ANITA CONNER (NPI# 1336650746) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336650746 |
| Entity Type | Individual |
| Full Name | ANITA CONNER |
| Credential | RD, LD |
| Practice Address |
2470 Mount Zion Pkwy Jonesboro GA 30236-2500 |
| Mailing Address |
712 Shadow Lake Dr Lithonia GA 30058-6204 |
| Practice Telephone | 7706033978 |
| Mailing Telephone | 7706033978 |
| Enumeration Date | 2017-10-12 |
| Last Update Date | 2017-10-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133VN1005X |
Dietitian, Registered Specialization: Nutrition, Renal |
LD001889 | GA | Dietary & Nutritional Service Providers |
| N | 174H00000X | Health Educator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457891574 | Anita J Conner | Audiologist | 1932 Niles Cortland Rd Ne, Warren, OH 44484-1055 | 2017-03-08 |
| 1043260680 | Anita G Conner | Nurse Practitioner | 1201 Broad Rock Blvd, Mcgurie Va Medical Ctr (111k) Hem/oncology Section, Richmond, VA 23249-0001 | 2006-05-12 |
| Street Address |
2470 MOUNT ZION PKWY |
| City | JONESBORO |
| State | GA |
| Zip Code | 30236-2500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831221068 | Kelly J. Shea-miller | Audiologist | 2470 Mount Zion Pkwy, Department of Ent, Jonesboro, GA 30236-2500 | 2007-03-12 |
| 1730603275 | Feona Udai | Nurse Practitioner | 2470 Mount Zion Pkwy, Jonesboro, GA 30236-2500 | 2017-07-26 |
| 1720526841 | Jolen Tabor | Social Worker | 2470 Mount Zion Pkwy, Palliative Care Clinic, Jonesboro, GA 30236-2500 | 2017-02-09 |
| 1689118796 | Ashley Renee Stowers | Registered Nurse | 2470 Mount Zion Pkwy, Jonesboro, GA 30236-2500 | 2016-12-08 |
| 1003291766 | Katherine Foley | Dietitian, Registered | 2470 Mount Zion Pkwy, Jonesboro, GA 30236-2500 | 2015-07-23 |
| 1245574110 | Jeana Renee' Griffith | Psychologist | 2470 Mount Zion Pkwy, Jonesboro, GA 30236-2500 | 2012-11-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972123362 | Life Source Counseling & Consulting, LLC | Clinic/Center | 118 North Avenue, Suite A, Jonesboro, GA 30236 | 2020-04-25 |
| 1639609555 | New Beginnings Behavioral Counseling,llc | Social Worker | 9456 S Main St Ste E2, Jonesboro, GA 30236 | 2017-06-13 |
| 1437696762 | Clarissa Alexandra Poole | Counselor | 2106 Fair Ridge Ct, Jonesboro, GA 30236 | 2017-01-25 |
| 1588012892 | Sundance Healthcare Service Inc | In Home Supportive Care | 7861 Collinswood Court, Jonesboro, GA 30236 | 2016-05-26 |
| 1942669205 | Adrianne Smiley Gurley | Occupational Therapist | 1299 Battlecreek Rd Ste 210, Jonesboro, GA 30236 | 2016-02-15 |
| 1336505809 | Integrated Health Center | Dentist | 8600 Tara Blvd, Suite D, Jonesboro, GA 30236 | 2016-01-13 |
| 1467827402 | Surrell Porter | Nurse Practitioner | 1287 Georgia Highway 138 Spur, Suite 8, Jonesboro, GA 30236 | 2015-12-02 |
| 1740688910 | Jacqueline Carolyn Edwards | Registered Nurse | 8081 Tara Blvd, 265, Jonesboro, GA 30236 | 2014-12-19 |
| 1770991861 | Lower Extremity Diagnostics, LLC | Podiatrist | 6911 Tara Boulevard, Jonesboro, GA 30236 | 2014-08-01 |
| 1760899710 | Fresenius Medical Care Jonesboro, LLC | Clinic/Center | 8060 Summitt Business Parkway, Jonesboro, GA 30236 | 2014-07-22 |
| Find all providers in zip 30236 | ||||
| Taxonomy Code | 133VN1005X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| Specialization | Nutrition, Renal |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003291766 | Katherine Foley | Dietitian, Registered | 2470 Mount Zion Pkwy, Jonesboro, GA 30236-2500 | 2015-07-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588265839 | Mina Xia | Dietitian, Registered | 7007 Kingswood Run Dr, Atlanta, GA 30340-1865 | 2020-11-03 |
| 1053979690 | Vanessa Lynn Hunt | Dietitian, Registered | 4276 Courtside Dr, Stone Mountain, GA 30083-1292 | 2019-05-30 |
| 1164838173 | Sally Butler Stieghan | Dietitian, Registered | 222 14th St Ne Apt 213, Atlanta, GA 30309-7681 | 2014-07-10 |
| 1265718928 | Practical Wellness LLC | Dietitian, Registered | 889 Stallings Ave Se, Atlanta, GA 30316-2209 | 2011-10-26 |
| 1073793766 | Christy Leigh Roberts | Dietitian, Registered | 190 Calhoun Rd, Griffin, GA 30224-7829 | 2007-11-09 |
| 1225220866 | Nutrition 411 Beverly Ford Rd Ld LLC | Dietitian, Registered | 2425 Williams St, Augusta, GA 30904-6127 | 2007-08-17 |
| 1487873352 | Cynthia Goudeau | Dietitian, Registered | 1830 Niskey Cove Rd Sw, Atlanta, GA 30331-6339 | 2007-04-25 |
| 1457440786 | Amanda Jo Redden | Dietitian, Registered | 22 Camden Cir, Newnan, GA 30265-5551 | 2006-10-12 |
| 1316057862 | Mary Etta James Gresham | Dietitian, Registered | 5330 Cayuga Ct, Lithonia, GA 30038-1106 | 2006-08-30 |
| 1376579656 | Melissa Ann Krentzman | Dietitian, Registered | 1685 Barfield Run Nw, Atlanta, GA 30318-2778 | 2006-06-25 |
| 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.