MRS. ANNA KENNEDY LAVENDER (NPI# 1659840916) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659840916 |
| Entity Type | Individual |
| Full Name | MRS. ANNA KENNEDY LAVENDER |
| Credential | FNP-BC |
| Practice Address |
1430 Us Highway 82 W Ste 105 Tifton GA 31793-8010 |
| Mailing Address |
96 Newton Rd Ashburn GA 31714-3673 |
| Practice Telephone | 2293880266 |
| Mailing Telephone | 2299478154 |
| Enumeration Date | 2018-11-16 |
| Last Update Date | 2018-11-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | RN223764 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1430 US HIGHWAY 82 W STE 105 |
| City | TIFTON |
| State | GA |
| Zip Code | 31793-8010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508428442 | Tift Regional Health System Inc | Nurse Practitioner | 1464 Carpenter Road S, Tifton, GA 31793 | 2019-07-01 |
| 1528556990 | Careconnect Health, Inc. | Clinic/Center | 1909 Hwy. 82 West, Suites 3 & 4, Tifton, GA 31793 | 2018-05-01 |
| 1003132754 | Mark Davis Wilson | Pediatrics | 1909 Us Highway 82 W Ste 3&4, Tifton, GA 31793 | 2010-04-19 |
| 1003982752 | Leanette S Roberson | Counselor | 1603 Mallard Lane, Tifton, GA 31793 | 2006-11-27 |
| 1356447536 | Tift County Comissioner of Roads & Revenues | Ambulance | 1209 N Tifton Avenue, Tifton, GA 31793 | 2006-09-15 |
| 1295063956 | Fran Mcpherson | Nurse Practitioner | 2201 Rutland Rd, Tifton, GA 31793-5026 | 2009-11-18 |
| 1710542451 | Tiffany Kennedy | Contractor | 2770 Eb Hamilton Dr Apt 203, Tifton, GA 31793-5060 | 2019-05-08 |
| 1801948229 | Frank M Davis | Family Medicine | 67 Hutchinson Rd, Tifton, GA 31793-5551 | 2007-01-17 |
| 1629552237 | Allison M Holland | Contractor | 166 Cambridge Ct, Tifton, GA 31793-5675 | 2018-09-19 |
| 1215189865 | Cindia Poole Dubravcic | Nurse Practitioner | 2802 Moore Hwy, Abac, Tifton, GA 31793-5679 | 2008-10-15 |
| Find all providers in zip 31793 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992314181 | Irma Corona Creel | Nurse Practitioner | 503 16th St E, Tifton, GA 31794-3603 | 2020-07-23 |
| 1851929962 | Amy Roberson Taylor | Nurse Practitioner | 902 20th St W, Tifton, GA 31794-3346 | 2020-04-01 |
| 1205114865 | Kelley H Plant | Nurse Practitioner | 39 Kent Rd Ste 8, Tifton, GA 31794-1697 | 2011-08-01 |
| 1437390101 | William Troy Spicer II | Nurse Practitioner | 907 18th St E Ste 490, Tifton, GA 31794-3684 | 2009-03-10 |
| 1386805885 | Shelly Denice Davis | Nurse Practitioner | 612 Love Avenue, Tifton, GA 31794 | 2008-06-18 |
| 1790958221 | Joann Goff Cook | Nurse Practitioner | 1806 Lee Avenue, Tifton, GA 31794 | 2008-04-04 |
| 1063039865 | Preston Glenn Thornhill | Nurse Practitioner | 2225 Us Highway 41 N, Tifton, GA 31794-2749 | 2020-06-29 |
| 1326694852 | Sandra Melinda Stone | Nurse Practitioner | 39 Kent Rd Ste 1, Tifton, GA 31794-1697 | 2019-08-12 |
| 1003371790 | Ana Alicia Gomez Nova | Nurse Practitioner | 1909 Us Highway 82 W Ste 3&4, Tifton, GA 31793-8200 | 2019-02-06 |
| 1821584855 | Kaitlyn Leigh Marshall | Nurse Practitioner | 1602 Madison Ave, Tifton, GA 31794-3756 | 2018-07-02 |
| Find all providers in TIFTON | ||||
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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.