ANTJUAN HAMPTON (NPI# 1417578485) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1417578485 |
Entity Type | Individual |
Full Name | ANTJUAN HAMPTON |
Practice Address |
1014 Natural Brook Trl Lawrenceville GA 30045-2615 |
Practice Telephone | 6628010563 |
Enumeration Date | 2020-05-01 |
Last Update Date | 2020-05-01 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
Street Address |
1014 NATURAL BROOK TRL |
City | LAWRENCEVILLE |
State | GA |
Zip Code | 30045-2615 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285104315 | Shalanda Monique Booker | Counselor | 2940 Emerald Springs Drive, Lawrenceville, GA 30045 | 2018-12-02 |
1669957320 | Chantelle S Fuller | Behavioral Analyst | 805 Donington Cir, Lawrenceville, GA 30045 | 2018-09-28 |
1356836035 | Gad Health Care LLC | Home Health | 1140 Great Oaks Dr, Lawrenceville, GA 30045 | 2018-06-26 |
1346668662 | Eca Optical, LLC | Eyewear Supplier (Equipment, not the service) | 601-a Professional Drive, Ste 170, Lawrenceville, GA 30045 | 2014-04-03 |
1598102733 | Selena Fuller | Nurse Practitioner | 181 South Clayton Street, Lawrenceville, GA 30045 | 2013-05-29 |
1942555982 | Vida Michele James-bryant | Community Health Worker | 1309 Avington Glen Dr, Lawrenceville, GA 30045 | 2012-07-16 |
1770840639 | Rebecca Vinson D'angelo | Occupational Therapist | 1518 Great Shoals Cir, Lawrenceville, GA 30045 | 2012-04-17 |
1427346774 | Amanda Michelel Woods | Psychologist | 285 South Perry Street, Lawrenceville, GA 30045 | 2011-07-20 |
1790070563 | M & G Pharmacy Inc | Pharmacy | 100 Hurricane Shoals Rd Suite F, Lawrenceville, GA 30045 | 2011-06-09 |
1306146154 | Thanh Dau | Optometrist | 1250 Scenic Highway, Ste 1268, Lawrenceville, GA 30045 | 2010-10-27 |
Find all providers in zip 30045 |
Taxonomy Code | 390200000X |
Grouping | Student, Health Care |
Classification | Student in an Organized Health Care Education/Training Program |
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
Notes: [1/1/2005: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790395796 | Stanley Nwachukwu | Student in an Organized Health Care Education/Training Program | 260 Sarah Ln, Lawrenceville, GA 30046-7455 | 2020-08-04 |
1417575796 | John Robert Thomas | Student in an Organized Health Care Education/Training Program | 2476 Planters Rd, Lawrenceville, VA 23868-3229 | 2020-07-13 |
1750904462 | Heather Ann Holmes | Student in an Organized Health Care Education/Training Program | 1901 Lexington Ave, Lawrenceville, IL 62439-2062 | 2020-05-28 |
1821626409 | Prarthi Patel | Student in an Organized Health Care Education/Training Program | 1745 Lawrenceville Rd, Lawrenceville, NJ 08648-2948 | 2020-03-30 |
1467089219 | Mariam Baig | Student in an Organized Health Care Education/Training Program | 655 Duluth Hwy Ste 401, Lawrenceville, GA 30046-7672 | 2020-03-23 |
1760047138 | Yasmine Alkhalid | Student in an Organized Health Care Education/Training Program | 1220 Chadwick Point Dr, Lawrenceville, GA 30043-6289 | 2019-05-01 |
1750945069 | Stephanie Yui Duff | Student in an Organized Health Care Education/Training Program | 386 Gail Pond Dr, Lawrenceville, GA 30045-8715 | 2019-04-23 |
1588124523 | Umair Syed | Student in an Organized Health Care Education/Training Program | 665 Duluth Highway Suite 401, Lawrenceville, GA 30046-2017 | 2019-03-25 |
1679060388 | Christopher Puckett | Student in an Organized Health Care Education/Training Program | 665 Duluth Hwy Suite 501, Lawrenceville, GA 30046 | 2018-04-18 |
1679078893 | Dong Young Lee | Student in an Organized Health Care Education/Training Program | 611 Justins Place Ln, Lawrenceville, GA 30043-7327 | 2018-03-28 |
Find all providers in LAWRENCEVILLE |
City | LAWRENCEVILLE |
Zip Code | 30045 |
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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.