MS. TANYETTA MICHELLE BROWN (NPI# 1619506532) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619506532 |
| Entity Type | Individual |
| Full Name | MS. TANYETTA MICHELLE BROWN |
| Credential | FNP |
| Practice Address |
2802 Topaz Rd Riverdale GA 30296-1699 |
| Practice Telephone | 7709129122 |
| Mailing Telephone | 7709129122 |
| Enumeration Date | 2020-04-02 |
| Last Update Date | 2020-04-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN207218 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2802 TOPAZ RD |
| City | RIVERDALE |
| State | GA |
| Zip Code | 30296-1699 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417558594 | James D Hickman | Home Health Aide | 2252 Addison Park, Riverdale, GA 30296 | 2020-11-04 |
| 1255973251 | Octavia Bostic | Nurse's Aide | 7670 Creekside Lane, Riverdale, GA 30296 | 2019-10-10 |
| 1548746829 | Verna Stoner-frazier | Physical Therapist | 1542 Bethaven Rd, Riverdale, GA 30296 | 2018-07-19 |
| 1346762705 | Letty Searcy | Case Manager/Care Coordinator | 7125 E. Village Ct, Riverdale, GA 30296 | 2017-07-07 |
| 1225402639 | Optima Physical Therapy Services | Clinic/Center | 808 Commerce Boulevard, Riverdale, GA 30296 | 2015-11-23 |
| 1437409224 | Mobile Nursing Service LLC | Nursing Care | 829 Scott Rd, Riverdale, GA 30296 | 2012-09-19 |
| 1104069517 | Taina S. Holly | Licensed Practical Nurse | 1234 Elgin Way, Riverdale, GA 30296 | 2009-04-15 |
| 1386720118 | Absolute Healthcare & Rehab Center | Chiropractor | 1807 Hwy 138 Sw, Riverdale, GA 30296 | 2006-10-27 |
| 1467558650 | Daniel Tesfa Redie | Dentist | 1849 Hwy 138, Riverdale, GA 30296 | 2006-09-15 |
| 1033214184 | Malcolm Hill | Chiropractor | 1296 Hwy 138, Suite 105, Riverdale, GA 30296 | 2006-09-13 |
| Find all providers in zip 30296 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952908816 | Katherine Dover-payne | Nurse Practitioner | 661 W 138th St, Riverdale, IL 60827-1660 | 2020-10-05 |
| 1508476847 | Deann Marie Mcclellan | Nurse Practitioner | 22625 130th Rd, Riverdale, NE 68870-7105 | 2020-08-02 |
| 1255949574 | Hawana Lewis | Nurse Practitioner | 1527 Wynthrope Cv, Riverdale, GA 30274-5148 | 2020-07-22 |
| 1821622770 | Risa Rowley | Nurse Practitioner | 4260 S 950 W, Riverdale, UT 84405-3454 | 2020-03-01 |
| 1356992796 | Lindsay Patricia Peluso | Nurse Practitioner | 253 Upper Riverdale Rd Sw Ste B, Riverdale, GA 30274-4945 | 2019-09-26 |
| 1205308285 | Saritha Sudharsun | Nurse Practitioner | 6516 Rosalie Ln, Riverdale, MD 20737-1785 | 2019-01-01 |
| 1366933210 | Dawn A. Paul | Nurse Practitioner | 238 Professional Ct Ste A, Riverdale, GA 30274 | 2018-05-27 |
| 1861991408 | Gexin Wang | Nurse Practitioner | 5506 Kenilworth Ave Ste A, Riverdale, MD 20737-3115 | 2018-02-09 |
| 1063947091 | Shibana Elder Cutter | Nurse Practitioner | 2798 Topaz Rd, Riverdale, GA 30296-6015 | 2017-04-27 |
| 1982052098 | Eva Ogbuokiri | Nurse Practitioner | 6801 Kenilworth Ave Ste 300-s2, Riverdale, MD 20737-1331 | 2016-05-31 |
| Find all providers in RIVERDALE | ||||
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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.