NICOLE CHAVANNES (NPI# 1164768537) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164768537 |
| Entity Type | Individual |
| Full Name | NICOLE CHAVANNES |
| Practice Address |
5524 Old National Hwy Ste B College Park GA 30349-3341 |
| Mailing Address |
4132 Atlanta Hwy Ste 110-224 Loganville GA 30052-4930 |
| Practice Telephone | 4047638555 |
| Practice Fax Number | 4047638502 |
| Mailing Telephone | 6782886550 |
| Mailing Fax Number | 6782886550 |
| Enumeration Date | 2012-12-12 |
| Last Update Date | 2012-12-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | RN206850 | GA | Nursing Service Providers |
| Street Address |
5524 OLD NATIONAL HWY STE B |
| City | COLLEGE PARK |
| State | GA |
| Zip Code | 30349-3341 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225232440 | Lisa M Hewitt-geer | Social Worker | 5524 Old National Hwy, Building B, Suite 150-a, College Park, GA 30349 | 2007-06-12 |
| 1477800993 | Darrell M Brooks | Counselor | 5524 Old National Hwy, Ste B, College Park, GA 30349-3212 | 2012-08-15 |
| 1396092953 | Andre Mcdaniel | Counselor | 5524 Old National Hwy, Ste B, College Park, GA 30349-3212 | 2012-08-13 |
| 1073887899 | Carla Warrick | Social Worker | 5524 Old National Hwy, Ste B, College Park, GA 30349-3212 | 2012-02-24 |
| 1174802029 | Mary Botchey | Registered Nurse | 5524 Old National Hwy, Ste B, College Park, GA 30349-3212 | 2011-08-10 |
| 1942589734 | June Mitchell | Registered Nurse | 5524 Old National Hwy, Ste B, College Park, GA 30349-3212 | 2011-08-10 |
| 1700179637 | Monica Denise Borum | Licensed Practical Nurse | 5524 Old National Hwy, Suite B, College Park, GA 30349-3212 | 2011-05-25 |
| 1437442803 | Diane Boulai | Licensed Practical Nurse | 5524 Old National Hwy, Suite B, College Park, GA 30349-3212 | 2011-05-18 |
| 1023301405 | Kira S Bradley | Counselor | 5524 Old National Hwy, College Park, GA 30349-3212 | 2011-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376185686 | Kmb Diagnostics | Durable Medical Equipment & Medical Supplies | 941 Flat Shoals Rd, Atlanta, GA 30349 | 2019-10-09 |
| 1114575859 | Justin Vassell | Registered Nurse | 1903 Phoenix Boulevard, Suite 200, College Park, GA 30349 | 2019-08-27 |
| 1841856663 | Kennyetta Danielle Watkins | Counselor | 1431 Riverwalk Ln, Apt. F, College Park, GA 30349 | 2019-05-16 |
| 1275002636 | Patriot Healthcare of Georgia, LLC | Family Medicine | 1587 Phoenix Boulevard, Suite 6, College Park, GA 30349 | 2018-11-15 |
| 1669971875 | Ee Consulting Solution | Case Management | 6320 Topaz Tral, Arlanta, GA 30349 | 2018-02-03 |
| 1629595640 | Shayla Bouie | Contractor | 5420 Riverdale Rd Apt D17, Atlanta, GA 30349 | 2017-08-30 |
| 1114475563 | Jasmine V Mccully | Social Worker | 5864 Summergien Lane, College Park, GA 30349 | 2016-09-14 |
| 1639537681 | Shelia Thornton | Counselor | 5856 Seabright Lane, Atlanta, GA 30349 | 2016-02-05 |
| 1346610177 | Joanne Resilard | Nurse Practitioner | 2931 Herron Ln Sw, Atlanta, GA 30349 | 2015-10-06 |
| 1063805091 | Southwest Atlanta Medical & Rehabilitation Clinic LLC | Family Medicine | 495 85 Circle, Suite 100, Atlanta, GA 30349 | 2015-03-16 |
| Find all providers in zip 30349 | ||||
| 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 |
|---|---|---|---|---|
| 1699259408 | Neika T. Smith | Registered Nurse | 3461 Fairway Dr, College Park, GA 30337-1624 | 2018-09-18 |
| 1528500824 | Sonya Aristor | Registered Nurse | 125 Hollybrook Rd, College Park, GA 30349-1701 | 2016-11-17 |
| 1386013159 | Innocent Uwakwe | Registered Nurse | 3419 Metzerott Rd, College Park, MD 20740-4425 | 2015-09-22 |
| 1942552807 | Joy B. Jones | Registered Nurse | 7868 Wrotham Cir, College Park, GA 30349-8119 | 2012-10-02 |
| 1174828503 | Kofi Ofori-owusu | Registered Nurse | 2210 Sullivan Rd Apt 4-6, College Park, GA 30337-6521 | 2011-01-15 |
| 1194883678 | Yasmin Collier-kenney | Registered Nurse | 1920 John Wesley Dr, College Park, GA 30349 | 2006-12-05 |
| 1790851137 | Annette Marie Harden Taylor | Registered Nurse | 1920 John Wesley, College Park Regional Health Center, College Park, GA 30337 | 2006-11-28 |
| 1952473555 | Angelique Shante Wells | Registered Nurse | 1920 Johns Wesley Ave, College Park Regional Health Center, College Park, GA 30337 | 2006-11-15 |
| 1740353309 | Vivian Elaine Morman | Registered Nurse | 1920 John Wesley Avenue, College Park, GA 30337 | 2006-11-15 |
| 1144850645 | Jazmine Nicole Ferguson | Registered Nurse | 4700 Erie St, College Park, MD 20740-1851 | 2020-01-23 |
| Find all providers in COLLEGE PARK | ||||
| City | COLLEGE PARK |
| Zip Code | 30349 |
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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.