NICHELLE STALLWORTH (NPI# 1184257073) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184257073 |
| Entity Type | Individual |
| Full Name | NICHELLE STALLWORTH |
| Practice Address |
15485 N Valley Creek Ln Alpharetta GA 30004-3606 |
| Practice Telephone | 5862465181 |
| Enumeration Date | 2020-02-19 |
| Last Update Date | 2020-02-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747A0650X |
Technician Specialization: Attendant Care Provider |
Nursing Service Related Providers |
| Street Address |
15485 N VALLEY CREEK LN |
| City | ALPHARETTA |
| State | GA |
| Zip Code | 30004-3606 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366065823 | Rena Wilson | Neuromusculoskeletal Medicine, Sports Medicine | 3442 Francis Road Suite 130, Alpharetta, UNITED STATES 30004 | 2020-05-19 |
| 1538665963 | Pinnacle Endodontics of Crabapple, LLC | Dentist | 12250 Crabapple Road, Alpharetta, GA 30004 | 2018-04-04 |
| 1508369372 | Michael William Freeman | Chiropractor | 12389 Crabapple Road, Alpharetta, GA 30004 | 2018-03-17 |
| 1457851040 | Dzeneta Krndzija | Nurse Practitioner | 2980 Serenade Ct., Milton, GA 30004 | 2018-02-20 |
| 1881109684 | B.spectacled | Optometrist | 50 Canton Street, Ste 112, Alpharetta, GA 30004 | 2017-12-04 |
| 1477094498 | Caroline Sassetti-hryczyk | Nurse Practitioner | 162 Taylor Ridge Way, Milton, GA 30004 | 2017-03-09 |
| 1043696735 | Caregiver Health Solutions, LLC | Home Health | 3505 Peacock Rd, Alpharetta, GA 30004 | 2015-08-04 |
| 1124418371 | Francella Bonilla | Physical Therapy Assistant | 4805 Waterbrooke Xing, Alpharetta, GA 30004 | 2015-01-27 |
| 1548672082 | Crabapple Smiles Dental Group PC | Dentist | 12460 Crabapple Road, Suite 801, Alpharetta, GA 30004 | 2014-06-02 |
| 1578988697 | Heartland Dental Care of Georgia, P.C. | Dentist | 12988 Georgia Highway 9, Milton, GA 30004 | 2014-02-26 |
| Find all providers in zip 30004 | ||||
| Taxonomy Code | 3747A0650X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Attendant Care Provider |
| An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083214183 | Julia Mcenhill | Technician | 10 Evonshire Dr, Sharpsburg, GA 30277-3266 | 2020-10-28 |
| 1497352884 | Ernestine Atwater | Technician | 1962 Twin Falls Rd, Decatur, GA 30032-6070 | 2020-10-08 |
| 1952916207 | Nitza Chea Bishop | Technician | 151 Chulio Rd Se, Rome, GA 30161-8496 | 2020-09-14 |
| 1174137822 | Nettie Pearl Smith | Technician | 2919 Lonesome Rd, Albany, GA 31721-5644 | 2020-09-01 |
| 1255943478 | David Williams Jr. | Technician | 126 Thompson St, Cusseta, GA 31805-3945 | 2020-08-19 |
| 1750992913 | Phyllis Denise Haynes | Technician | 1111 Glenwood Ln, Bogart, GA 30622-2396 | 2020-08-12 |
| 1306464037 | Vickie Moore | Technician | 1639 Breeds Hill Loop, Columbus, GA 31907-7430 | 2020-07-09 |
| 1275150542 | Quindeic Rhones | Technician | 2556 Miles St, Augusta, GA 30906-5326 | 2020-07-02 |
| 1083231476 | Martha Crawford | Technician | 593 Crawford St Se, Dawson, GA 39842-2041 | 2020-07-01 |
| 1356967350 | Gloria Foster | Technician | 8643 Crenshaw Dr, Grovetown, GA 30813-8322 | 2020-06-25 |
| Find all providers with the same taxonomy | ||||
| City | ALPHARETTA |
| Zip Code | 30004 |
Please comment or provide details below to improve the information on NICHELLE STALLWORTH.
| 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.