KAITLIN DIVINNIE (NPI# 1174997647) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174997647 |
| Entity Type | Individual |
| Full Name | KAITLIN DIVINNIE |
| Credential | AGPCNP |
| Practice Address |
1365 Clifton Rd Ne Bldg B Atlanta GA 30322-3736 |
| Mailing Address |
3518 Preserve Dr Se Atlanta GA 30339-3736 |
| Practice Telephone | 4047783184 |
| Mailing Telephone | (615) 973-0905 |
| Enumeration Date | 2015-11-21 |
| Last Update Date | 2017-06-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | RN224677 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
RN224677 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 1174997647 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3518 Preserve Dr Se, Atlanta, GA 303393736 | 6159730905 |
| Street Address |
1365 CLIFTON RD NE BLDG B |
| City | ATLANTA |
| State | GA |
| Zip Code | 30322-3736 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669482931 | Sharon M Graves | Internal Medicine | 1365 Clifton Rd Ne Bldg B, The Emory Clinic B Nephrology, Atlanta, GA 30322-1013 | 2006-08-09 |
| 1104389253 | Ali Alawieh | Student in an Organized Health Care Education/Training Program | 1365 Clifton Rd Ne Bldg B, Atlanta, GA 30322-1013 | 2019-04-06 |
| 1922590942 | Janette Leigh Dimonda | Genetic Counselor, MS | 1365 Clifton Rd Ne Bldg B, Atlanta, GA 30322-1013 | 2018-06-05 |
| 1750888442 | Jason J Lamanna | Student in an Organized Health Care Education/Training Program | 1365 Clifton Rd Ne Bldg B, Atlanta, GA 30322-1013 | 2018-04-09 |
| 1356868616 | Kandi Lee Schmidt | Psychologist | 1365 Clifton Rd Ne Bldg B, Atlanta, GA 30322-1013 | 2017-08-28 |
| 1033644174 | Ricardo Mendez | Physician Assistant | 1365 Clifton Rd Ne Bldg B, Atlanta, GA 30322-1013 | 2017-04-26 |
| 1942754759 | Boris Severinsky | Optometrist | 1365 Clifton Rd Ne Bldg B, Atlanta, GA 30322-1013 | 2016-08-09 |
| 1477006146 | Catherine Blair | Physician Assistant | 1365 Clifton Rd Ne Bldg B, Atlanta, GA 30322-1013 | 2016-07-29 |
| 1568824928 | Sarah Avila | Ophthalmology | 1365 Clifton Rd Ne Bldg B, Atlanta, GA 30322-5358 | 2016-03-24 |
| 1023492741 | Kelsey Moody Mileski | Optometrist | 1365 Clifton Rd Ne Bldg B, Atlanta, GA 30322-1013 | 2015-07-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700445830 | Justin Gill | Student in an Organized Health Care Education/Training Program | 1365 Clifton Rd Ne, Clinic B - Suite B6100, Atlanta, GA 30322 | 2019-06-12 |
| 1891354510 | Gwendolyn Gisiner Gunn | Genetic Counselor, MS | Emory Genetics Clinic, 1365 Clifton Road Ne, Atlanta, GA 30322 | 2019-06-06 |
| 1144710567 | Lisa Cathy-ann Akosa | Registered Nurse | 1365 Cifton Road Ne, Atlanta, GA 30322 | 2018-05-10 |
| 1083118004 | Jessica Milian Keilson | Student in an Organized Health Care Education/Training Program | 1364 Clifton Road Ne, Suite H100, Emory University Hospital Office of Surgical Education, Atlanta, GA 30322 | 2018-03-23 |
| 1568982684 | Jennifer Bilko | Dietitian, Registered | 1365 Clifton Rd., Bldg A, 1st Floor, Suite 1450, Atlanta, GA 30322 | 2017-06-20 |
| 1134652258 | Kassahun Bilcha | Student in an Organized Health Care Education/Training Program | 1525 Clifton Rd Ne Ste 100, Atlanta, GA 30322 | 2017-04-05 |
| 1356872246 | Tova Rogers | Dermatology | 1525 Clifton Road Suite 105, Atlanta, GA 30322 | 2017-03-23 |
| 1194271445 | Dina Amin | Dentist | 1365 Clifton,building B, Oral and Maxillofacial Surgery, Suite 2300, Atlanta, GA 30322 | 2016-08-28 |
| 1427404904 | Rita Kaur Kuwahara | Student in an Organized Health Care Education/Training Program | 100 Woodruff Circle, Suite 327, Atlanta, GA 30322 | 2016-05-13 |
| 1891176251 | Octav Cristea | Transplant Surgery | 1365 Clifton Road Northeast, Building B, 6th Floor, Atlanta, GA 30322 | 2015-06-11 |
| Find all providers in zip 30322 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346861127 | Finan Tedla | Nurse Practitioner | 2626 Peachtree Rd Nw Unit 1802, Atlanta, GA 30305-5633 | 2020-05-03 |
| 1780238048 | Rasa Abital Teytel | Nurse Practitioner | 6105 Peachtree Dunwoody Rd Ste 125, Atlanta, GA 30328-5909 | 2019-07-25 |
| 1336646223 | Amy Ruth Williams | Nurse Practitioner | 383 Ralph Mcgill Blvd Ne Apt D, Atlanta, GA 30312 | 2018-04-09 |
| 1780184366 | Anne E Taylor | Nurse Practitioner | 550 Peachtree St Ne Ste 1700, Atlanta, GA 30308-2262 | 2018-02-20 |
| 1487169173 | Terri Marie Clack | Nurse Practitioner | 2550 Akers Mill Rd Se Apt C26, Atlanta, GA 30339-3211 | 2017-12-05 |
| 1346759974 | Neva R Allison | Nurse Practitioner | 2611 Dayview Ln, Atlanta, GA 30331 | 2017-09-26 |
| 1093068397 | Lauren Eichel Nourparvar | Nurse Practitioner | 2580 Oglethorpe Cir Ne, Atlanta, GA 30319-6602 | 2012-10-24 |
| 1346800257 | Regine G Vincent | Nurse Practitioner | 3750 Peachtree Rd Ne, Atlanta, GA 30319-1385 | 2019-06-13 |
| 1629582135 | Mary Rabon Murfee | Nurse Practitioner | 3280 Howell Mill Rd Nw Ste 150, Atlanta, GA 30327 | 2017-11-20 |
| 1124555180 | Obianauju Okoroafor | Nurse Practitioner | 477 Windsor St Sw, Atlanta, GA 30312-2530 | 2017-05-20 |
| Find all providers in ATLANTA | ||||
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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.