CAROLINA JUNE KVIETKUS (NPI# 1689208209) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689208209 |
| Entity Type | Individual |
| Full Name | CAROLINA JUNE KVIETKUS |
| Practice Address |
3400c Old Milton Pkwy Ste 270 Alpharetta GA 30005-4438 |
| Practice Telephone | 7704421911 |
| Mailing Telephone | 7704421911 |
| Enumeration Date | 2020-02-24 |
| Last Update Date | 2020-07-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 9867 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 120 Maddox Dr Ne, Atlanta, GA 303092735 | 6787872157 |
| Street Address |
3400C OLD MILTON PKWY STE 270 |
| City | ALPHARETTA |
| State | GA |
| Zip Code | 30005-4438 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629448584 | Kara Livingston Harris | Physician Assistant | 3400c Old Milton Pkwy Ste 270, Alpharetta, GA 30005-4438 | 2015-10-04 |
| 1164988143 | Amy Theobald Colon | Physician Assistant | 3400c Old Milton Pkwy Ste 270, Alpharetta, GA 30005-4438 | 2019-02-14 |
| 1356860605 | Sarah Serenity Cox | Nutritionist | 3400c Old Milton Pkwy Ste 270, Alpharetta, GA 30005-4438 | 2017-09-18 |
| 1093249807 | Vernisha Hearn | Student in an Organized Health Care Education/Training Program | 3400c Old Milton Pkwy Ste 270, Alpharetta, GA 30005-4438 | 2017-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922615483 | Amarrah Shatia Guyton | Behavior Technician | 6505 Shiloh Point Road, Alpharetta, GA 30005 | 2020-09-29 |
| 1396351771 | Stephanie Hightower | Behavior Technician | 6505 Shiloh Pt Rd, Alpharetta, GA 30005 | 2020-09-21 |
| 1689130874 | Optima Eye Care LLC | Optometrist | 6365 Halcyon Way, Suite 935, Alpharetta, GA 30005 | 2019-02-13 |
| 1275006652 | Ariel Kaitlyn Petrakovich | Behavioral Analyst | 6505 Shiloh Road, Suite 100, Alpharetta, GA 30005 | 2019-01-08 |
| 1003306515 | Brightview Pharmacy, LLC | Pharmacy | 3333 Old Milton Pkwy Ste 130, Alpharetta, GA 30005 | 2018-05-10 |
| 1316452600 | Kara Marie Arps | Physical Therapist | 855 Yearling Chase, Alpharetta, GA 30005 | 2017-12-08 |
| 1417468307 | Paige Biringer | Physical Therapist | 6495 Shiloh Rd Ste 100, Alpharetta, GA 30005 | 2017-10-18 |
| 1528587169 | Laura Kinney Pearce | Speech-Language Pathologist | 6505 Shiloh Rd #100, Alpharetta, GA 30005 | 2017-09-14 |
| 1629526678 | Samantha Menton | Chiropractor | 11875 Jones Bridge Road, Suite A, Alpharetta, GA 30005 | 2016-09-20 |
| 1427424183 | Trek Medical, LLC | Clinic/Center | 5895 Windward Parkway, Suite 150, Alpharetta, GA 30005 | 2015-08-18 |
| Find all providers in zip 30005 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417514563 | Elizabeth L Pajares | Physician Assistant | 2765 Abbottswell Dr, Alpharetta, GA 30022-5278 | 2019-05-23 |
| 1427612498 | Victoria Robertson | Physician Assistant | 2420 Loxford Ln, Alpharetta, GA 30009-8753 | 2019-04-25 |
| 1164959797 | Nhung Nguyen | Physician Assistant | 6195 Windward Pkwy Ste 109, Alpharetta, GA 30005-5217 | 2017-05-14 |
| 1710378609 | Brandon Thomas Hector | Physician Assistant | 3400 Old Milton Pkwy Bldg C, Suite 270, Alpharetta, GA 30005-3707 | 2015-02-12 |
| 1407196819 | Silent Seniors Community Care LLC | Physician Assistant | 13010 Morris Rd, Bldg 2, Alpharetta, GA 30004-3873 | 2013-02-21 |
| 1841500659 | Joshua W Howard | Physician Assistant | 3400 Old Milton Pkwy Ste C290, Alpharetta, GA 30005-6491 | 2010-10-14 |
| 1013953215 | Jennifer D. Piper | Physician Assistant | 3330 Preston Ridge Rd Ste 110, Alpharetta, GA 30005-4509 | 2006-06-22 |
| 1740256585 | James E. Bean Jr. | Physician Assistant | 3400c Old Milton Pkwy Ste 290, Alpharetta, GA 30005-4438 | 2006-02-23 |
| 1205436813 | Jennifer Khong | Physician Assistant | 3400 Old Milton Pkwy Ste C270, Alpharetta, GA 30005-4414 | 2020-11-01 |
| 1649879818 | Dana Lee Cole | Physician Assistant | 3400 Old Milton Pkwy Ste C270, Alpharetta, GA 30005-4414 | 2020-10-20 |
| Find all providers in ALPHARETTA | ||||
| City | ALPHARETTA |
| Zip Code | 30005 |
Please comment or provide details below to improve the information on CAROLINA JUNE KVIETKUS.
| 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.