JACQUELINE ANGELA DACOSTA (NPI# 1104209246) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104209246 |
| Entity Type | Individual |
| Full Name | JACQUELINE ANGELA DACOSTA |
| Credential | RN |
| Practice Address |
4133 Chapel Lake Dr Decatur GA 30034-3568 |
| Practice Telephone | 4045498086 |
| Practice Fax Number | 4045498086 |
| Mailing Telephone | 4045498086 |
| Mailing Fax Number | 4045498086 |
| Enumeration Date | 2015-07-07 |
| Last Update Date | 2015-07-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | RN079303 | GA | Nursing Service Providers |
| Street Address |
4133 CHAPEL LAKE DR |
| City | DECATUR |
| State | GA |
| Zip Code | 30034-3568 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689289803 | Kalesha Uneek Presswood | Behavior Technician | 5361 Roswell Rd, Atlanta, GA 30034 | 2020-09-14 |
| 1447876768 | Rosemary Maines | Recreation Therapist | The Maines Group LLC Dba Maines Health and Wellness, 3461 Jessica Run, Decatur, GA 30034 | 2020-06-23 |
| 1437775764 | The Maines Group, LLC | Adult Companion | The Maines Group, LLC Dba Maines Health and Wellness, 3461 Jessica Run, Decatur, GA 30034 | 2020-06-23 |
| 1801351994 | Anthony E. Parrish, D.d.s., PC | Dentist | 3653 Flakes Mill Road, Suite E, Deactur, GA 30034 | 2019-02-04 |
| 1164916813 | Lenina O Chi-ukpai | Nurse Practitioner | 2942 Secretariat Ct, Decatur, GA 30034 | 2018-06-17 |
| 1154662765 | Zackery Kanel Thomas | Driver | 2782 Green Marsh Court, Decatur, GA 30034 | 2013-03-06 |
| 1033472642 | Lakeba Hibbler Williams | Counselor | 4147 Flat Shoals Pkwy, Decatur, GA 30034 | 2012-06-19 |
| 1164789632 | Foot Solutions of Georgia | Durable Medical Equipment & Medical Supplies | 3011 S Rainbow Dr, Suite 160, Decatur, GA 30034 | 2012-04-20 |
| 1699096172 | Wanda P Garrett | Social Worker | 3013 Rainbow Drive, Suite 112-e, South Dekalb Office Park, Decatur, GA 30034 | 2010-06-18 |
| 1245558022 | Teresa Behrend Fletcher | Counselor | 3915 Brookside Pkwy, Decatur, GA 30034 | 2010-05-04 |
| Find all providers in zip 30034 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and 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 |
|---|---|---|---|---|
| 1164040036 | Kenneth Keith Woodington | Registered Nurse | 556 Scott Cir, Decatur, GA 30033-4723 | 2020-07-08 |
| 1548886179 | Latasha Eileen Lewis | Registered Nurse | 2615 Park Central Blvd, Decatur, GA 30035-3907 | 2020-06-19 |
| 1366073082 | Nancy Davis | Registered Nurse | 318 N Fm 730, Decatur, TX 76234-6378 | 2020-01-31 |
| 1699238733 | Dinah Augustin | Registered Nurse | 1458 Church St., Unit B, Decatur, GA 30030 | 2019-04-06 |
| 1477012904 | Jennifer Diane Baker | Registered Nurse | 6269 S Nopone Valley Rd, Decatur, TN 37322-5621 | 2019-03-14 |
| 1023526274 | Tanya Williams | Registered Nurse | 413 Bellemeade St Sw, Decatur, AL 35601-6325 | 2018-01-22 |
| 1053841866 | Nicholas Brandon Lemaster | Registered Nurse | 2665 N Decatur Rd Ste 320, Decatur, GA 30033-6136 | 2017-06-14 |
| 1043755853 | Samantha Wisner Valentini | Registered Nurse | 2551 Wilson Woods Dr, Decatur, GA 30033 | 2017-01-03 |
| 1205293230 | Stefani Spruill | Registered Nurse | 2354 Wineleas Rd, Decatur, GA 30033-5519 | 2016-01-21 |
| 1285099481 | Wakita Cassandra Bradford | Registered Nurse | 1958 Barberrie Ln, Decatur, GA 30032-3916 | 2015-12-15 |
| Find all providers in DECATUR | ||||
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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.