ANTRONETTE DARRELL (NPI# 1609482140) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609482140 |
| Entity Type | Individual |
| Full Name | ANTRONETTE DARRELL |
| Credential | LPN |
| Practice Address |
1578 Cherry Hill Rd Sw Conyers GA 30094-6835 |
| Practice Telephone | 7164651797 |
| Mailing Telephone | 7164651797 |
| Enumeration Date | 2020-09-21 |
| Last Update Date | 2020-09-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | LPN084209 | GA | Nursing Service Providers |
| Street Address |
1578 CHERRY HILL RD SW |
| City | CONYERS |
| State | GA |
| Zip Code | 30094-6835 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164029054 | Darlene Fletcher | Counselor | 827 St. Clair Dr., Conyers, GA 30094 | 2020-10-05 |
| 1194363366 | Clara A Matthews | Physician Assistant | 1930 Windsor Creek Drive Sw, Conyers, GA 30094 | 2019-12-18 |
| 1659838571 | Sensitive Home Care Agency Inc. | PACE Provider Organization | 2225 Morning Dew, Conyers, GA 30094 | 2019-02-27 |
| 1679097992 | Sheira Dennis | Case Management | 3828 Martingale Dr Se, Conyers, GA 30094 | 2017-07-28 |
| 1730571399 | Wellness and Trauma Recovery Center | Counselor | 1775 Parker Rd. Building C, Suite 210, Conyers, GA 30094 | 2015-02-19 |
| 1760870612 | Michael Terrell | Technician/Technologist | 806 Cambridge Creek Dr, Conyers, GA 30094 | 2014-12-30 |
| 1538567466 | Jennifer Angela Johnson | Registered Nurse | 2240 Wren Rd Se, Conyers, GA 30094 | 2014-12-09 |
| 1225445208 | Wanda Marcella Rainey-reed | Counselor | 1453 Klondike Rd Sw Ste D, Conyers, GA 30094 | 2014-07-22 |
| 1508155268 | Nicklaus Trent Rice | Obstetrics & Gynecology | 2750 Owens Dr, Conyers, GA 30094 | 2011-04-04 |
| 1720219660 | Candace Alexander | Dentist | 863 Flat Shoals Rd Se, Suite C #220, Conyers, GA 30094 | 2009-07-27 |
| Find all providers in zip 30094 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043735244 | Niki Tanyell Davis | Licensed Practical Nurse | 1403 Windy Hill Court, Conyers, GA 30013 | 2017-08-08 |
| 1215285101 | Camille Clarke | Licensed Practical Nurse | 985 Taylor St Sw, Conyers, GA 30012-5357 | 2012-08-27 |
| 1538417886 | Quatina Willis | Licensed Practical Nurse | 612 Keswick Village Ct Ne, Conyers, GA 30013-6523 | 2012-08-16 |
| 1174894729 | Sharon Denise Vincent | Licensed Practical Nurse | 2517 Fraggle Roc, Conyers, GA 30012-2882 | 2012-01-13 |
| 1346285020 | Glenn Dale Moragne | Licensed Practical Nurse | 2808 Havenwood Dr, Conyers, GA 30094-8005 | 2006-06-18 |
| 1396093282 | Magan Maddox | Licensed Practical Nurse | 985 Taylor St Sw, Conyers, GA 30012-5357 | 2012-08-27 |
| 1750639647 | Elizabeth Gonzales | Licensed Practical Nurse | 985 Taylor St Sw, Conyers, GA 30012-5357 | 2012-08-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558961557 | Christina Jarvis-reid | Licensed Practical Nurse | 211 Lasso Dr, Riverdale, GA 30274-4095 | 2020-10-28 |
| 1326646639 | Yolanda Glover-harden | Licensed Practical Nurse | 6214 Hickory Lane Cir, Union City, GA 30291-5509 | 2020-10-09 |
| 1831706423 | Sonia Dareus | Licensed Practical Nurse | 1495 Cain Ct N, Douglasville, GA 30134-3681 | 2020-09-28 |
| 1760097778 | Christal Latrice Callier | Licensed Practical Nurse | 1995 Matt Dr, Austell, GA 30168-4330 | 2020-09-15 |
| 1356955678 | Marica Lashone Sanders | Licensed Practical Nurse | 301 -3 Club Villa Court, Kathleen, GA 31047 | 2020-09-03 |
| 1689287641 | Lydia Gennie | Licensed Practical Nurse | 1004 Shoreline Dr, Bainbridge, GA 39817-8393 | 2020-08-28 |
| 1558972588 | Starla Lynn Waddell | Licensed Practical Nurse | 675a Moran Lake Rd Ne, Rome, GA 30161-2106 | 2020-08-13 |
| 1700495975 | Shalunda Harrison | Licensed Practical Nurse | 4311 Christine Ct, Decatur, GA 30035-1702 | 2020-07-23 |
| 1902414683 | Vernita Monica Washington | Licensed Practical Nurse | 1974 Talmadge Rd, Allenhurst, GA 31301-3201 | 2020-07-17 |
| 1912524067 | Kuluvanda Quarlette Cason | Licensed Practical Nurse | 241 Point Rd, Thomasville, GA 31757-0940 | 2020-07-05 |
| 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.