LEEANN BROWN (NPI# 1700834223) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700834223 |
| Entity Type | Individual |
| Full Name | LEEANN BROWN |
| Credential | N.P. |
| Practice Address |
1504 Broadrick Dr Dalton GA 30720-3011 |
| Practice Telephone | 7062786403 |
| Practice Fax Number | 7062780087 |
| Mailing Telephone | 7062786403 |
| Mailing Fax Number | 7062780087 |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2020-01-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
RN080547 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN080547 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | CERTIFICATION | F0897100 | 01 |
| GA | CERTIFICATION | 2011004772 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205959319 | Leeann Brown | Massage Therapist | 11611 Airport Rd, Suite 204, Everett, WA 98204-3782 | 2007-04-06 |
| 1649693151 | Leeann Brown | Behavioral Analyst | 370 W. Sierra Madre Blvd., B, Sierra Madre, CA 91024 | 2014-02-04 |
| 1629347844 | Leeann Brown | Specialist/Technologist | 100 Greenwood Ave, Suite D, Hot Springs, AR 71913-4427 | 2011-12-16 |
| Street Address |
1504 BROADRICK DR |
| City | DALTON |
| State | GA |
| Zip Code | 30720-3011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508261793 | Laura Goins | Physician Assistant | 1504 Broadrick Dr, Dalton, GA 30720 | 2014-10-30 |
| 1669811576 | James Kennith Gable | Surgery | 1504 Broadrick Dr, Dalton, GA 30720 | 2013-06-25 |
| 1811005143 | Dalton Surgical Group PC | Surgery | 1504 Broadrick Dr, Dalton, GA 30720 | 2006-08-28 |
| 1649218678 | Stefan H Fromm | Surgery | 1504 Broadrick Dr, Dalton, GA 30720-3011 | 2006-06-03 |
| 1184676520 | Steven W Paynter | Surgery | 1504 Broadrick Dr, Dalton, GA 30720 | 2006-05-16 |
| 1295785194 | Eric R Manahan | Surgery | 1504 Broadrick Dr, Dalton, GA 30720-3011 | 2006-05-11 |
| 1477503258 | Richard F Fromm | Surgery | 1504 Broadrick Dr, Dalton, GA 30720-3011 | 2006-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528688421 | Nighat Purnima Kabir | Student in an Organized Health Care Education/Training Program | Hamilton Medical Center, Attn: Residency Program, 1200 Memorial Drive, Dalton, GA 30720 | 2020-04-21 |
| 1720620727 | Elizabeth Nicole Gregory | Behavioral Analyst | 1201 Burleyson Rd., Dalton, GA 30720 | 2019-10-10 |
| 1972161768 | Andrea Nicole Henry | Speech-Language Pathologist | 1201 Burleyson Road, Dalton, Ga. 30720, Dalton, GA 30720 | 2019-06-05 |
| 1275056905 | Cynthia L Wood | Speech-Language Pathologist | 1011 Professional Blvd., Dalton, GA 30720 | 2017-07-25 |
| 1073069225 | Alyssa Sellers Garner | Nurse Practitioner | 1436 Chattanooga Avenue, Dalton, GA 30720 | 2016-08-28 |
| 1588039077 | Katie Walker | Social Worker | 900 Shugart Road, Dalton, GA 30720 | 2015-12-09 |
| 1215310800 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 98 West Walnut Ave, Dalton, GA 30720 | 2015-07-01 |
| 1275969081 | Stacy Kay Whitehead | Nurse Practitioner | 1411 Chattanooga Avenue, Suite 101, Dalton, GA 30720 | 2013-09-25 |
| 1821439985 | Chantal Aneka Raheeda Lewis | Internal Medicine | 1109 Burleyson Rd Ste 103, Dalton, GA 30720 | 2013-07-17 |
| 1174960678 | Homestead Hospice of Northwest Georgia, LLC | Hospice Care, Community Based | 1601 Hickory Street, Dalton, GA 30720 | 2013-05-24 |
| Find all providers in zip 30720 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902453673 | Yaquisha Carter | Nurse Practitioner | 1200 Memorial Dr, Dalton, GA 30720-2529 | 2019-08-19 |
| 1427512334 | Karen Maria Deal | Nurse Practitioner | 1200 Memorial Dr, Dalton, GA 30720-2529 | 2019-01-24 |
| 1952852949 | Amber Lee Mcmahan | Nurse Practitioner | 1506 Broadrick Dr, Dalton, GA 30720-3011 | 2016-10-14 |
| 1780824839 | Lindsey Bewick Kidd | Nurse Practitioner | 302 Point North Pl, Dalton, GA 30720-2644 | 2009-03-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265032114 | Candace Buckley | Nurse Practitioner | 244 Ashland Dr, Woodstock, GA 30189-7161 | 2020-10-29 |
| 1679170740 | Jennifer Lassiter | Nurse Practitioner | 4116 Holley Rd., Lizella, GA 31052 | 2020-10-02 |
| 1891301164 | Tashoy Wallace | Nurse Practitioner | 121 Odyssey Turn, Conyers, GA 30012-3681 | 2020-09-21 |
| 1912513672 | Katherine Anne Sego | Nurse Practitioner | 4060 Rolling Meadows Ln, Watkinsville, GA 30677-3011 | 2020-09-18 |
| 1548872468 | Phyllis Kelly Wood | Nurse Practitioner | 217 Banks Rd, Suite 31, Fayetteville, GA 30214 | 2020-08-21 |
| 1588276505 | Sherron Johnson | Nurse Practitioner | 1980 Wrights Way, Jonesboro, GA 30236-7205 | 2020-08-20 |
| 1942811682 | Ashlee Renee Mack | Nurse Practitioner | 116 Slate Cir, Savannah, GA 31419-9681 | 2020-08-16 |
| 1467063610 | Rosa Maria Phillips | Nurse Practitioner | 649 Amicalola Woods Rd, Dawsonville, GA 30534-1205 | 2020-08-12 |
| 1508476581 | Jarvis Reese | Nurse Practitioner | 413 Tug Ct, Warner Robins, GA 31088-2134 | 2020-08-05 |
| 1750991790 | Akosua Frema Sarfo | Nurse Practitioner | 116 Ginkgo Ln, Grovetown, GA 30813-5392 | 2020-08-04 |
| 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.