OCTAVIA BOSTIC (NPI# 1255973251) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255973251 |
| Entity Type | Individual |
| Full Name | OCTAVIA BOSTIC |
| Practice Address |
7670 Creekside Lane Riverdale GA 30296 |
| Mailing Address |
7670 Creekside Ln Riverdale GA 30296-1173 |
| Practice Telephone | 8637773846 |
| Mailing Telephone | 8637773846 |
| Enumeration Date | 2019-10-10 |
| Last Update Date | 2019-10-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 376K00000X | Nurse's Aide | GA | Nursing Service Related Providers |
| Street Address |
7670 CREEKSIDE LANE |
| City | RIVERDALE |
| State | GA |
| Zip Code | 30296 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417558594 | James D Hickman | Home Health Aide | 2252 Addison Park, Riverdale, GA 30296 | 2020-11-04 |
| 1548746829 | Verna Stoner-frazier | Physical Therapist | 1542 Bethaven Rd, Riverdale, GA 30296 | 2018-07-19 |
| 1346762705 | Letty Searcy | Case Manager/Care Coordinator | 7125 E. Village Ct, Riverdale, GA 30296 | 2017-07-07 |
| 1225402639 | Optima Physical Therapy Services | Clinic/Center | 808 Commerce Boulevard, Riverdale, GA 30296 | 2015-11-23 |
| 1437409224 | Mobile Nursing Service LLC | Nursing Care | 829 Scott Rd, Riverdale, GA 30296 | 2012-09-19 |
| 1104069517 | Taina S. Holly | Licensed Practical Nurse | 1234 Elgin Way, Riverdale, GA 30296 | 2009-04-15 |
| 1386720118 | Absolute Healthcare & Rehab Center | Chiropractor | 1807 Hwy 138 Sw, Riverdale, GA 30296 | 2006-10-27 |
| 1467558650 | Daniel Tesfa Redie | Dentist | 1849 Hwy 138, Riverdale, GA 30296 | 2006-09-15 |
| 1033214184 | Malcolm Hill | Chiropractor | 1296 Hwy 138, Suite 105, Riverdale, GA 30296 | 2006-09-13 |
| 1780649368 | James E Gleason Jr. | Family Medicine | 7365 Old National Hwy, Riverdale, GA 30296 | 2006-04-18 |
| Find all providers in zip 30296 | ||||
| Taxonomy Code | 376K00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Nurse's Aide |
| (1) An unlicensed individual who is trained to function in an assistive role to the licensed nurse in the provision of patient/client activities as delegated by the nurse; (2) An individual trained (either on-the-job or through a formal course generally of less than one year) and experienced in performing patient or client-care nursing tasks that do not require the skills of a specialist, technician, or professional. Examples of tasks performed by nurses aides include changing clothes, diapers, and beds; assisting patients to perform exercises or personal hygiene tasks, and supporting communication or social interaction. Specific education and credentials are not required for this work. |
| Notes: Source: (1) American Nurses Association, Registered Professional Nurses and Unlicensed Personnel, 2nd ed., 1996; (2) 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 |
|---|---|---|---|---|
| 1760096820 | Helen Adekusibe | Nurse's Aide | 5423 56th Ave Apt 6, Riverdale, MD 20737-2400 | 2020-09-04 |
| 1003398553 | Rachel Brewer | Nurse's Aide | 5711 Sarvis Ave Ste 510, Riverdale, MD 20737-1367 | 2018-08-31 |
| 1295979961 | Jacquline Noel | Nurse's Aide | 7305 Chilton Ln, Riverdale, GA 30296-1409 | 2009-04-27 |
| 1578179305 | Olubukola Amusu | Nurse's Aide | 6813 Riverdale Rd, Riverdale, MD 20737-1800 | 2020-09-17 |
| 1316550858 | Mitchell Harvey Jr. | Nurse's Aide | 8174 Spring Ct, Riverdale, GA 30274-4317 | 2020-08-25 |
| 1487123212 | Cynthia Ufei Taboh | Nurse's Aide | 6813 Riverdale Rd, Riverdale, MD 20737-1800 | 2018-11-22 |
| 1265853527 | Jeane Salifu | Nurse's Aide | 5803 Silk Tree Dr, Riverdale, MD 20737 | 2014-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497354831 | Genise Collins | Nurse's Aide | 202 Robin Ln, Moultrie, GA 31788-7281 | 2020-10-17 |
| 1902412208 | Toni Brennette Stanford | Nurse's Aide | 600 Mountainview Dr, Covington, GA 30016-7191 | 2020-09-22 |
| 1821604869 | Travise Farmer | Nurse's Aide | 109 Evenview Dr, Jonesboro, GA 30236-4938 | 2020-09-16 |
| 1114532280 | Sabrina Home Health Care | Nurse's Aide | 6265 S Gordon Rd, Austell, GA 30168-5000 | 2020-09-15 |
| 1932714243 | Sabrina Ann Folmar | Nurse's Aide | 1600 Roberta Dr Sw Apt 1110, Marietta, GA 30008-3880 | 2020-09-14 |
| 1851904346 | Shilliane M Green | Nurse's Aide | 935 S Grove Blvd Apt 6, Kingsland, GA 31548-5257 | 2020-08-25 |
| 1477164390 | Shanquetris Williams | Nurse's Aide | 613 Crabapple Pl, Macon, GA 31217-5575 | 2020-08-13 |
| 1316555063 | Jennifer E Williams | Nurse's Aide | 283 Pinehurst Dr, Saint Marys, GA 31558-4639 | 2020-07-20 |
| 1942827381 | Courtney Shanae Smart | Nurse's Aide | 124 Heritage Way, Savannah, GA 31419-9650 | 2020-07-01 |
| 1023634136 | Robyn Mercedes Bell | Nurse's Aide | 2091 Willhaven Dr, Augusta, GA 30909-0653 | 2020-06-24 |
| Find all providers with the same taxonomy | ||||
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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.