TIFFANY LACHELLE AVERA (NPI# 1447592985) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447592985 |
| Entity Type | Individual |
| Full Name | TIFFANY LACHELLE AVERA |
| Practice Address |
80 Jesse Hill Jr Dr Se Atlanta GA 30303-3031 |
| Mailing Address |
2724 Pangborn Rd Decatur GA 30033-2326 |
| Practice Telephone | 4046166172 |
| Enumeration Date | 2013-03-22 |
| Last Update Date | 2013-03-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133VN1004X |
Dietitian, Registered Specialization: Nutrition, Pediatric |
LD003667 | GA | Dietary & Nutritional Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 949089 | 05 |
| Street Address |
80 JESSE HILL JR DR SE |
| City | ATLANTA |
| State | GA |
| Zip Code | 30303-3031 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952301830 | Adefisayo Oduwole | Internal Medicine | 80 Jesse Hill Jr Dr Se, Ste 2e, Atlanta, GA 30303-3031 | 2005-07-21 |
| 1598365421 | Warren W Jarrett | Nurse Practitioner | 80 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3031 | 2020-10-29 |
| 1245830579 | Abigail Walker Murray | Nurse Anesthetist, Certified Registered | 80 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3050 | 2020-10-27 |
| 1649887118 | Christie Sams | Nurse Practitioner | 80 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3031 | 2020-09-28 |
| 1013523828 | Alicia Wong | Counselor | 80 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3031 | 2020-09-17 |
| 1538775473 | Nebiyu D Muleta | Nurse Anesthetist, Certified Registered | 80 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3031 | 2020-09-16 |
| 1952915431 | Rikita D Patel | Anesthesiologist Assistant | 80 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3050 | 2020-09-02 |
| 1639782832 | Chaltu Raba | Nurse Anesthetist, Certified Registered | 80 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3031 | 2020-08-26 |
| 1790397172 | Ashley A Bostic | Nurse Practitioner | 80 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3031 | 2020-08-18 |
| 1174134050 | Kayla Renee Brown | Physician Assistant | 80 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3050 | 2020-08-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811597461 | Nanoresearch, Inc | Point of Service | 58 Edgewood Ave Ne, Suite 122, Collabtech., Gsu, Atlanta, GA 30303 | 2020-10-31 |
| 1952917155 | Alesha Deshay Elbert | Behavior Technician | 206 Peachstreet Ne Suite 2200, Atlanta, GA 30303 | 2020-09-22 |
| 1033759386 | Mark Bush | Case Manager/Care Coordinator | 50 Hurt Plaza Se Suite 1108, Atlanta, GA 30303 | 2020-01-14 |
| 1053965855 | Patrice Munsel Henry | Nurse Practitioner | 80 Jessie Hill Drive Se, Atlanta, GA 30303 | 2019-07-30 |
| 1356826564 | United States Medical Supply, LLC | Durable Medical Equipment & Medical Supplies | 260 Peachtree Street Nw, Suite 2200, Office 2228, Atlanta, GA 30303 | 2018-10-03 |
| 1336645290 | Joseph Bahng | Student in an Organized Health Care Education/Training Program | 69 Jesse Hill Jr Drive Se, Glenn Building, 4th Floor - 412b, Atlanta, GA 30303 | 2018-03-31 |
| 1841704707 | Amber Peach LLC | Family Medicine | 260 Peachtree St Nw Suite 2200, Atlanta, GA 30303 | 2017-11-29 |
| 1447778089 | Jasmine Williams | Behavioral Analyst | 260 Peachtree Street Nw, Suite 2200, Atlanta, GA 30303 | 2017-09-05 |
| 1982138236 | Mahek Dossani | Behavior Technician | 260 Peachtree Street Nw, Suite 2200, Atlanta, GA 30303 | 2017-04-13 |
| 1255872420 | Alexis Annick Auger | Behavior Technician | 260 Peachtree St. Nw, Suite 2200, Atlanta, GA 30303 | 2017-03-20 |
| Find all providers in zip 30303 | ||||
| Taxonomy Code | 133VN1004X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| Specialization | Nutrition, Pediatric |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629603691 | Meredith Leigh Johnson | Dietitian, Registered | 1400 Tullie Rd Ne # 8221b, Atlanta, GA 30329-2309 | 2020-03-10 |
| 1144862749 | Victoria Baird | Dietitian, Registered | 1400 Tullie Rd Ne, Atlanta, GA 30329-2309 | 2019-10-15 |
| 1659855765 | Lydia Delbridge White | Dietitian, Registered | 1920 Briarcliff Rd Ne, Atlanta, GA 30329-4010 | 2018-09-25 |
| 1902264153 | Nicole Mcgee Smith | Dietitian, Registered | 1920 Briarcliff Rd Ne, Atlanta, GA 30329-4010 | 2016-02-03 |
| 1265631436 | Elizabeth B Revilla | Dietitian, Registered | 1547 Clifton Rd Ne, Atlanta, GA 30322-4008 | 2007-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811546211 | April Lynn Dehetre Perkins | Dietitian, Registered | 4 N Quail Xing, Savannah, GA 31419-1244 | 2019-09-09 |
| 1407373905 | Chelsea Hrovat | Dietitian, Registered | 1690 Stone Village Ln Nw Ste 322, Kennesaw, GA 30152-7778 | 2017-08-25 |
| 1285058446 | Jeanne Baker Mcdaniel | Dietitian, Registered | 289 Dartmoor Cir, Sandy Springs, GA 30328-1902 | 2014-02-09 |
| 1992004519 | Karen Alicia Baldree | Dietitian, Registered | 122 Oakwood Ct, Tifton, GA 31793-5755 | 2011-03-22 |
| 1720156110 | Laura Lee Davis | Dietitian, Registered | 1640 Powers Ferry Road, Suite 100, Building 9, Marietta, GA 30067-5491 | 2006-12-01 |
| 1770104283 | Sierra Jacquelynn Wineinger | Dietitian, Registered | 1446 Harper St, Augusta, GA 30912-0012 | 2020-05-06 |
| 1053866970 | Nourishing Nutrition Consulting LLC | Dietitian, Registered | 14 Eastbrook Bnd, Suite 212, Peachtree City, GA 30269-1530 | 2016-08-20 |
| 1881039030 | Kristen Middleton | Dietitian, Registered | 1446 Harper St, Bp-3252, Augusta, GA 30912-0012 | 2013-05-01 |
| 1235475765 | Brittany Elizabeth Lightsey | Dietitian, Registered | 4700 Waters Ave, Savannah, GA 31404-6220 | 2013-01-03 |
| 1538332663 | Mary Lauren Whiteside | Dietitian, Registered | 4700 Waters Ave, Food & Nutrition Services, Savannah, GA 31404-6220 | 2008-04-09 |
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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.