensed Practical Nurse | 122 Gordon Commercial Dr Ste D, Lagrange, GA 30240-5754 | 2018-08-29 |
1194221911 | Melissa A Mccain | Registered Nurse | 122 Gordon Commercial Dr Ste D, Lagrange, GA 30240-5754 | 2018-04-02 |
1801309836 | Phinielia Joyce Harmon | Licensed Practical Nurse | 122 Gordon Commercial Dr Ste D, Lagrange, GA 30240-5754 | 2017-11-13 |
1881064699 | Kirk Hampton | Counselor | 122 Gordon Commercial Dr Ste D, Lagrange, GA 30240-5754 | 2015-10-06 |
1760859979 | Shelia Lynn Storey | Counselor | 122 Gordon Commercial Dr Ste D, Lagrange, GA 30240-5754 | 2015-08-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598223844 | Urgencare, LLC | Clinic/Center | 2169 West Point Road, Suite 105, Lagrange, GA 30240 | 2019-03-06 |
1679075527 | Georgia Pain and Spine Care, Inc | Pain Medicine | 303 Smith St Fl 2, Lagrange, GA 30240 | 2018-03-07 |
1629463500 | Quoc Vinh Ngo | Emergency Medicine | Wellstar West Georgia Medical Center, 1504 Vernon Road, Lagrange, GA 30240 | 2015-03-30 |
1770913964 | Dell H Lawson | Counselor | 300 Medical Dr. Ste 705., Lagrange, GA 30240 | 2013-11-25 |
1629418793 | Mortar & Pestle, LLC | Pharmacy | 205 Vernon Street, Lagrange, GA 30240 | 2013-07-03 |
1336582329 | Weredeselam Menna Olango | Psychiatry & Neurology | 303 Medical Dr Ste 401, Lagrange, GA 30240 | 2013-04-10 |
1720333743 | Mortar and Pestle, LLC | Pharmacy | 300 Mooty Bridge Road, Lagrange, GA 30240 | 2012-07-16 |
1366768459 | Karin Taylor | Physical Medicine & Rehabilitation | 1600 Vernon Rd Ste A, Lagrange, GA 30240 | 2010-04-14 |
1871819458 | Kathryn J Hill | Counselor | 100 Smith St Ste 1, Lagrange, GA 30240 | 2010-04-08 |
1285802751 | Air Evac Ems, Inc. | Ambulance | 455 Aerotron Pkwy, Lagrange, GA 30240 | 2008-02-18 |
Find all providers in zip 30240 |
Taxonomy Code | 164W00000X |
Grouping | Nursing Service Providers |
Classification | Licensed Practical Nurse |
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255876363 | Marijane Sue Greene | Licensed Practical Nurse | 40500 Webster Rd, Lagrange, OH 44050-9415 | 2016-12-28 |
1336512250 | Wonza Denise Crowder | Licensed Practical Nurse | 372 Youngs Mill Rd, G, Lagrange, GA 30241-1387 | 2015-11-02 |
1053650580 | Nicole Katherine Raab | Licensed Practical Nurse | 202 Factory St, Lagrange, OH 44050-9639 | 2013-02-04 |
1790005635 | Rachael Marie Hebebrand | Licensed Practical Nurse | 17802 State Route 301, Lagrange, OH 44050-9745 | 2010-06-02 |
1093968133 | Lydia Ann Hawkinberry | Licensed Practical Nurse | 39872 State Route 303, Lagrange, OH 44050-9558 | 2008-11-03 |
1215128830 | Judith L Sanislow-hall | Licensed Practical Nurse | 13445 Diagonal Rd, Lagrange, OH 44050-9723 | 2007-08-08 |
1952592735 | James Gerard Kelly | Licensed Practical Nurse | 120 Loperwood Ln, Lagrange, OH 44050-9756 | 2007-08-06 |
1700089711 | Lucila Del Carmen Maysonet | Licensed Practical Nurse | 40850 Slife Rd, Lagrange, OH 44050-9827 | 2007-06-07 |
1659383974 | Yvonne Marie Kuzak | Licensed Practical Nurse | 14873 Wheeler Rd, Lagrange, OH 44050-9561 | 2006-08-13 |
1033755475 | Zenetta Michelle Harris | Licensed Practical Nurse | 122 Gordon Commercial Dr Ste C, Lagrange, GA 30240-5754 | 2019-11-20 |
Find all providers in LAGRANGE |
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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.