JACQUELINE WIETING (NPI# 1659870905) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659870905 |
| Entity Type | Individual |
| Full Name | JACQUELINE WIETING |
| Credential | NP-BC |
| Practice Address |
1968 Peachtree Rd Nw Bldg 775th Atlanta GA 30309-1281 |
| Mailing Address |
2727 Paces Ferry Rd Se Ste 1-1100 Atlanta GA 30339-6151 |
| Practice Telephone | 4046054600 |
| Mailing Telephone | 4702713418 |
| Enumeration Date | 2018-02-01 |
| Last Update Date | 2019-03-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | RN263743 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1968 PEACHTREE RD NW BLDG 775TH |
| City | ATLANTA |
| State | GA |
| Zip Code | 30309-1281 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225211204 | Sonjia L. Tucker | Nurse Practitioner | 1968 Peachtree Rd Nw Bldg 775th, Atlanta, GA 30309-1281 | 2007-12-12 |
| 1669943320 | Kari Loucye Hurt | Nurse Practitioner | 1968 Peachtree Rd Nw Bldg 775th, Atlanta, GA 30309-1281 | 2018-12-06 |
| 1831668334 | Stephanie Ann Arrington | Nurse Practitioner | 1968 Peachtree Rd Nw Bldg 775th, Atlanta, GA 30309-1281 | 2018-11-14 |
| 1033668231 | Ashley Amanda Sweat | Physician Assistant | 1968 Peachtree Rd Nw Bldg 775th, Atlanta, GA 30309-1281 | 2016-09-28 |
| 1174976112 | Nicole Richards | Physician Assistant | 1968 Peachtree Rd Nw Bldg 775th, Atlanta, GA 30309-1281 | 2016-07-14 |
| 1962750216 | Megan Teresa Taylor | Physician Assistant | 1968 Peachtree Rd Nw Bldg 775th, Atlanta, GA 30309-1281 | 2012-08-16 |
| 1265759963 | Clark David Kensinger | Transplant Surgery | 1968 Peachtree Rd Nw Bldg 775th, Atlanta, GA 30309-1281 | 2010-04-21 |
| 1912132218 | Jessica L Cioffi | Surgery | 1968 Peachtree Rd Nw Bldg 775th, Atlanta, GA 30309-1281 | 2009-05-16 |
| 1972737674 | Evan Weitman | Transplant Surgery | 1968 Peachtree Rd Nw Bldg 775th, Atlanta, GA 30309 | 2009-05-08 |
| 1780844043 | Emmanuel Minja | Transplant Surgery | 1968 Peachtree Rd Nw Bldg 775th, Atlanta, GA 30309-1281 | 2008-06-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396382354 | Astoria Dentistry LLC | Dentist | 2233 Peachtree Rd. Nw, Suite 300, Atlanta, GA 30309 | 2019-12-09 |
| 1487133740 | S2 Telehealth Technologies, LLC | Psychiatry & Neurology | 915 W Peachtree St Nw Apt 522, Atlanta, GA 30309 | 2018-08-08 |
| 1841782620 | Janie Mardis | Social Worker | 3 Park Ln Ne, Apt H, Atlanta, GA 30309 | 2018-06-06 |
| 1083102842 | Veronica L Bentley | Specialist/Technologist, Other | 1170 Peachtree Street Suite 1200, Atlanta, GA 30309 | 2018-04-27 |
| 1427566363 | Net Medical Corp | Chiropractor | 1100 Spring St Sw, Ste#700, Atlanta, GA 30309 | 2018-01-12 |
| 1871000463 | Mary James (jamie) Johnson | Counselor | 1100 Spring Street, Suite 380, Atlanta, GA 30309 | 2018-01-04 |
| 1306377817 | Aliyah Lamis Scott | Social Worker | 1745 Peachtree Road Ne, Kaiser Permanente Brookwood Medical Office, Atlanta, GA 30309 | 2017-03-26 |
| 1013450774 | Caroline Hallen | Nurse Practitioner | 105 Collier Rd Nw Suite 3040, Atlanta, GA 30309 | 2016-11-29 |
| 1528501723 | Ant-aging Queen | Nutritionist | 1801 Atlanta Medical Clinic, Suite 250, Atlanta, GA 30309 | 2016-11-21 |
| 1790231439 | Nurse 2 Health Home Care LLC | Home Health | 1075 Peachtree Street Ne, Atlanta, GA 30309 | 2016-09-01 |
| Find all providers in zip 30309 | ||||
| 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 |
|---|---|---|---|---|
| 1457963456 | Catelyn Conway Wheeler | Nurse Practitioner | 970 Gilbert St Se, Atlanta, GA 30316-2509 | 2020-08-20 |
| 1033737754 | Meagan Ashley Short | Nurse Practitioner | 993 Johnson Fy Rd Ne Ste F210, Atlanta, GA 30342-1688 | 2020-07-09 |
| 1538796537 | Johnanika Lanya House | Nurse Practitioner | 77 Collier Rd Nw Ste 2000, Atlanta, GA 30309-1754 | 2020-03-27 |
| 1952938466 | Kelsey Claire Jones | Nurse Practitioner | 1325 Benteen Park Dr Se, Atlanta, GA 30315-4441 | 2020-03-25 |
| 1457986598 | Joi Aimee Bell-blanding | Nurse Practitioner | 318 Parducci Trl, Atlanta, GA 30349-8125 | 2020-03-09 |
| 1932734530 | Wellness Rx Medical Services LLC | Nurse Practitioner | 1379 Plaza Ave Sw, Atlanta, GA 30310-3742 | 2020-03-04 |
| 1366089757 | Katherine Elizabeth Mitzel | Nurse Practitioner | 95 Collier Rd Nw Ste 4055, Atlanta, GA 30309-1749 | 2019-12-04 |
| 1114564754 | Mary Twum Arthur | Nurse Practitioner | 7 Executive Park Dr Ne Apt 2303, Atlanta, GA 30329-2270 | 2019-12-02 |
| 1770127060 | Trinetta Gipson | Nurse Practitioner | 2300 Global Forum Blvd Apt 838, Atlanta, GA 30340-4486 | 2019-10-30 |
| 1053965855 | Patrice Munsel Henry | Nurse Practitioner | 80 Jessie Hill Drive Se, Atlanta, GA 30303 | 2019-07-30 |
| Find all providers in ATLANTA | ||||
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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.