HEATHER LAVENDER (NPI# 1760922066) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760922066 |
| Entity Type | Individual |
| Full Name | HEATHER LAVENDER |
| Credential | CSFA |
| Practice Address |
1765 Old West Broad St Athens GA 30606-2853 |
| Mailing Address |
1765 Old West Broad St Bldg 2-200 Athens GA 30606-2887 |
| Practice Telephone | 7065491663 |
| Practice Fax Number | 7065468792 |
| Mailing Telephone | 7065491663 |
| Mailing Fax Number | 7065468792 |
| Enumeration Date | 2017-03-06 |
| Last Update Date | 2020-10-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246ZC0007X |
Specialist/Technologist, Other Specialization: Surgical Assistant |
Technologists, Technicians & Other Technical Service Providers |
| Street Address |
1765 OLD WEST BROAD ST |
| City | ATHENS |
| State | GA |
| Zip Code | 30606-2853 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518948835 | Ormonde M Mahoney | Orthopaedic Surgery | 1765 Old West Broad St, Athens, GA 30606-2853 | 2005-11-14 |
| 1245858448 | Adam Schreiber | Physical Therapy Assistant | 1765 Old West Broad St, Athens, GA 30606-2853 | 2020-07-14 |
| 1164053229 | Quinavere Jarrells | Specialist/Technologist, Other | 1765 Old West Broad St, Athens, GA 30606-2853 | 2020-01-28 |
| 1558915884 | Kelli Whitfield Garrett | Specialist/Technologist, Other | 1765 Old West Broad St, Athens, GA 30606-2853 | 2019-07-25 |
| 1427517523 | Kayla Michele Gittens | Occupational Therapist | 1765 Old West Broad St, Athens, GA 30606-2853 | 2019-03-18 |
| 1568942738 | Brandon Scott Vlahos | Physician Assistant | 1765 Old West Broad St, Athens, GA 30606-2887 | 2018-08-17 |
| 1114404589 | Clayton O Carroll | Physical Therapist | 1765 Old West Broad St, Athens, GA 30606-2853 | 2018-07-27 |
| 1376039578 | Micah Lee Sales | Physical Therapist | 1765 Old West Broad St, Athens, GA 30606-2853 | 2018-07-11 |
| 1508356130 | Paul Michael Lally | Physical Therapist | 1765 Old West Broad St, Athens, GA 30606-2853 | 2018-05-18 |
| 1316450216 | Caroline B Batson | Specialist/Technologist, Other | 1765 Old West Broad St, Athens, GA 30606-2853 | 2017-11-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942816962 | Kofi Darkwa Seffah | Student in an Organized Health Care Education/Training Program | 1199 Prince Ave #70, 1270 Prince Ave Suite 201, Athens, GA 30606 | 2020-09-16 |
| 1831712363 | Rebecca John | Licensed Practical Nurse | 240 Mitchel Bridge Road, Athens, GA 30606 | 2020-05-19 |
| 1497375612 | Alfred Ka-shing Wong | Student in an Organized Health Care Education/Training Program | 1270 Prince Ave Suite 201, Athens, GA 30606 | 2020-04-17 |
| 1881223956 | Lauren Fesperman | Nurse Practitioner | 242 King Ave Ste 130, Athens, GA 30606 | 2020-04-02 |
| 1255966081 | Westminster Presbyterian Homes, Inc. | Skilled Nursing Facility | 1400 Live Oak Ln, Building 100, Athens, GA 30606 | 2020-03-12 |
| 1255981700 | Carol Cameron Cready-pyle | Social Worker | 1551 Jennings Mill Pkwy Ste 1700, Athens, GA 30606 | 2019-09-17 |
| 1013576016 | Lauren Gruendling | Nurse Practitioner | 242 King Avenue, Suite 210, Athens, GA 30606 | 2019-06-12 |
| 1760045223 | Dominic Ofosu Amakye | Student in an Organized Health Care Education/Training Program | 1270 Prince Avenue Suite 201, Athens, GA 30606 | 2019-04-19 |
| 1740740422 | Juan G Salazar Castillo | Student in an Organized Health Care Education/Training Program | Community Internal Medicine of Athens, 1500 Oglethorpe Ave Suite 200d, Athens, GA 30606 | 2019-03-20 |
