WANDA SHULL (NPI# 1336561075) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336561075 |
| Entity Type | Individual |
| Full Name | WANDA SHULL |
| Practice Address |
6335 Hospital Pkwy Suite 216 Johns Creek GA 30097-1549 |
| Mailing Address |
1052 Wild Dunes Way Johns Creek GA 30097-2054 |
| Practice Telephone | 6788927820 |
| Practice Fax Number | 6788927824 |
| Enumeration Date | 2014-01-15 |
| Last Update Date | 2014-01-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | RN141375 | GA | Nursing Service Providers |
| Street Address |
6335 HOSPITAL PKWY SUITE 216 |
| City | JOHNS CREEK |
| State | GA |
| Zip Code | 30097-1549 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770589582 | Robert M Weinberg | Anesthesiology | 6335 Hospital Pkwy, Suite 111, Johns Creek, GA 30097-1549 | 2005-06-27 |
| 1518341122 | Tonya Michelle Haley | Physical Therapist | 6335 Hospital Pkwy, Physicians Plaza Suite 316, Johns Creek, GA 30097-1549 | 2015-07-13 |
| 1477945673 | Laura Stover Mcgrew | Nurse Practitioner | 6335 Hospital Pkwy, Johns Creek, GA 30097-1549 | 2015-02-24 |
| 1366849564 | Kelly Foss | Occupational Therapist | 6335 Hospital Pkwy, Building 1000, Suite 200, Johns Creek, GA 30097-1549 | 2014-12-03 |
| 1205199858 | Julie A Leka | Advanced Practice Midwife | 6335 Hospital Pkwy, Johns Creek, GA 30097-1551 | 2012-06-19 |
| 1568732352 | Cheryl Nuclo | Anesthesiologist Assistant | 6335 Hospital Pkwy, Johns Creek, GA 30097-1549 | 2012-01-10 |
| 1023303906 | Jacqueline Yoars | Nurse Anesthetist, Certified Registered | 6335 Hospital Pkwy, Suite 304, Johns Creek, GA 30097-1549 | 2011-06-18 |
| 1275834285 | Mirel Aline Schmidt | Nurse Practitioner | 6335 Hospital Pkwy, Johns Creek, GA 30097-1549 | 2010-11-07 |
| 1437479219 | Quentin Boyles Farmer IIi | Physician Assistant | 6335 Hospital Pkwy, Suite 200, Johns Creek, GA 30097-1549 | 2010-06-03 |
| 1194048678 | Emory Johns Creek Obstetrics and Gynecology, LLC | Obstetrics & Gynecology | 6335 Hospital Pkwy, Suite 203, Johns Creek, GA 30097-1549 | 2010-03-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659986057 | Herman Medical Solutions, LLC | Internal Medicine | 10700 Medlock Bridge Road, Suite 207, Duluth, GA 30097 | 2020-09-11 |
| 1649808619 | Kirsty Amber Ramirez | Behavior Technician | 218 Premiere Pkwy #500, Duluth, GA 30097 | 2020-03-27 |
| 1386277820 | Cristina Madalina Niculas | Pharmacist | Kroger Pharmacy 476, 6555 Sugarloaf Parkway, Duluth, GA 30097 | 2020-02-12 |
| 1619514924 | Opesdei Health Solutions | Home Health Aide | 6615 Abbotts Bridge Road, 6615 Abbotts Bridge Road Unit 1111, Johns Creek, GA 30097 | 2019-12-05 |
| 1700422979 | Ria Alexander | Nurse Practitioner | 6300 Hospital Parkway Ste 300, Johns Creek, GA 30097 | 2019-11-22 |
| 1043867765 | Mosesal Zakia White | Nurse Practitioner | 10680 Medlock Bridge Rd #102, Johns Creek, GA 30097 | 2019-08-19 |
| 1982187068 | Lighthouse Clinical Counseling, LLC | Counselor | 3883 Rogers Bridge Road, Suite 601, Duluth, GA 30097 | 2018-09-13 |
| 1376025643 | Faithe Beanne Kimsey | Counselor | 3883 Rogers Bridge Road Nw, Suite 601, Duluth, GA 30097 | 2018-09-04 |
| 1306330303 | Denise Jackson | Prosthetist | 11720 Medlock Bridge Rd Ste 155, Johns Creek, GA 30097 | 2018-06-21 |
| 1407363328 | Berkeley Van Dyke | Physical Therapist | 6335 Hospital Pkwy Ste 316, Johns Creek, GA 30097 | 2017-12-30 |
| Find all providers in zip 30097 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and 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 |
|---|---|---|---|---|
| 1265962088 | Yu Xin | Registered Nurse | 744 Morganton Drive, Johns Creek, GA 30024 | 2017-06-14 |
| 1609272749 | Kathryn Hogan | Registered Nurse | 2206 Johns Creek Cir, Johns Creek, GA 30097-1987 | 2014-11-18 |
| 1255890943 | Rachel Middleton Spagnoli | Registered Nurse | 6325 Hospital Pkwy, Johns Creek, GA 30097-5775 | 2019-03-13 |
| 1174988828 | Caitlin Hickok | Registered Nurse | 11459 Johns Creek Pkwy Ste 250, Johns Creek, GA 30097-3517 | 2015-12-23 |
| 1801136551 | Charles David Burge | Registered Nurse | 6325 Hospital Pkwy, Johns Creek, GA 30097-5775 | 2013-02-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831790526 | Ruth Kibibi R Jackson | Registered Nurse | 678 York View Dr, Auburn, GA 30011-4628 | 2020-11-08 |
| 1699376707 | Corina Bridges | Registered Nurse | 504 Rockingham Ln, Loganville, GA 30052-8743 | 2020-11-04 |
| 1477153054 | Andrea C Caldwell | Registered Nurse | 1910 Mitchell Pl, Hephzibah, GA 30815-8902 | 2020-10-31 |
| 1396345948 | Mylene Lilian Lilian Gonzales | Registered Nurse | 5727 Grove Farm Ct Nw, Lilburn, GA 30047-6081 | 2020-10-31 |
| 1912507716 | Donnell Banks | Registered Nurse | 2053 Wellborn Rd, Lithonia, GA 30058-5460 | 2020-10-29 |
| 1346840451 | Emily Lauren Brooks | Registered Nurse | 104 Ellis Way, Macon, GA 31216-6278 | 2020-10-28 |
| 1194324848 | Taylor Jackson | Registered Nurse | 4255 Wildener Way, Cumming, GA 30041-3602 | 2020-10-23 |
| 1134728447 | Daniela Morgan Ragins | Registered Nurse | 4287 Vinson Ave, Macon, GA 31206-4055 | 2020-10-19 |
| 1780283911 | April Marie Gray | Registered Nurse | 5917 Nachoochee Trl, Flowery Branch, GA 30542-3134 | 2020-10-19 |
| 1013515691 | Carnett Petrona Mcnaught | Registered Nurse | 436 Ryoaks Dr, Hampton, GA 30228-4923 | 2020-10-15 |
| Find all providers with the same taxonomy | ||||
| City | JOHNS CREEK |
| Zip Code | 30097 |
Please comment or provide details below to improve the information on WANDA SHULL.
| 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.