MS. DIANE SUTPHIN (NPI# 1174997498) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174997498 |
| Entity Type | Individual |
| Full Name | MS. DIANE SUTPHIN |
| Practice Address |
1401 Applewood Dr Dalton GA 30720-2699 |
| Practice Telephone | 7062705033 |
| Mailing Telephone | 7062705033 |
| Enumeration Date | 2015-11-24 |
| Last Update Date | 2015-11-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | COMMUNITY BEHAVIORAL HEALTH | 251S00000X | 01 |
| Street Address |
1401 APPLEWOOD DR |
| City | DALTON |
| State | GA |
| Zip Code | 30720-2699 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164451209 | Francisco Castaneda | Internal Medicine | 1401 Applewood Dr, Suite 1, Dalton, GA 30720 | 2006-07-01 |
| 1417316514 | Rashunda Williams | Counselor | 1401 Applewood Dr, Dalton, GA 30720-2699 | 2016-02-17 |
| 1174982631 | Shaticia Curtis | Social Worker | 1401 Applewood Dr, Dalton, GA 30720-2699 | 2016-02-12 |
| 1033578638 | Jesse Goode | Social Worker | 1401 Applewood Dr, Dalton, GA 30720-2699 | 2016-02-11 |
| 1194180448 | Jimmy Vittorio Colello | Counselor | 1401 Applewood Dr, Dalton, GA 30720-2699 | 2015-12-30 |
| 1467817957 | Camille Perkins | Counselor | 1401 Applewood Dr, Dalton, GA 30720-2699 | 2015-12-28 |
| 1205291085 | Highland Rivers Csb | Community/Behavioral Health | 1401 Applewood Dr, Dalton, GA 30720-2699 | 2015-12-22 |
| 1487019253 | Highland Rivers Csb | Community/Behavioral Health | 1401 Applewood Dr, Dalton, GA 30720-2699 | 2015-12-22 |
| 1700241791 | Angie Hyde | Licensed Practical Nurse | 1401 Applewood Dr, Dalton, GA 30720-2699 | 2015-12-18 |
| 1881069425 | Robin Naprava | Community/Behavioral Health | 1401 Applewood Dr, Dalton, GA 30720-2699 | 2015-12-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528688421 | Nighat Purnima Kabir | Student in an Organized Health Care Education/Training Program | Hamilton Medical Center, Attn: Residency Program, 1200 Memorial Drive, Dalton, GA 30720 | 2020-04-21 |
| 1720620727 | Elizabeth Nicole Gregory | Behavioral Analyst | 1201 Burleyson Rd., Dalton, GA 30720 | 2019-10-10 |
| 1972161768 | Andrea Nicole Henry | Speech-Language Pathologist | 1201 Burleyson Road, Dalton, Ga. 30720, Dalton, GA 30720 | 2019-06-05 |
| 1275056905 | Cynthia L Wood | Speech-Language Pathologist | 1011 Professional Blvd., Dalton, GA 30720 | 2017-07-25 |
| 1073069225 | Alyssa Sellers Garner | Nurse Practitioner | 1436 Chattanooga Avenue, Dalton, GA 30720 | 2016-08-28 |
| 1588039077 | Katie Walker | Social Worker | 900 Shugart Road, Dalton, GA 30720 | 2015-12-09 |
| 1215310800 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 98 West Walnut Ave, Dalton, GA 30720 | 2015-07-01 |
| 1275969081 | Stacy Kay Whitehead | Nurse Practitioner | 1411 Chattanooga Avenue, Suite 101, Dalton, GA 30720 | 2013-09-25 |
| 1821439985 | Chantal Aneka Raheeda Lewis | Internal Medicine | 1109 Burleyson Rd Ste 103, Dalton, GA 30720 | 2013-07-17 |
| 1174960678 | Homestead Hospice of Northwest Georgia, LLC | Hospice Care, Community Based | 1601 Hickory Street, Dalton, GA 30720 | 2013-05-24 |
| Find all providers in zip 30720 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003273780 | Leslie Suttle | Counselor | 1401 Applewood, Dalton, GA 30720-2699 | 2016-01-26 |
| 1396154860 | Christina Boss | Counselor | 10058 State St, Dalton, NY 14836-9602 | 2014-08-08 |
| 1457503146 | Myriam Danielle Jeanne Rabaste | Counselor | 15899 Arnold Rd, Apt A, Dalton, OH 44618-9029 | 2008-10-14 |
| 1821696626 | Kathy Elisabeth Powell | Counselor | 1414 Dug Gap Rd, Dalton, GA 30720-5007 | 2020-10-14 |
| 1295355733 | Latrice Daniels | Counselor | 1414 Dug Gap Rd, Dalton, GA 30720-5007 | 2020-04-24 |
| 1043844392 | Lindsay Wiggins | Counselor | 1414 Dug Gap Rd, Dalton, GA 30720-5007 | 2020-02-25 |
| 1003454711 | Caitlin Mariah Johnson | Counselor | 1414 Dug Gap Rd, Dalton, GA 30720-5007 | 2019-12-12 |
| 1740846419 | Lauren Jane Vaughan | Counselor | 1414 Dug Gap Rd, Dalton, GA 30720-5007 | 2019-05-17 |
| 1407319775 | Stephanie N Hamby | Counselor | 1414 Dug Gap Rd, Dalton, GA 30720-5007 | 2019-04-12 |
| 1710440516 | Elizabeth Mooney | Counselor | 1414 Dug Gap Rd, Dalton, GA 30720-5007 | 2019-04-09 |
| Find all providers in DALTON | ||||
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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.