| 1750869020 | Jennifer Emily Chapman | Physical Therapist | 1021 Parkway Blvd Ste 101, Athens, GA 30606 | 2018-07-30 |
| Find all providers in zip 30606 | ||||
| Taxonomy Code | 246ZC0007X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| Specialization | Surgical Assistant |
| A surgical assistant is a skilled practitioner who has undergone formalized education and training as a surgical assistant. The surgical assistant performs surgical functions that include, but are not limited to: retracting, manipulating, suturing, clamping, cauterizing, litigating, and tying tissue; suctioning, irrigating and sponging; positioning the patient; closure of body planes and skin; and participating in hemostasis and volume replacement. Surgical assistants are certified and registered or licensed by the state, or, in states without licensure, certified as surgical assistants by completing appropriate education and training. |
| Notes: Source: Association of Surgical Assistants, 2014. [7/1/2014: title modified, definition modified] http://www.surgicalassistant.org/index.php/surgical-assisting Additional Resources: National Surgical Assistant Association, www.nsaa.net. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982244257 | Chad Seawright | Specialist/Technologist, Other | 1765 Old West Broad St Bldg 2-200, Athens, GA 30606-2887 | 2020-01-14 |
| 1164053229 | Quinavere Jarrells | Specialist/Technologist, Other | 1765 Old West Broad St, Athens, GA 30606-2853 | 2020-01-28 |
| 1558915884 | Kelli Whitfield Garrett | Specialist/Technologist, Other | 1765 Old West Broad St, Athens, GA 30606-2853 | 2019-07-25 |
| 1487162673 | Coty Michelle Webster | Specialist/Technologist, Other | 700 W Market St, Athens, AL 35611-2457 | 2018-01-22 |
| 1316450216 | Caroline B Batson | Specialist/Technologist, Other | 1765 Old West Broad St, Athens, GA 30606-2853 | 2017-11-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942818422 | Lisa M Arey | Specialist/Technologist, Other | 2429 Salem Ct Sw, Marietta, GA 30064-4259 | 2020-07-21 |
| 1457972309 | Shanon Marie Roderick | Specialist/Technologist, Other | 115 Bradford Ct, Savannah, GA 31406-4122 | 2020-05-01 |
| 1659990869 | Katrina A Toler | Specialist/Technologist, Other | Optim Medical Center - Tattnall, 247 S Main Street, Reidsville, GA 30453 | 2020-04-09 |
| 1295360311 | Taryn Shumaker | Specialist/Technologist, Other | 715 Cedar Valley Trce, Lawrenceville, GA 30043-2424 | 2020-03-09 |
| 1003448911 | Kirstin Gabler | Specialist/Technologist, Other | 2119 Wilshire Dr Sw, Marietta, GA 30064-4197 | 2020-02-08 |
| 1952948945 | Haley Johnson | Specialist/Technologist, Other | 619 Minter Rd, Griffin, GA 30223-5635 | 2019-12-09 |
| 1215579982 | Anfernee Jerome Walker | Specialist/Technologist, Other | 990 Thousand Oaks Dr, Lawrenceville, GA 30043-3123 | 2019-10-14 |
| 1043852197 | James Hoffman | Specialist/Technologist, Other | 1415 Highway 85 N Ste 310-147, Fayetteville, GA 30214-7738 | 2019-10-10 |
| 1851933170 | Andres Eduardo Gomez Vargas | Specialist/Technologist, Other | 965 Dogwood Park Dr, Lawrenceville, GA 30046-9335 | 2019-10-09 |
| 1477108694 | Benjamin Mcallister Jr. | Specialist/Technologist, Other | 8486 Campbellton St # 401, Douglasville, GA 30134-1819 | 2019-08-05 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on HEATHER LAVENDER.
| 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.