KIMBERLY BROYLES TEPKER (NPI# 1588091102) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588091102 |
| Entity Type | Individual |
| Full Name | KIMBERLY BROYLES TEPKER |
| Other Name | KIMBERLY BROYLES REDDICK |
| Credential | LPC |
| Practice Address |
4485 Tench Rd Suite 840 Suwanee GA 30024-6739 |
| Mailing Address |
381 Creek Manor Way Suwanee GA 30024-6565 |
| Practice Telephone | 7704906545 |
| Mailing Telephone | 7704906545 |
| Enumeration Date | 2013-09-27 |
| Last Update Date | 2014-08-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
03810 | GA | Behavioral Health & Social Service Providers |
| Street Address |
4485 TENCH RD SUITE 840 |
| City | SUWANEE |
| State | GA |
| Zip Code | 30024-6739 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396736815 | Effie S Dolores | Pediatrics | 4485 Tench Rd, Ste 630, Suwanee, GA 30024-6740 | 2005-11-03 |
| 1265888598 | Carl Peck | Counselor | 4485 Tench Rd, Suite 1020, Suwanee, GA 30024-6739 | 2016-05-05 |
| 1326463027 | Marie I Gonzalez | Counselor | 4485 Tench Rd, Suite 1221, Suwanee, GA 30024-6739 | 2014-03-04 |
| 1700130143 | Taehyung Kim | Music Therapist | 4485 Tench Rd, #1211, Suwanee, GA 30024-6739 | 2012-11-07 |
| 1689965626 | Duoqun Sun | Acupuncturist | 4485 Tench Rd, Suite 320, Suwanee, GA 30024-6739 | 2011-04-25 |
| 1194950790 | Pf Transport Services, Inc. | Taxi | 4485 Tench Rd, Ste 131, Suwanee, GA 30024-6739 | 2009-05-27 |
| 1457535064 | Sharon C Buddington | Social Worker | 4485 Tench Rd, Suite 840, Suwanee, GA 30024-6741 | 2007-12-19 |
| 1366626970 | Buddington Psychology Clinic, PC | Social Worker | 4485 Tench Rd, Suite 840, Suwanee, GA 30024-6741 | 2007-12-19 |
| 1639353246 | Roger W Buddington | Psychologist | 4485 Tench Rd, Suite 840, Suwanee, GA 30024-6741 | 2007-12-19 |
| 1497953582 | Maddineni Holdings LLC | Family Medicine | 4485 Tench Rd, Suite No 120, Suwanee, GA 30024-6739 | 2007-07-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356996565 | Stephanie Arkin | Student in an Organized Health Care Education/Training Program | 25 Old Peachtree Rd Nw, Suwanee, GA 30024 | 2019-08-05 |
| 1164989638 | Laquitta Craft | Registered Nurse | 2855 Lawrenceville Suwanee Road Suite 330/340, Suwanee, GA 30024 | 2019-02-21 |
| 1467937235 | Greater Atlanta Monitoring, LLC | Electrodiagnostic Medicine | 3651 Peachtree Ste E. #331, Suwanee, GA 30024 | 2018-09-27 |
| 1760963482 | Esther Natacha Lafontant | Public Health or Welfare | 3205 Maple Terrace Drive, Suwanee, GA 30024 | 2018-08-22 |
| 1740778463 | Immaculate Healthcare Solutions, LLC | Home Health | 970 Peachtree Industrial Blvd Ste 8, Suwanee, GA 30024 | 2018-04-27 |
| 1053819235 | Sean Wonsuk Jang | Chiropractor | 3370 Lawrenceville Suwanee Rd Ste 118, Suwanee, GA 30024 | 2018-01-23 |
| 1932628468 | Silver Health Services, Inc. | Case Manager/Care Coordinator | 2640 Westbury Court, Swanee, GA 30024 | 2017-09-15 |
| 1285159095 | April L. Rivers | Nurse Practitioner | 4411 Suwanee Dam Rd Ste 110, Suwanee, GA 30024 | 2017-08-14 |
| 1144743840 | Nabil Elkareh | Pharmacist | 5049 Tarry Glen Drive., Suwanee, GA 30024 | 2017-07-25 |
| 1720508294 | Robert A Finkel Dds PC | Clinic/Center | 1325 Satellite Blvd Nw Ste 1304, Suwanee, GA 30024 | 2017-06-26 |
| Find all providers in zip 30024 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770104226 | Sherri Burruss | Counselor | 5400 Laurel Springs Pkwy Ste 802, Suwanee, GA 30024-6096 | 2020-05-06 |
| 1720543408 | Empowered Counseling, LLC | Counselor | 970 Peachtree Industrial Blvd Ste 9, Suwanee, GA 30024-6988 | 2019-02-06 |
| 1699298661 | Baldwin-jones and Associates Counseling Services | Counselor | 1372 Riverview Run Ln, Suwanee, GA 30024-3887 | 2017-07-21 |
| 1215462452 | Michael Sytsma | Counselor | 1325 Satellite Blvd Nw Ste 1002, Suwanee, GA 30024-4698 | 2017-04-25 |
| 1023562469 | Lauren Greenway Lpc LLC | Counselor | 3465 Lawrenceville Suwanee Rd, Suite A, Suwanee, GA 30024-7465 | 2016-08-13 |
| 1295075752 | Kristi Burgess | Counselor | 4485 Tench Rd Ste 1120, Suwanee, GA 30024-6741 | 2013-02-21 |
| 1073818845 | Jeri Sansom Green | Counselor | 5400 Laurel Springs Pkwy Ste 602, Suwanee, GA 30024-6067 | 2011-01-25 |
| 1538392048 | Laura Cochling | Counselor | 2090 Highway 317 Ste A, #276, Suwanee, GA 30024-2600 | 2009-08-31 |
| 1104080217 | Ronald Mark Clayton | Counselor | 3455 Lawrenceville Suwanee Rd Ste D, Suwanee, GA 30024-6425 | 2008-07-17 |
| 1649437724 | Wendy Annette Crawford | Counselor | 970 Peachtree Industrial Blvd, Suite 100, Suwanee, GA 30024-6988 | 2008-05-17 |
| Find all providers in SUWANEE | ||||
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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.