MRS. CLARICE WHITLOCK WASMUTH (NPI# 1740466622) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740466622 |
| Entity Type | Individual |
| Full Name | MRS. CLARICE WHITLOCK WASMUTH |
| Credential | RN-CS, ANP |
| Practice Address |
3720 Davinci Ct Suite 400 Norcross GA 30092-7627 |
| Practice Telephone | 7705824186 |
| Mailing Telephone | 7705824186 |
| Enumeration Date | 2008-01-10 |
| Last Update Date | 2015-07-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | RN113689 | GA | Nursing Service Providers |
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
RN113689 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 003146803A | 05 |
| Street Address |
3720 DAVINCI CT SUITE 400 |
| City | NORCROSS |
| State | GA |
| Zip Code | 30092-7627 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528048238 | Grace Koucheravy | Nurse Practitioner | 3720 Davinci Ct, Suite 400, Norcross, GA 30092-7627 | 2006-01-19 |
| 1326598681 | Compassus Op of Georgia I LLC | Hospice Care, Community Based | 3720 Davinci Ct, Ste 400, Norcross, GA 30092-7627 | 2016-10-11 |
| 1174911358 | Rakeisha Nichole Franklin | Nurse Practitioner | 3720 Davinci Ct, Norcross, GA 30092-7627 | 2014-12-23 |
| 1770903023 | Mary Perloe | Nurse Practitioner | 3720 Davinci Ct, Norcross, GA 30092-7627 | 2014-04-24 |
| 1477970549 | Kami Bonner Pugh | Nurse Practitioner | 3720 Davinci Ct, Suite 400, Norcross, GA 30092-7627 | 2014-03-26 |
| 1124467873 | Janeen Renee Cook | Nurse Practitioner | 3720 Davinci Ct, Ste 400, Norcross, GA 30092-7627 | 2013-06-17 |
| 1326486168 | Lorie S. Delk and Associates, Inc. | Speech-Language Pathologist | 3720 Davinci Ct, Suite 250, Norcross, GA 30092-7627 | 2013-06-13 |
| 1437493277 | Chad Harlin | Nurse Practitioner | 3720 Davinci Ct, Suite 400, Norcross, GA 30092-7627 | 2012-11-16 |
| 1114202207 | Lora Elizabeth Crowe | Nurse Practitioner | 3720 Davinci Ct, Ste 400, Norcross, GA 30092-7627 | 2011-10-20 |
| 1982903902 | Lacey Nicole Stevens | Nurse Practitioner | 3720 Davinci Ct, Suite 400, Norcross, GA 30092-7627 | 2011-03-16 |
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|---|---|---|---|---|
| 1083172035 | Tebo Dentistry for Kids Peachtree Corners, LLC | Clinic/Center | 6460 Spalding Drive, Suite C, Peachtree Corners, GA 30092 | 2019-03-08 |
| 1043794472 | Cai Hong Senior Services Inc | Clinic/Center | 4093 Spalding Hollow, Peatree Corners, GA 30092 | 2018-09-21 |
| 1952810566 | Children In Motion Therapy Services LLC | Occupational Therapist | 5655 Peachtree Pkwy Ste 117, Norcross, GA 30092 | 2017-09-26 |
| 1922517945 | Infinity Wellness Solutions LLC | Emergency Medicine | 3240 Pointe Parkway, Suite 100, Norcross, GA 30092 | 2017-09-21 |
| 1346769593 | Global Diagnostic Labs, LLC | Pathology | 3240 Pointe Pkwy Ste 200, Norcross, GA 30092 | 2017-09-19 |
| 1467993345 | Boris Mcguire Day | Counselor | 3597 Monticello Commons, Norcross, GA 30092 | 2017-03-13 |
| 1598205239 | Iwc East LLC | Internal Medicine | 40 Technology Parkway, #300, Norcross, GA 30092 | 2017-02-28 |
| 1851744254 | Lms Surgical Services | Specialist/Technologist, Other | 6050 Peachtree Pkwy Suite240-358, Norcross, GA 30092 | 2016-07-20 |
| 1881085603 | A Hand To Hold | Home Health | 3459 Holcomb Bridge Rd., Suite 100, Peachtree Corners, GA 30092 | 2015-02-16 |
| 1790196467 | Wranglehurst, P.C. | Dentist | 3850 Holcomb Br. Rd, Suite 230, Norcross, GA 30092 | 2014-05-15 |
| Find all providers in zip 30092 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639591696 | Zoila Calas Freeman | Nurse Practitioner | 6135 Queen Anne Ct, Norcross, GA 30093-3746 | 2014-01-10 |
| 1720268832 | Ladonna M Hutcheson | Nurse Practitioner | 40 Technology Pkwy S Ste 300, Norcross, GA 30092-2924 | 2007-11-06 |
| 1821202292 | Susan Jane Thomson | Nurse Practitioner | 4372 Windward Ln, Norcross, GA 30093-3334 | 2007-05-09 |
| 1235785155 | Donna Maloney | Nurse Practitioner | 5185 Peachtree Pkwy Ste 300, Norcross, GA 30092-6543 | 2019-08-15 |
| 1710363569 | Charlene Finney | Nurse Practitioner | 5949 Buford Hwy, Norcross, GA 30071-2472 | 2015-08-04 |
| 1982903902 | Lacey Nicole Stevens | Nurse Practitioner | 3720 Davinci Ct, Suite 400, Norcross, GA 30092-7627 | 2011-03-16 |
| 1215078902 | Jodie J Salo | Nurse Practitioner | 3720 Davinci Ct, Suite 400, Norcross, GA 30092-7627 | 2007-02-08 |
| 1497800254 | Marye Angelyn Mckenney | Nurse Practitioner | 3720 Davinci Ct, Suite 400, Norcross, GA 30092-7627 | 2007-01-24 |
| 1124173414 | Betty Richards Nally | Nurse Practitioner | 3720 Davinci Ct, Norcross, GA 30092-7627 | 2007-01-24 |
| 1851446397 | Stacey Allen Chapman | Nurse Practitioner | 3720 Davinci Ct, Suite 400, Norcross, GA 30092-7627 | 2007-01-24 |
| Find all providers in NORCROSS | ||||
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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.