KATINA M NEW (NPI# 1821287046) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1821287046 |
Entity Type | Individual |
Full Name | KATINA M NEW |
Credential | FNP-C |
Practice Address |
3073 Panthersville Road Medical Clinic Decatur GA 30034-3828 |
Practice Telephone | 4042124658 |
Practice Fax Number | 4042445138 |
Mailing Telephone | 4042124658 |
Mailing Fax Number | 4042445138 |
Enumeration Date | 2007-10-24 |
Last Update Date | 2012-04-19 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | 132208 | GA | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NATIONAL CERFICATION | 0351090-22 | 01 |
Street Address |
3073 PANTHERSVILLE ROAD MEDICAL CLINIC |
City | DECATUR |
State | GA |
Zip Code | 30034-3828 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922056902 | Delquis Rafael Mendoza | Psychiatry & Neurology | 3073 Panthersville Road, Patients Accounts Office, Decatur, GA 30034 | 2006-05-04 |
1497035380 | Dene Ruth Bellamy | Clinical Nurse Specialist | 3073 Panthersville Road, Decatur, GA 30034 | 2011-08-23 |
1730378951 | Steven C Stout | Psychiatry & Neurology | 3073 Panthersville Road, Patient Accounts, Decatur, GA 30034-3828 | 2007-10-24 |
1942320031 | Verona D Lawson | Psychiatry & Neurology | 3073 Panthersville Road, Patient Accounts Office, Decatur, GA 30034-3828 | 2007-03-30 |
1881728749 | Georgia Regional Hospital Pharmacy | Pharmacy | 3073 Panthersville Road, Patient Accounts Office, Decatur, GA 30034-3828 | 2007-03-15 |
1841328135 | Icfmr At Georgia Regional Hospital Atlanta | Skilled Nursing Facility | 3073 Panthersville Road, Decatur, GA 30034-3828 | 2007-03-01 |
1659409951 | Skilled Nursing Facility Grha | Skilled Nursing Facility | 3073 Panthersville Road, Decatur, GA 30034-3828 | 2007-03-01 |
1659314847 | Donald W Smith | Psychologist | 3073 Panthersville Road, Decatur, GA 30034-3828 | 2006-06-14 |
1730122482 | Ga Department of Human Resources | Psychiatric Hospital | 3073 Panthersville Road, Decatur, GA 30034-3828 | 2006-06-13 |
1598713448 | Scott John Schoenherr | Psychologist | 3073 Panthersville Road, Patient Accounts Office, Decatur, GA 30034-3828 | 2006-05-04 |
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1689289803 | Kalesha Uneek Presswood | Behavior Technician | 5361 Roswell Rd, Atlanta, GA 30034 | 2020-09-14 |
1447876768 | Rosemary Maines | Recreation Therapist | The Maines Group LLC Dba Maines Health and Wellness, 3461 Jessica Run, Decatur, GA 30034 | 2020-06-23 |
1437775764 | The Maines Group, LLC | Adult Companion | The Maines Group, LLC Dba Maines Health and Wellness, 3461 Jessica Run, Decatur, GA 30034 | 2020-06-23 |
1801351994 | Anthony E. Parrish, D.d.s., PC | Dentist | 3653 Flakes Mill Road, Suite E, Deactur, GA 30034 | 2019-02-04 |
1164916813 | Lenina O Chi-ukpai | Nurse Practitioner | 2942 Secretariat Ct, Decatur, GA 30034 | 2018-06-17 |
1154662765 | Zackery Kanel Thomas | Driver | 2782 Green Marsh Court, Decatur, GA 30034 | 2013-03-06 |
1033472642 | Lakeba Hibbler Williams | Counselor | 4147 Flat Shoals Pkwy, Decatur, GA 30034 | 2012-06-19 |
1164789632 | Foot Solutions of Georgia | Durable Medical Equipment & Medical Supplies | 3011 S Rainbow Dr, Suite 160, Decatur, GA 30034 | 2012-04-20 |
1699096172 | Wanda P Garrett | Social Worker | 3013 Rainbow Drive, Suite 112-e, South Dekalb Office Park, Decatur, GA 30034 | 2010-06-18 |
1245558022 | Teresa Behrend Fletcher | Counselor | 3915 Brookside Pkwy, Decatur, GA 30034 | 2010-05-04 |
Find all providers in zip 30034 |
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. |
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1912463456 | Kimberly S Williams | Nurse Practitioner | 4565 Riverwood Cir, Decatur, GA 30035-2935 | 2019-02-20 |
1164907242 | Megan Skelley | Nurse Practitioner | 487 Winn Way Ste 202, Decatur, GA 30030-1728 | 2018-09-25 |
1508359969 | Rebecca A Voyles | Nurse Practitioner | 575 W Hay St, Decatur, IL 62526-4164 | 2018-06-11 |
1598278558 | Vera Mahou | Nurse Practitioner | 4150 Snapfinger Woods Dr Ste 120, Decatur, GA 30035-3417 | 2017-11-13 |
1346753738 | Alexis Renee Graven | Nurse Practitioner | 2300 N Edward St Ste 2400, Decatur, IL 62526-4163 | 2017-11-08 |
1508240409 | Zachary Pitts | Nurse Practitioner | 2606 Woodridge Dr, Decatur, GA 30033-4835 | 2015-07-10 |
1891063095 | Alexis E. Daugherty | Nurse Practitioner | 603 Church St, Decatur, GA 30030-2517 | 2011-12-02 |
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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.