MS. GRACE I. MISAKI (NPI# 1558340349) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558340349 |
| Entity Type | Individual |
| Full Name | MS. GRACE I. MISAKI |
| Credential | MSN |
| Practice Address |
601 Professional Dr # A Suite 260 Lawrenceville GA 30045 |
| Mailing Address |
1835 Savoy Dr Suite 300 Atlanta GA 30341-1072 |
| Practice Telephone | 7708220788 |
| Practice Fax Number | 7708220326 |
| Mailing Telephone | 7704969400 |
| Mailing Fax Number | 7704969495 |
| Enumeration Date | 2006-01-11 |
| Last Update Date | 2018-05-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | RN098265 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000852057E | 05 |
| Street Address |
601 PROFESSIONAL DR # A SUITE 260 |
| City | LAWRENCEVILLE |
| State | GA |
| Zip Code | 30045 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982874244 | Neurology of North Georgia PC | Psychiatry & Neurology | 601 Professional Dr # A, Ste 160, Lawrenceville, GA 30045-7698 | 2008-03-03 |
| 1235322033 | Northeast Infectious Diseases Inc | Specialist | 601 Professional Dr # A, Suite 340, Lawrenceville, GA 30045-7698 | 2007-08-24 |
| 1215063912 | Elizabeth A Burkard | Occupational Therapist | 601 Professional Dr # A, Suite 225, Lawrenceville, GA 30045-7698 | 2007-02-26 |
| 1669551800 | Tracy Lopes | Physical Therapy Assistant | 601 Professional Dr # A, Suite 130, Lawrenceville, GA 30045-7698 | 2006-11-06 |
| 1588743892 | Kinley Thomas | Physical Therapist | 601 Professional Dr # A, Suite 130, Lawrenceville, GA 30045-7698 | 2006-11-06 |
| 1508945825 | Melissa Meyer | Physical Therapist | 601 Professional Dr # A, Suite 130, Lawrenceville, GA 30045-7698 | 2006-11-06 |
| 1477632792 | Tyra Mitchell | Physical Therapist | 601 Professional Dr # A, Suite 130, Lawrenceville, GA 30045-7698 | 2006-11-06 |
| 1790864031 | Toni Lawrence | Physical Therapy Assistant | 601 Professional Dr # A, Suite 130, Lawrenceville, GA 30045-7698 | 2006-11-06 |
| 1457430647 | Lone Howell | Physical Therapist | 601 Professional Dr # A, Suite130, Lawrenceville, GA 30045-7698 | 2006-11-06 |
| 1245319011 | Priscilla Ann Edwards Davis | Nurse Practitioner | 601 Professional Dr # A, Suite 220, Lawrenceville, GA 30045-7698 | 2006-11-03 |
| Find all providers in the same location | ||||
| 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 | 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 |
|---|---|---|---|---|
| 1962017343 | Sarah Mcmillan | Nurse Practitioner | 971 Sonoma Dr, Lawrenceville, GA 30045-7842 | 2020-09-11 |
| 1801406590 | Allyson Fiscus | Nurse Practitioner | 11020 Il-250, Lawrenceville, IL 62439 | 2020-08-06 |
| 1811532963 | Lubna Rizvan Momin | Nurse Practitioner | 542 Sydney Michelle Ln, Lawrenceville, GA 30046-3352 | 2019-11-13 |
| 1255800785 | Vonda Lynn Farrar | Nurse Practitioner | 1918 De Winton Pl, Lawrenceville, GA 30043-5021 | 2018-11-14 |
| 1598234122 | Melisha K John-baptiste | Nurse Practitioner | 4850 Sugarloaf Pkwy Ste 209-190, Lawrenceville, GA 30044-2859 | 2018-11-13 |
| 1932685385 | Carolyn Stewart | Nurse Practitioner | 3266 Bridge Walk Dr, Lawrenceville, GA 30044-5128 | 2018-07-18 |
| 1891236451 | Donnette Todd | Nurse Practitioner | 749 Flowers Xing, Lawrenceville, GA 30044-5954 | 2017-03-15 |
| 1952765869 | Johana M Ortiz | Nurse Practitioner | 1033 Gather Dr, Lawrenceville, GA 30043-7553 | 2016-04-06 |
| 1164885778 | Ablavi Agomessou | Nurse Practitioner | 881 Ivydale Ln, Lawrenceville, GA 30045-7818 | 2016-03-31 |
| 1205291028 | Lorraine Laplace | Nurse Practitioner | 2522 Cruse Rd Ste C2, Lawrenceville, GA 30044 | 2015-12-21 |
| 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.