PROFESSIONAL EDGE NURSING, INC (NPI# 1639785546) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639785546 |
| Entity Type | Organization |
| Organization Name | PROFESSIONAL EDGE NURSING, INC |
| Practice Address |
600 Mary Lane Anniston AL 36207 |
| Practice Telephone | 8154994354 |
| Mailing Telephone | 8154994354 |
| Enumeration Date | 2020-09-17 |
| Last Update Date | 2020-09-17 |
| Authorized Official Name | BRENDA KAY VANNATTA (CEO) |
| Authorized Official Telephone | 8154994354 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171000000X | Military Health Care Provider | Other Service Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | PROFESSIONAL EDGE NURSING, INC. | 80 State Street, Albany, New York 12207-2543 |
| Iowa Business Entities | PROFESSIONAL EDGE NURSING, INC. | 600 Mary Lane, Anniston, AL 36207 |
| Washington State Corporations | PROFESSIONAL EDGE NURSING, INC. | 600 Mary Ln, Anniston, AL 36207-6354 |
| Colorado Business Entities | Professional Edge Nursing, Inc. | 600 Mary Lane, Anniston, AL 36207 |
| Street Address |
600 MARY LANE |
| City | ANNISTON |
| State | AL |
| Zip Code | 36207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285285064 | Savannah Taylor | Speech-Language Pathologist | 3331 Henry Road, Anniston, AL 36207 | 2019-09-24 |
| 1407359607 | Alabama Family Optometry One Hour Optical | Optometrist | 1900 Golden Springs Road, Anniston, AL 36207 | 2018-03-14 |
| 1598272593 | Elienna Unique Minnefield | Home Health Aide | 1400 Commerce Blvd., Suite 3, Anniston, AL 36207 | 2017-12-29 |
| 1508385154 | Tycoma Miller | Social Worker | 1332 Johnston Drive, Anniston, AL 36207 | 2017-09-14 |
| 1013439496 | Karri Anne Humphries | Behavioral Analyst | 217 Easy Street, Anniston, AL 36207 | 2017-07-07 |
| 1881136356 | Lance Mcconnell | Specialist/Technologist | 2111 Hwy78e Suite 2, Anniston, AL 36207 | 2016-11-15 |
| 1881053262 | Titilayo Adeoye-aremu | Pharmacist | 400 E 10th Street 4th Floor, Noland Health Services, Anniston, AL 36207 | 2016-02-15 |
| 1760840862 | Keyanna Peters | Counselor | 1525 Leighton Ave Ste B, Anniston, AL 36207 | 2016-02-03 |
| 1356517916 | Physicians Choice Dialysis of Calhoun County LLC | Clinic/Center | 901 Keith Avenue, Anniston, AL 36207 | 2008-05-05 |
| 1770764201 | Ataur Rehman | Internal Medicine | 901 Leighton Ave Ste 704, Anniston, AL 36207 | 2007-11-27 |
| Find all providers in zip 36207 | ||||
| Taxonomy Code | 171000000X |
| Grouping | Other Service Providers |
| Classification | Military Health Care Provider |
| Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. |
| Notes: [7/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104432152 | Christopher Allen Jones | Military Health Care Provider | 14019 Firehouse Rd, Northport, AL 35475-3408 | 2020-09-16 |
| 1225265788 | Patricia Lynne Walters | Military Health Care Provider | Us Army Aeromedical Research Laboratory, Fort Rucker, Enterprise, AL 36362-0577 | 2009-06-11 |
| 1033360565 | Tejay Wayne Barton | Military Health Care Provider | 101 South Broad St., Mobile, AL 36615 | 2008-10-02 |
| 1306005087 | Sundra Renee Johnson | Military Health Care Provider | 1414 26th St, 1414 26th Street, Tuscaloosa, AL 35401-6642 | 2008-06-06 |
| 1992981922 | Doris Lou Hill | Military Health Care Provider | 1633 Academy Dr, #1405, Auburn, AL 36830-1893 | 2008-01-22 |
| 1497848063 | Douglass Vance | Military Health Care Provider | 264 Belle Dr, Scottsboro, AL 35769-3652 | 2006-10-02 |
| 1144294042 | Michael Bernard Madkins | Military Health Care Provider | 4100 Goss Road, Primary Care Clinic Fox Army Health Center, Redstone Arsenal, AL 35809-7000 | 2006-02-15 |
| 1114292885 | Britiney Ann Cawthron | Military Health Care Provider | 301 Andrews Ave, Fort Rucker, AL 36362-0000 | 2012-03-14 |
| 1649431537 | Kristopher Charles Wilson | Military Health Care Provider | 301 Andrews Avenue, Fort Rucker, AL 36362-5333 | 2008-06-23 |
| 1710171673 | Grace Marie Lidl | Military Health Care Provider | 301 Andrews Ave., Lyster Army Health Clinic, Fort Rucker, AL 36362-5333 | 2007-09-04 |
| 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.