REBECCA BOLEN (NPI# 1568965556) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568965556 |
| Entity Type | Individual |
| Full Name | REBECCA BOLEN |
| Practice Address |
1170 Peachtree St Ne Ste 1200 Atlanta GA 30309-7673 |
| Mailing Address |
47 Autumn Pl Powder Springs GA 30127-5143 |
| Practice Telephone | 9013552793 |
| Mailing Telephone | 9013552793 |
| Enumeration Date | 2018-03-15 |
| Last Update Date | 2018-03-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246Z00000X | Specialist/Technologist, Other | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
1170 PEACHTREE ST NE STE 1200 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30309-7673 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255842647 | Grace Angels Home Care Corp. | Home Health | 1170 Peachtree St Ne Ste 1200, Atlanta, GA 30309-7673 | 2017-10-12 |
| 1679192819 | Demetris Burney | Behavior Technician | 1170 Peachtree St Ne Ste 1200, Atlanta, GA 30309-7673 | 2020-04-08 |
| 1376172460 | Justus Bowland-gleason | Behavior Technician | 1170 Peachtree St Ne Ste 1200, Atlanta, GA 30309-7673 | 2020-04-02 |
| 1578105201 | Momentum Aba Services of Georgia | Early Intervention Provider Agency | 1170 Peachtree St Ne Ste 1200, Atlanta, GA 30309-7673 | 2019-10-15 |
| 1558912113 | Charles T Smalls Jr. | Behavioral Analyst | 1170 Peachtree St Ne Ste 1200, Atlanta, GA 30309-7673 | 2019-09-25 |
| 1497302731 | Allison C. Curling | Behavior Technician | 1170 Peachtree St Ne Ste 1200, Atlanta, GA 30309-7673 | 2019-08-21 |
| 1942869151 | Vanessa Jules | Behavior Technician | 1170 Peachtree St Ne Ste 1200, Atlanta, GA 30309-7673 | 2019-06-11 |
| 1851892129 | Dyshum Lenora Breann Robinson | Behavior Technician | 1170 Peachtree St Ne Ste 1200, Atlanta, GA 30309-7673 | 2018-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396382354 | Astoria Dentistry LLC | Dentist | 2233 Peachtree Rd. Nw, Suite 300, Atlanta, GA 30309 | 2019-12-09 |
| 1487133740 | S2 Telehealth Technologies, LLC | Psychiatry & Neurology | 915 W Peachtree St Nw Apt 522, Atlanta, GA 30309 | 2018-08-08 |
| 1841782620 | Janie Mardis | Social Worker | 3 Park Ln Ne, Apt H, Atlanta, GA 30309 | 2018-06-06 |
| 1083102842 | Veronica L Bentley | Specialist/Technologist, Other | 1170 Peachtree Street Suite 1200, Atlanta, GA 30309 | 2018-04-27 |
| 1427566363 | Net Medical Corp | Chiropractor | 1100 Spring St Sw, Ste#700, Atlanta, GA 30309 | 2018-01-12 |
| 1871000463 | Mary James (jamie) Johnson | Counselor | 1100 Spring Street, Suite 380, Atlanta, GA 30309 | 2018-01-04 |
| 1306377817 | Aliyah Lamis Scott | Social Worker | 1745 Peachtree Road Ne, Kaiser Permanente Brookwood Medical Office, Atlanta, GA 30309 | 2017-03-26 |
| 1013450774 | Caroline Hallen | Nurse Practitioner | 105 Collier Rd Nw Suite 3040, Atlanta, GA 30309 | 2016-11-29 |
| 1528501723 | Ant-aging Queen | Nutritionist | 1801 Atlanta Medical Clinic, Suite 250, Atlanta, GA 30309 | 2016-11-21 |
| 1790231439 | Nurse 2 Health Home Care LLC | Home Health | 1075 Peachtree Street Ne, Atlanta, GA 30309 | 2016-09-01 |
| Find all providers in zip 30309 | ||||
| Taxonomy Code | 246Z00000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215491691 | Daniels Earl Peters | Specialist/Technologist, Other | 3114 Asbury Sq, Atlanta, GA 30346-2421 | 2019-01-30 |
| 1083102842 | Veronica L Bentley | Specialist/Technologist, Other | 1170 Peachtree Street Suite 1200, Atlanta, GA 30309 | 2018-04-27 |
| 1659734721 | Latoya Franklin | Specialist/Technologist, Other | 303 Parkway Dr Ne # 442, Atlanta, GA 30312-1212 | 2016-04-05 |
| 1467894386 | Danielle Edwards | Specialist/Technologist, Other | 2399 Parkland Dr Ne, Suite 1112, Atlanta, GA 30324-3557 | 2013-07-19 |
| 1205136223 | Giselle J Philson | Specialist/Technologist, Other | 55 Upper Alabama St Sw, Atlanta, GA 30303-3169 | 2010-10-25 |
| 1710911631 | Jessi M Prahl | Specialist/Technologist, Other | 1791 Rockland Dr Se, Atlanta, GA 30316-2239 | 2006-07-10 |
| 1255820601 | Shantel Denise Thomas | Specialist/Technologist, Other | 260 Peachtree St Nw Ste 2200, Atlanta, GA 30303 | 2018-05-01 |
| 1003208679 | Camille Harris | Specialist/Technologist, Other | 125 Decatur St Se, Atlanta, GA 30303-3201 | 2015-02-19 |
| 1114343605 | Rebecca Jane Bedard | Specialist/Technologist, Other | 59 Executive Park S, Suite 1000, Atlanta, GA 30329-2208 | 2014-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467052431 | Atlanta Regenerative Healthcare LLC | Specialist/Technologist, Other | 2445 Moon Rd Ste 4, Grayson, GA 30017-7851 | 2020-10-29 |
| 1891146726 | Tammy Yvonne Hall | Specialist/Technologist, Other | 6658 Ashebrooke Dr, Douglasville, GA 30135-5375 | 2016-06-22 |
| 1750742896 | Angel Mccleave | Specialist/Technologist, Other | 1880 Beaver Ridge Circle, Suite D, Norcross, GA 30071 | 2016-03-17 |
| 1174998538 | Pamela Clardy Key | Specialist/Technologist, Other | 834 Park Ln, Madison, GA 30650-1950 | 2015-12-09 |
| 1780053397 | Robert L Lindsey IIi | Specialist/Technologist, Other | 2 Sandstone Dr, Jasper, GA 30143-1805 | 2015-09-24 |
| 1619346921 | Boise Eugene Hankerson Sr. | Specialist/Technologist, Other | 2730 Barry Dr, Augusta, GA 30904-5284 | 2015-09-16 |
| 1396061511 | Wendy Arlene Bell | Specialist/Technologist, Other | 270 Minor Rd Ne, Milledgeville, GA 31061-9290 | 2010-04-13 |
| 1912913492 | Sleep Dx, Inc. | Specialist/Technologist, Other | 236 Memorial Dr, Jesup, GA 31545-0102 | 2006-08-01 |
| 1861091159 | Kristian Hope Henson | Specialist/Technologist, Other | 2540 Windy Hill Rd Se, Marietta, GA 30067-8605 | 2020-10-19 |
| 1427662451 | Amber Lenee Johnston | Specialist/Technologist, Other | 2540 Windy Hill Rd Se, Marietta, GA 30067-8605 | 2020-09-08 |
| Find all providers with the same taxonomy | ||||
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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.