BETHANY KINSEY JAGDHARRY (NPI# 1437546819) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1437546819 |
Entity Type | Individual |
Full Name | BETHANY KINSEY JAGDHARRY |
Credential | RN, CDE |
Practice Address |
7823 Spivey Station Blvd Jonesboro GA 30236 |
Mailing Address |
7823 Spivey Station Blvd Jonesboro GA 30236-2886 |
Practice Telephone | 4048922131 |
Practice Fax Number | 7709071429 |
Mailing Telephone | 4048922131 |
Mailing Fax Number | 7709071429 |
Enumeration Date | 2015-04-23 |
Last Update Date | 2018-07-03 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN203472 | GA | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
GA | PENDING | 05 |
Street Address |
7823 SPIVEY STATION BLVD |
City | JONESBORO |
State | GA |
Zip Code | 30236 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972605418 | Syed Sajid Hasan | Psychiatry & Neurology | 7823 Spivey Station Blvd, Suite 230, Jonesboro, GA 30236-2886 | 2006-09-04 |
1437698776 | Orthopedic Solutions, PC | Orthopaedic Surgery | 7823 Spivey Station Blvd, Suite 300, Jonesboro, GA 30236-2886 | 2017-02-20 |
1699221648 | Northside Hospital Inc | Clinic/Center | 7823 Spivey Station Blvd, Jonesboro, GA 30236-2886 | 2016-08-30 |
1063968022 | Rebecca Mcphail | Physician Assistant | 7823 Spivey Station Blvd, Jonesboro, GA 30236-2886 | 2016-08-30 |
1861891723 | Southern Crescent Physicians Group, Inc. | Surgery | 7823 Spivey Station Blvd, Suite 300, Jonesboro, GA 30236-2886 | 2014-08-17 |
1649521717 | Nsh Cancer Institute Professional Services G, LLC | Durable Medical Equipment & Medical Supplies | 7823 Spivey Station Blvd, Suite 300, Jonesboro, GA 30236-2886 | 2012-09-28 |
1912136524 | Georgia Vascular Institute, LLC | Radiology | 7823 Spivey Station Blvd, Suite 300, Jonesboro, GA 30236-2886 | 2009-07-06 |
1922267129 | Southern Crescent Primary Care | Internal Medicine | 7823 Spivey Station Blvd, Suite 210, Jonesboro, GA 30236-2886 | 2008-06-03 |
1649441296 | Georgia Cancer Specialists I, PC | Internal Medicine | 7823 Spivey Station Blvd, Suite 300, Jonesboro, GA 30236-2886 | 2008-03-21 |
1356555718 | Jason Adam Bitkowski | Surgery | 7823 Spivey Station Blvd, Suite 200, Jonesboro, GA 30236-2886 | 2007-05-09 |
Find all providers in the same location |
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 | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457958233 | Kaitlyn Soffray Simmons | Nurse Practitioner | 500 Kitchen St, Jonesboro, AR 72401-3135 | 2020-10-05 |
1407463938 | Aleshia Williams | Nurse Practitioner | 5401 Clear Creek Ln, Jonesboro, AR 72404-7006 | 2020-09-29 |
1790397495 | Kbsolutions and Behavioral Support Services, LLC | Nurse Practitioner | 7265 Mount Zion Blvd Ste 1, Jonesboro, GA 30236-2519 | 2020-08-24 |
1568080646 | Maryam A Muhammad | Nurse Practitioner | 2388 Reeves Creek Rd, Jonesboro, GA 30236-7229 | 2020-07-06 |
1346864121 | Joy Brew | Nurse Practitioner | 8399 Members Dr, Jonesboro, GA 30236-4271 | 2020-06-08 |
1053932806 | Sabrina Nannettee Bowen | Nurse Practitioner | 5800 C W Post Rd, Jonesboro, AR 72401-9602 | 2020-05-04 |
1265993182 | Sara Ruth Johnson | Nurse Practitioner | 701 Windover Rd Ste 400, Jonesboro, AR 72401-6065 | 2019-03-26 |
1366927956 | Yolanda Louise Davis | Nurse Practitioner | 1706 Heather Ridge Dr, Jonesboro, AR 72401-3748 | 2018-09-28 |
1457867475 | Eucharia Udoka Obi | Nurse Practitioner | 9051 Jenni Cir, Jonesboro, GA 30238-6800 | 2017-12-28 |
1346752151 | Chanel Dominque Bullock | Nurse Practitioner | 1150 E Matthews Ave Ste 203, Jonesboro, AR 72401 | 2017-11-02 |
Find all providers in JONESBORO |
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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.