LISA DOVE BLAKELY (NPI# 1336678317) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336678317 |
| Entity Type | Individual |
| Full Name | LISA DOVE BLAKELY |
| Credential | RN |
| Practice Address |
1659 Woodbridge Ln Ne Atlanta GA 30329-3536 |
| Practice Telephone | 6785481416 |
| Mailing Telephone | 6785481416 |
| Enumeration Date | 2017-06-05 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WA2000X |
Registered Nurse Specialization: Administrator |
RN127654 | GA | Nursing Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1659 Woodbrisge Lane Ne, Atlanta, GA 30329 | 6785481416 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447543194 | Lisa J Blakely | Counselor | 684 Ellis St, San Francisco, CA 94109-8090 | 2011-05-26 |
| Street Address |
1659 WOODBRIDGE LN NE |
| City | ATLANTA |
| State | GA |
| Zip Code | 30329-3536 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871084111 | Inner Peace Counseling Services,llc | Counselor | 2801 Bufford Highway, Suite T-10, Atlanta, GA 30329 | 2018-05-22 |
| 1912409392 | Joie De Vivre Counseling and Therapy | Counselor | 2801 Buford Highway, Ne, Atlanta, GA 30329 | 2018-03-01 |
| 1902329105 | Barbara Dunbar | Psychologist | 1777 Northeast Expressway, #175, Atlanta, GA 30329 | 2017-07-19 |
| 1114449048 | Cricket Cheyenne Gullickson | Student in an Organized Health Care Education/Training Program | 1371 Briarvista Way Ne, Atlanta, GA 30329 | 2017-07-12 |
| 1902357866 | Carla Zimmerly | Nurse Practitioner | 1711 Tullie Circle, Atlanta, GA 30329 | 2016-10-17 |
| 1316490808 | Shahzad Ghori | Student in an Organized Health Care Education/Training Program | 1727 Druid Oaks Ne, Atlanta, GA 30329 | 2016-08-01 |
| 1023467768 | Ashley Elliott | Physician Assistant | 59 Executive Park, Atlanta, GA 30329 | 2016-06-03 |
| 1285096115 | Kimberley Fox | Internal Medicine | 1600 Clifton Rd Ne, Ms A-04, Cdc, Atlanta, GA 30329 | 2016-03-21 |
| 1275991648 | Mary Patricia Joyce | Internal Medicine | 1600 Clifton Road, E-47, Centers for Disease Control and Prevention, Atlanta, GA 30329 | 2016-02-01 |
| 1346656618 | Amelia Muniz Hernandez | Pediatrics | 1841 Clifton Rd Ne # 508, Atlanta, GA 30329 | 2014-07-08 |
| Find all providers in zip 30329 | ||||
| Taxonomy Code | 163WA2000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Administrator |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891126561 | Constance English | Registered Nurse | 1332 Donald Lee Hollowell Pkwy Nw, Atlanta, GA 30318-5143 | 2013-12-06 |
| 1750633251 | Karen D Stack | Registered Nurse | 2793 Clairmont Rd Ne, Suite 213, Atlanta, GA 30329-2700 | 2012-10-08 |
| 1285933622 | Valencia L. Beckley | Registered Nurse | 265 Boulevard N.e., Atlanta, GA 30312 | 2011-03-24 |
| 1396162459 | Brittney Williams | Registered Nurse | 460 Auburn Ave Ne, Atlanta, GA 30312-1504 | 2014-03-26 |
| 1932372539 | Tracey Lynn Scissum | Registered Nurse | 424 Decatur St Se, Atlanta, GA 30312-1848 | 2008-04-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699381327 | Jamaria A Bryant | Registered Nurse | 2050 Roswell Rd Ste 312, Marietta, GA 30062-3811 | 2020-09-17 |
| 1063052470 | Kimberly Michel Davis | Registered Nurse | 4560 Atwater Ct Ste 105-2, Buford, GA 30518-3497 | 2020-01-14 |
| 1043879075 | Latavia Howard | Registered Nurse | 495 Lory Ln, Grovetown, GA 30813-6104 | 2019-06-12 |
| 1194257931 | Cheryl Davis | Registered Nurse | 118 S Madison St, Suite 4, Thomasville, GA 31792-5495 | 2017-03-31 |
| 1366815383 | Mary Azuh | Registered Nurse | 1069 Lakefield Walk, Marietta, GA 30064-5758 | 2015-11-12 |
| 1720462575 | Kimily Singleton | Registered Nurse | 821 Pavilion Ct Ste G, Mcdonough, GA 30253-5223 | 2015-07-10 |
| 1447523139 | Donna B Walden | Registered Nurse | 161 Finncannon Dr, Ellijay, GA 30536-4773 | 2012-02-11 |
| 1962796680 | Donna Lynn Ross | Registered Nurse | 684 Pathwood Ln, Stockbridge, GA 30281-7787 | 2011-05-31 |
| 1194042036 | Alice Jacqueline Haskins | Registered Nurse | 100 Piedmont Rd Ne, Marietta, GA 30066-3636 | 2010-05-03 |
| 1588828024 | Raquel Valdivieso | Registered Nurse | 1525 Laurel Crossing Pkwy, 1026, Buford, GA 30516-6586 | 2008-07-14 |
| 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.