MRS. MARY GRACE B NUEGA (NPI# 1407342603) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1407342603 |
Entity Type | Individual |
Full Name | MRS. MARY GRACE B NUEGA |
Credential | NP |
Practice Address |
1255 Highway 54 W Fayetteville GA 30214-4526 |
Mailing Address |
1835 Savoy Dr Ste 300 Atlanta GA 30341-1071 |
Practice Telephone | 4043673014 |
Practice Fax Number | 7709427699 |
Mailing Telephone | 6782889555 |
Mailing Fax Number | 6782889556 |
Enumeration Date | 2018-07-11 |
Last Update Date | 2020-01-03 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | RN157187 | GA | Physician Assistants & Advanced Practice Nursing Providers |
N | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
RN157187 | GA | Physician Assistants & Advanced Practice Nursing Providers |
N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
RN157187 | GA | Physician Assistants & Advanced Practice Nursing Providers |
N | 363LC0200X |
Nurse Practitioner Specialization: Critical Care Medicine |
RN157187 | GA | Physician Assistants & Advanced Practice Nursing Providers |
N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
RN157187 | GA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
1255 HIGHWAY 54 W |
City | FAYETTEVILLE |
State | GA |
Zip Code | 30214-4526 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790759579 | Terrence Wise | Internal Medicine | 1255 Highway 54 W, Fayetteville, GA 30214-4526 | 2006-02-16 |
1518575737 | Lillie La Marre | Anesthesiologist Assistant | 1255 Highway 54 W, Fayetteville, GA 30214-4526 | 2020-07-14 |
1932723285 | Janam Nilesh Patel | Anesthesiologist Assistant | 1255 Highway 54 W, Fayetteville, GA 30214-4526 | 2020-06-02 |
1851934541 | Kara Elizabeth Wright | Registered Nurse | 1255 Highway 54 W, Fayetteville, GA 30214-4526 | 2019-10-24 |
1093370827 | Virginia Ann Horan | Physician Assistant | 1255 Highway 54 W, Fayetteville, GA 30214-4526 | 2019-05-07 |
1588123285 | Morgan Roberson | Nurse Practitioner | 1255 Highway 54 W, Fayetteville, GA 30214-4526 | 2019-03-13 |
1174099410 | Ellen Marie Morris-white | Nurse Practitioner | 1255 Highway 54 W, Fayetteville, GA 30214-4526 | 2018-10-14 |
1851874085 | Monika Hill | Nurse Practitioner | 1255 Highway 54 W, Fayetteville, GA 30214-4526 | 2018-09-13 |
1700368958 | Kristen Dawn Graddy | Occupational Therapist | 1255 Highway 54 W, Fayetteville, GA 30214-4526 | 2018-09-04 |
1326533415 | Terrica Wilson Harris | Nurse Anesthetist, Certified Registered | 1255 Highway 54 W, Fayetteville, GA 30214-4526 | 2018-06-29 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548872468 | Phyllis Kelly Wood | Nurse Practitioner | 217 Banks Rd, Suite 31, Fayetteville, GA 30214 | 2020-08-21 |
1073139317 | Tyisha Salter Scott | Counselor | 110 Habersham Drive, Suite 142, Fayetteville, GA 30214 | 2020-06-23 |
1194341412 | Camille Franncine Bolton | Physical Therapist | 500 Floy Farr Parkway, Suite 303, Fayetteville, GA 30214 | 2020-06-23 |
1205465895 | Gillian Vaughan Heard | Physician Assistant | 1275 Ga-54 #201, Fayetteville, GA 30214 | 2020-04-06 |
1881234557 | Peach Fits,inc | Mastectomy Fitter | 285 Glynn Street South, Suites 102 and 104, Fayetteville, GA 30214 | 2020-01-10 |
1255981072 | Delta Healthcare Providers | Clinic/Center | 1275 W Lanier Ave, #200, Fayetteville, GA 30214 | 2019-09-13 |
1861965592 | Hierarchy for Wellness | Specialist | 805 S Glynn St Bldg 127 142, Fayetteville, GA 30214 | 2019-01-04 |
1356810634 | Fayette Dental Group PC | Clinic/Center | 720 W Lanier Ave, Fayetteville, GA 30214 | 2018-11-16 |
1891263299 | Mattie Mae Farmer Clark | Specialist/Technologist, Other | Piedmont Fayette Hospital, 1255 Highway 54 West, Fayetteville, GA 30214 | 2018-11-05 |
1093293607 | Allyson Holland | Pharmacist | 880 Highway 85 South, Fayetteville, GA 30214 | 2018-08-06 |
Find all providers in zip 30214 |
Taxonomy Code | 363L00000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
(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. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326659798 | Derek Miles Anderson | Nurse Practitioner | 545 Woodward Dr, Fayetteville, GA 30215-7641 | 2020-08-11 |
1376167163 | Shatanya Monique Cook | Nurse Practitioner | 1233 Highway 54 W Ste 205, Fayetteville, GA 30214-4542 | 2020-06-08 |
1063058972 | Mardee L Baxley | Nurse Practitioner | 1991 Fordham Dr Ste 302, Fayetteville, NC 28304-3774 | 2019-11-26 |
1336781715 | Anna Brooks Maness Reed | Nurse Practitioner | 2053 Valleygate Dr Ste 102, Fayetteville, NC 28304-3983 | 2019-10-17 |
1801362355 | Dawn Stone | Nurse Practitioner | 874 Lanier Ave W Ste 220, Fayetteville, GA 30214-7659 | 2018-10-22 |
1902385784 | Yasmin Mathlin | Nurse Practitioner | 641 Walker St, Fayetteville, NC 28311-1990 | 2018-08-12 |
1144731951 | Kelli Borland | Nurse Practitioner | 101 Yorktown Dr Ste 207, Fayetteville, GA 30214-1578 | 2017-10-19 |
1134639867 | Jeanne Marie Lythgoe | Nurse Practitioner | 2153 Valleygate Dr Ste 101, Fayetteville, NC 28304-3667 | 2017-10-09 |
1174048037 | Sharon Davinroy | Nurse Practitioner | 315 Sparrow Dr, Fayetteville, NC 28306-8227 | 2017-08-11 |
1609302868 | Rose M Graham | Nurse Practitioner | 1202 Walter Reed Road, Capefear Valley Associate, Fayetteville, NC 28304 | 2017-05-10 |
Find all providers in FAYETTEVILLE |
City | FAYETTEVILLE |
Zip Code | 30214 |
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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.