MICHELLE STURDIVANT (NPI# 1639553555) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639553555 |
| Entity Type | Individual |
| Full Name | MICHELLE STURDIVANT |
| Credential | RN |
| Practice Address |
95 Summer Lake Cv Dallas GA 30157-7617 |
| Practice Telephone | 6783635925 |
| Mailing Telephone | 6783635925 |
| Enumeration Date | 2015-07-10 |
| Last Update Date | 2015-07-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 146L00000X | Emergency Medical Technician, Paramedic | 11853 | GA | Emergency Medical Service Providers |
| Y | 163WE0003X |
Registered Nurse Specialization: Emergency |
RN163401 | GA | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154873743 | Michelle Renee Sturdivant | Nurse Practitioner | 616 Sw 6th St, Moore, OK 73160-2511 | 2016-10-29 |
| Street Address |
95 SUMMER LAKE CV |
| City | DALLAS |
| State | GA |
| Zip Code | 30157-7617 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922608629 | Harshadbhai Vinubhai Patel | Pharmacist | 3615 Marietta Highway, Dallas, GA 30157 | 2020-10-30 |
| 1043852627 | Lindsay Sheets | Dentist | 59 Hillside Trce Ste 105, Dallas, GA 30157 | 2019-10-15 |
| 1619459062 | Emily Nicole Koopman | Specialist/Technologist | 399 Powder Creek Way, Dallas, GA 30157 | 2018-09-02 |
| 1073969861 | Rachel Spencer | Physical Therapist | 99 Hillside Trace, Dallas, GA 30157 | 2016-05-11 |
| 1336514827 | Petal Shields | Community Health Worker | 121 Omega Ct, Dallas, GA 30157 | 2015-12-09 |
| 1851797294 | Annette Moncion | Nurse Practitioner | 32 Midland Lane, Dallas, GA 30157 | 2014-11-12 |
| 1003211079 | Melissa Brice | Lactation Consultant, Non-RN | 430 Parson Rd, Dallas, GA 30157 | 2014-11-03 |
| 1104101690 | Jared Alan Lott | Pharmacist | 303 Charlie Watts Blvd, Dallas, GA 30157 | 2011-10-15 |
| 1972888758 | Lisa Nicole Mcentire | Massage Therapist | 119 Fairview Oak Trace, Dallas, GA 30157 | 2011-10-12 |
| 1548570120 | Chad Stough | Physician Assistant | 2713 Marietta Highway, Suite 122, Dallas, GA 30157 | 2010-10-15 |
| Find all providers in zip 30157 | ||||
| Taxonomy Code | 163WE0003X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Emergency |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962654525 | Irene Nyawira Ruminjo | Registered Nurse | 10911 Woodmeadow Pkwy Apt 707, Dallas, TX 75228-7356 | 2008-10-15 |
| 1346763265 | Bianca Velazquez | Registered Nurse | 4500 S Lancaster Rd, Dallas, TX 75216-7167 | 2017-07-23 |
| 1558729822 | Christina Stylianou Sanchez | Registered Nurse | 1935 Medical District Dr, Dallas, TX 75235-7701 | 2016-02-02 |
| 1780056697 | Megan Ashley Amstutz | Registered Nurse | 5200 Harry Hines Blvd, Dallas, TX 75235-7709 | 2015-10-30 |
| 1649485392 | Toby Rodriquez Bowyer | Registered Nurse | 4500 S Lancaster Rd, Dallas, TX 75216-7167 | 2007-05-14 |
| 1558588426 | Sarah Chacko | Registered Nurse | 4500 S Lancaster Rd, Dallas, TX 75216-7167 | 2007-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548894264 | Noureen Tharwani Ali | Registered Nurse | 711 Cosmopolitan Dr Ne Unit 302, Atlanta, GA 30324-3621 | 2020-03-03 |
| 1407418098 | Elizabeth Leigh Cooper | Registered Nurse | 3850 Windermere Pkwy Ste 105, Cumming, GA 30041-7033 | 2019-07-03 |
| 1578124483 | Lidiya Maksymyuk | Registered Nurse | 10975 Kimball Crest Dr, Alpharetta, GA 30022-6493 | 2019-06-23 |
| 1326506783 | Brittany Maurelle Smith | Registered Nurse | 3371 Dogwood Dr Unit 140, Atlanta, GA 30354-1488 | 2019-03-05 |
| 1588136881 | Patricia Linette Harth | Registered Nurse | 2389 Sugar Pike Rd, Canton, GA 30115-9416 | 2018-12-26 |
| 1134607286 | Colleen Aletha Montaque | Registered Nurse | 2926 Mill Park Ct, Dacula, GA 30019-3254 | 2018-07-31 |
| 1174018063 | Rebecca Ferguson | Registered Nurse | 725 Rose Creek Cir, Johns Creek, GA 30097-7894 | 2018-06-25 |
| 1487142618 | Sherri Huff | Registered Nurse | 164 Brandon Ridge Cir, Stockbridge, GA 30281-6465 | 2018-04-24 |
| 1871011171 | Melissa Nicole Reeder | Registered Nurse | 2185 Belvedere Ave Sw, Atlanta, GA 30311-3301 | 2017-09-07 |
| 1699291039 | Fauziya Ali | Registered Nurse | 965 Oakland Rd Ste 3b, Lawrenceville, GA 30044-3758 | 2017-08-17 |
| 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.