LA RAVEN RAMBO (NPI# 1811436934) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811436934 |
| Entity Type | Individual |
| Full Name | LA RAVEN RAMBO |
| Credential | LPN |
| Practice Address |
95 Howell Dr Sw Atlanta GA 30331-4020 |
| Mailing Address |
Po Box 92141 Atlanta GA 30314-0141 |
| Practice Telephone | 4044498544 |
| Practice Fax Number | 4044789976 |
| Mailing Telephone | 4044498544 |
| Mailing Fax Number | 4044789976 |
| Enumeration Date | 2017-02-22 |
| Last Update Date | 2017-02-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | LPN076753 | GA | Nursing Service Providers |
| Street Address |
95 HOWELL DR SW |
| City | ATLANTA |
| State | GA |
| Zip Code | 30331-4020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861001174 | Whitney Flemister | Social Worker | 3961 Princeton Lakes Way Sw, Atlanta, GA 30331 | 2020-07-23 |
| 1982237400 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 5829 Campbellton Road, S.w, Suite 110, Atlanta, GA 30331 | 2020-02-13 |
| 1295375558 | Drusilla Precious Cudjoe | Behavior Technician | 3800 Camp Creek Parkway Sw, Building 1400, Atlanta, GA 30331 | 2020-01-14 |
| 1497262778 | Champions Pharmacy | Pharmacy | 3886 Princeton Lakes Way Suite 180, Atlanta, GA 30331 | 2018-01-08 |
| 1033629779 | Carmen Ardoin | Counselor | 2636 Martin Luther King Jr. Drive, Suite 12, Atlanta, GA 30331 | 2017-10-09 |
| 1346759974 | Neva R Allison | Nurse Practitioner | 2611 Dayview Ln, Atlanta, GA 30331 | 2017-09-26 |
| 1538678255 | Natalie Mckay | Technician/Technologist | 3915 Cascade Rd, 220, Atlanta, GA 30331 | 2017-09-26 |
| 1700304268 | Tyrone Pipkin | Contractor | 415 Kendrick Terrace Sw, Atlanta, GA 30331 | 2017-09-05 |
| 1073031688 | Kristen Wooldridge | Pharmacist | 3695 Cascade Road, Atlanta, GA 30331 | 2017-09-04 |
| 1548704687 | Advance Pain Management | Health Maintenance Organization | 2950 Stone Hogan Road Connector, Atlanta, GA 30331 | 2016-12-08 |
| Find all providers in zip 30331 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740802826 | Melissa Danielle Carter | Licensed Practical Nurse | 5059 Upper Elm St, Atlanta, GA 30349-1669 | 2020-05-12 |
| 1821628488 | Rashi Swift | Licensed Practical Nurse | 4555 Washington Rd, 20-3g, Atlanta, GA 30349-3034 | 2020-01-23 |
| 1558754168 | James Edwin Wagner | Licensed Practical Nurse | 377 Peyton Road S W, Atlanta, GA 30311 | 2015-03-07 |
| 1598166118 | Jaquary Moton | Licensed Practical Nurse | 3648 Utoy Dr Sw, Atlanta, GA 30331-8617 | 2014-09-15 |
| 1013341486 | Lillian L Freeman | Licensed Practical Nurse | 16103 Skyline Ln Ne, Atlanta, GA 30345-7915 | 2013-08-21 |
| 1083055503 | Theresa Richie | Licensed Practical Nurse | 2546 Wrangler Dr Sw, Atlanta, GA 30331-9453 | 2013-07-12 |
| 1891032157 | Carla Bernita Jones | Licensed Practical Nurse | 2064 Ridgedale Rd Ne, Atlanta, GA 30317 | 2013-01-07 |
| 1487904900 | Alecia Lee | Licensed Practical Nurse | 1050 Lenox Park Blvd Ne, 16103, Atlanta, GA 30319-5826 | 2012-09-12 |
| 1669757449 | Katrina Tolliver Jordan | Licensed Practical Nurse | 6600 Peachtree Dunwoody Road, Bulding 400 Suite 125, Atlanta, GA 30328 | 2011-10-12 |
| 1366736746 | Angela Simms | Licensed Practical Nurse | 2479 Peachtree Rd Ne, Apt 917, Atlanta, GA 30305-4121 | 2011-06-03 |
| Find all providers in ATLANTA | ||||
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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.