MRS. KATHLEEN T DASKAL


Address: 100 Lacy St Nw, Suite 150, Marietta, GA 30060-1271
Phone: 7707937635

MRS. KATHLEEN T DASKAL (NPI# 1376517037) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1376517037
Entity Type Individual
Full Name MRS. KATHLEEN T DASKAL
Credential CNP
Practice Address 100 Lacy St Nw
Suite 150
Marietta
GA 30060-1271
Practice Telephone 7707937635
Practice Fax Number 7707937645
Mailing Telephone 7707937635
Mailing Fax Number 7707937645
Enumeration Date 2006-02-17
Last Update Date 2012-12-28
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner RN170840 GA Physician Assistants & Advanced Practice Nursing Providers
N 363LA2200X Nurse Practitioner
Specialization: Adult Health
254738 MA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 100 LACY ST NW
SUITE 150
City MARIETTA
State GA
Zip Code 30060-1271

Providers in the same location

NPI Name Taxonomy Address Enumeration
1215926316 Rochelle Cotliar Physical Medicine & Rehabilitation 100 Lacy St Nw, Suite 150, Marietta, GA 30060-1113 2005-10-20
1174074371 Sara K Mauldin Nurse Practitioner 100 Lacy St Nw, Marietta, GA 30060 2016-10-23
1881987774 Jennifer Saboura Nurse Practitioner 100 Lacy St Nw, Suite 150, Marietta, GA 30060-1271 2011-05-25
1083907067 Wellstar Medical Group, LLC Physical Medicine & Rehabilitation 100 Lacy St Nw, Suite 150, Marietta, GA 30060-1271 2011-05-24
1225292733 Alexander Liaugminas Physical Medicine & Rehabilitation 100 Lacy St Nw, Suite 150, Marietta, GA 30060-1271 2008-07-14
1871756189 Maryann M Thrasher Registered Nurse 100 Lacy St Nw, Suite 150, Marietta, GA 30060-1271 2008-07-07
1760603757 Uduak Etim Saint Juste Nurse Practitioner 100 Lacy St Nw, Marietta, GA 30060-1271 2007-05-01
1760550008 Diane Wallace Epstein Physical Therapist 100 Lacy St Nw, Marietta, GA 30060-1271 2006-12-04
1780631630 Wellstar Rehab Medicine, LLC Physical Medicine & Rehabilitation 100 Lacy St Nw, Suite 150, Marietta, GA 30060-1113 2006-05-27
1245229343 Vimala P Nair Physical Medicine & Rehabilitation 100 Lacy St Nw, Suite 150, Marietta, GA 30060-1113 2005-10-20
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1144845116 Legacy Center for Spinal Surgery, LLC Neurological Surgery 1900 The Exchange, Ne, Suite 600, Marietta, GA 30060 2020-06-15
1407477193 Michael Cynil Daniel Counselor 698 N Marietta, Pkwy, Marietta, GA 30060 2020-05-04
1285253401 Cameron Thomas Kennelly Student in an Organized Health Care Education/Training Program 677 Church Street Ne Attn:gme, Marietta, GA 30060 2020-04-09
1922640739 Jeremiah George Blair Physician Assistant 61 Whitcher St Suite 2100, Marietta, GA 30060 2019-10-14
1164064945 Denise Alicia Mick Registered Nurse 677 Church St Wellstar Kennestone Hospital, Marietta, GA 30060 2019-10-12
1184283772 Iora Health Georgia, P.C. Internal Medicine 280 Cobb Pkwy Se, Suite 60, Marietta, GA 30060 2019-06-07
1346703212 Caitlin Virginia Mueller Student in an Organized Health Care Education/Training Program 677 Church Street Ne, Attn: Gme, Marietta, GA 30060 2019-04-08
1184187205 Adero Francis Student in an Organized Health Care Education/Training Program Wellstar Kennestone Gme Internal Medicine Clinic, 833 Campbell Hill St Nw, Suite 250, Marietta, GA 30060 2019-04-08
1659832749 Matthew Mozzo Student in an Organized Health Care Education/Training Program 677 Church Street / Lower Level, Gme Department / I.m., Marietta, GA 30060 2019-03-29
1245797430 La'myia Spentz Specialist 109 Anderson St Ne, Suite 608, Marietta, GA 30060 2019-02-25
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Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1629677455 Amy Lynn Patterson Nurse Practitioner 254 Senna St, Marietta, GA 30064-4417 2020-10-22
1356996748 Katrina Nicole Likes Nurse Practitioner 2965 Johnson Ferry Rd Ste D, Marietta, GA 30062-8364 2019-08-02
1205488822 Deborah Patterson Ott Nurse Practitioner 1165 Timberland Dr Se, Marietta, GA 30067-5120 2019-07-13
1922664754 Amanda Lynn Mcelheney Nurse Practitioner 1997 Cheatham Woods Dr Sw, Marietta, GA 30008-4451 2019-05-16
1477020295 Candi Holyfield Nurse Practitioner 1395 S Marietta Pkwy Se Ste 216, Marietta, GA 30067-7832 2018-10-30
1346755998 Allen Surgical LLC Nurse Practitioner 3689 Mountain Rd Ne, Marietta, GA 30066-2411 2017-12-05
1437660305 Tara Randall Nurse Practitioner 2810 Tanner Lake Trl Nw, Marietta, GA 30064-1200 2017-10-19
1487006912 Tara B Pickens Nurse Practitioner 401 Matthew St Ste 200, Marietta, OH 45750-1635 2016-07-08
1528420452 Shakia Frisby Nurse Practitioner 124 Powers Ferry Rd Se Ste E, Marietta, GA 30067-7579 2016-03-21
1912371782 Renee Bateman Brown Nurse Practitioner 488 Kennesaw Ave Nw Ste 200, Marietta, GA 30060 2015-11-17
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Competitor

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City MARIETTA
Zip Code 30060

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Dataset Information

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.

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