MRS. AMBER LINNET FOUNTAIN (NPI# 1235457250) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235457250 |
| Entity Type | Individual |
| Full Name | MRS. AMBER LINNET FOUNTAIN |
| Credential | MSN, PMHNP-BC |
| Practice Address |
200 Wisteria Drive Gainesville GA 30501-3827 |
| Mailing Address |
3100 Margavera Ter Atlanta GA 30341-4104 |
| Practice Telephone | 7702195407 |
| Practice Fax Number | 7702197102 |
| Mailing Telephone | 7703757198 |
| Enumeration Date | 2010-05-14 |
| Last Update Date | 2015-08-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
RN201885 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 003109819C | 05 | |
| AL | 166985 | 05 |
| Street Address |
200 WISTERIA DRIVE |
| City | GAINESVILLE |
| State | GA |
| Zip Code | 30501-3827 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437782851 | Madison Raye Huth | Physician Assistant | 743 Spring Street Se, Gainesville, GA 30501 | 2020-02-13 |
| 1205487659 | Grace M Walker Brown | Nurse Practitioner | 592 Medical Park Dr., Suite A, Gainesville, GA 30501 | 2019-09-26 |
| 1174086987 | Nayab Ahmed | Student in an Organized Health Care Education/Training Program | 743 Spring Street, Suite 710, Gainesville, GA 30501 | 2019-04-09 |
| 1154881118 | Ryan D Berry | Student in an Organized Health Care Education/Training Program | 734 Spring St Se Ste 710, Gainesville, GA 30501 | 2019-03-24 |
| 1609336304 | Harper E Niver | Student in an Organized Health Care Education/Training Program | 743 Spring St., Suite 710, Gainesville, GA 30501 | 2019-03-20 |
| 1508336173 | Bradee Burrell Aderholt | Nurse Practitioner | 663 Lanier Park Drive, Gainesville, GA 30501 | 2018-11-27 |
| 1578068359 | Soammy Liz Matias | Chiropractor | 961 Green Street, Gainesville, GA 30501 | 2018-03-26 |
| 1811496896 | Matthew Brown | Speech-Language Pathologist | 500 Spring St. Se Suite 101, Gainesville, GA 30501 | 2018-02-06 |
| 1346769825 | Dr. Skeete & Associates of North Georgia, P.C. | Optometrist | 150 Pearl Nix Parkway, Suite D3a, Gainesville, GA 30501 | 2017-09-15 |
| 1932624723 | M & B Imaging, PC | Radiology | 1640 Jesse Jewell Pkwy Se Ste 2, Gainesville, GA 30501 | 2017-08-14 |
| Find all providers in zip 30501 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659643997 | Shelby Elaine Havens | Nurse Practitioner | 3333 Ne 39th Ave, Gainesville, FL 32609-2639 | 2012-02-02 |
| 1093905291 | Jean Madeline Wood | Nurse Practitioner | Nf/sg Veterans Health System, Malcolm Randall Medical, Center, 1601 Sw Archer Road, Gainesville, FL 32608-1135 | 2007-07-25 |
| 1780711424 | Susan A Donaldson | Nurse Practitioner | 101 S Newell Avenue, Gainesville, FL 32611 | 2007-02-28 |
| 1295840122 | Anne Catherine Opuda | Nurse Practitioner | 825 Nw 23rd Ave, Bldg IIi Suite A, Gainesville, FL 32609-3574 | 2006-08-20 |
| 1659315299 | Nanci R Wood | Nurse Practitioner | 3751 Sw 86th St, Gainesville, FL 32608-7901 | 2006-06-15 |
| 1598379950 | Sara Rose Belmore | Nurse Practitioner | 1601 Sw Archer Rd, Gainesville, FL 32608-1135 | 2020-09-03 |
| 1962016592 | Dierdre Cooper | Nurse Practitioner | 1601 Sw Archer Rd, Gainesville, FL 32608-1135 | 2020-09-01 |
| 1659984979 | Alejandro J. Gutierrez | Nurse Practitioner | 1601 Sw Archer Rd, Gainesville, FL 32608-1135 | 2020-08-26 |
| 1659991156 | Kaleigh Lowe Holmes | Nurse Practitioner | 200 Wisteria Dr, Gainesville, GA 30501-3827 | 2020-04-24 |
| 1437781077 | Phuong Tuyen Le | Nurse Practitioner | 915 Interstate Ridge Dr Ste C, Gainesville, GA 30501-7076 | 2020-02-11 |
| Find all providers in GAINESVILLE | ||||
| City | GAINESVILLE |
| Zip Code | 30501 |
Please comment or provide details below to improve the information on MRS. AMBER LINNET FOUNTAIN.
| 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.