MRS. RENE B CHILDREE (NPI# 1750319463) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750319463 |
| Entity Type | Individual |
| Full Name | MRS. RENE B CHILDREE |
| Credential | MSN RN CS FNP |
| Practice Address |
128 North Parker Ave Brooklet GA 30415 |
| Mailing Address |
Po Box 487 Brooklet GA 30415 |
| Practice Telephone | 9128422101 |
| Practice Fax Number | 9128422103 |
| Mailing Telephone | 9128422101 |
| Mailing Fax Number | 9128422103 |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2008-06-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | RN043261 NP | GA | Allopathic & Osteopathic Physicians |
| Y | 363L00000X | Nurse Practitioner | RN043261 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00510518A | 05 |
| Street Address |
128 NORTH PARKER AVE |
| City | BROOKLET |
| State | GA |
| Zip Code | 30415 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184083198 | Melissa Ashley Gresham | Nurse Practitioner | 128 North Parker Ave, Brooklet, GA 30415-8208 | 2016-02-18 |
| 1811049679 | Bohler Family Practice PC | Clinic/Center | 128 North Parker Ave, Brooklet, GA 30415 | 2007-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659422145 | Home Health Equipment, Inc. | Durable Medical Equipment & Medical Supplies | 121 Parker Ave., Brooklet, GA 30415 | 2007-01-13 |
| 1447707088 | Kaitlin Brannen | Pharmacist | 114 B Parker Ave, Brooklet, GA 30415 | 2016-09-01 |
| 1609819804 | Walker Pharmacy and Gifts, Inc. | Pharmacy | 114 B Parker Ave, Brooklet, GA 30415-0215 | 2006-06-14 |
| 1912451246 | Victor Ray Voiselle | Pharmacist | 114 B Parker Ave, Brooklet, GA 30415-0215 | 2016-08-03 |
| 1225141997 | William Scott Bohlke | Family Medicine | 128 North Parker Avenue, Brooklet, GA 30415-0487 | 2006-08-16 |
| 1003800947 | Caroline U Bowman | Speech-Language Pathologist | 3300 Lang Ln, Brooklet, GA 30415-5775 | 2005-09-07 |
| 1225580806 | Marla Jean Riley | Nurse Practitioner | 118 Tall Timbers Ln, Brooklet, GA 30415-5985 | 2016-10-28 |
| 1982141834 | Janet Kathleen Scott | Counselor | 114 Summer Wind Pl, Brooklet, GA 30415-6090 | 2017-01-30 |
| 1538452461 | Stacy Anne Davis | Case Manager/Care Coordinator | 107 Summer Wind Pl, Brooklet, GA 30415-6090 | 2011-05-25 |
| 1396021630 | Donna L Ramirez | Physical Therapist | 1614 Colony Ln, Brooklet, GA 30415-6173 | 2011-11-01 |
| Find all providers in zip 30415 | ||||
| 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 |
|---|---|---|---|---|
| 1346841186 | Cynthia Marie Benjamin Bates | Nurse Practitioner | 2746 Willis Foreman Rd, Hephzibah, GA 30815-6935 | 2020-11-06 |
| 1841891199 | Gloria Oduro | Nurse Practitioner | 983 Bentley Estates Dr, Dacula, GA 30019-7795 | 2020-11-03 |
| 1689274094 | Shundria Brown | Nurse Practitioner | 2122 Ellwyn Dr, Chamblee, GA 30341-1520 | 2020-10-27 |
| 1629677455 | Amy Lynn Patterson | Nurse Practitioner | 254 Senna St, Marietta, GA 30064-4417 | 2020-10-22 |
| 1538768965 | Tabitha Ford | Nurse Practitioner | 110 Shorter St Lot 9, Ty Ty, GA 31795-3179 | 2020-10-16 |
| 1902404320 | Shanelle Lynette Raiford | Nurse Practitioner | 2028 Hidden Meadow Ln, Stone Mountain, GA 30088-4448 | 2020-10-16 |
| 1760089072 | Diana Maresi Bulimu | Nurse Practitioner | 6050 Peachtree Pkwy # 240-178, Norcross, GA 30092-3336 | 2020-10-08 |
| 1760089692 | Natalie Xiomara Leak | Nurse Practitioner | 4855 Chesterfield Ct, Suwanee, GA 30024-1350 | 2020-10-05 |
| 1548877723 | Camille Watson-clarke | Nurse Practitioner | 3650 Steve Reynolds Blvd Ste 316, Duluth, GA 30096-4506 | 2020-09-30 |
| 1801403654 | Jacqueline Richart | Nurse Practitioner | 6300 Hospital Pkwy Ste 260, Johns Creek, GA 30097-1829 | 2020-09-25 |
| 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.