MRS. LINDA L BRUCK (NPI# 1841313970) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841313970 |
| Entity Type | Individual |
| Full Name | MRS. LINDA L BRUCK |
| Credential | R.N. |
| Practice Address |
445 Winn Way Decatur GA 30030-1707 |
| Mailing Address |
1735 Lilburn Stn Mtn Rd Stone Mountain GA 30087-1825 |
| Practice Telephone | 4045087969 |
| Practice Fax Number | 4042965706 |
| Mailing Telephone | 7709318109 |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0809X |
Registered Nurse Specialization: Psych/Mental Health, Adult |
RN040183 | GA | Nursing Service Providers |
| Street Address |
445 WINN WAY |
| City | DECATUR |
| State | GA |
| Zip Code | 30030-1707 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770588691 | Nancy S Koughan | Preventive Medicine | 445 Winn Way, Decatur, GA 30030-1707 | 2005-06-16 |
| 1699372342 | Marteia Wells | Social Worker | 445 Winn Way, Decatur, GA 30030-1707 | 2020-10-06 |
| 1205440831 | Trikella T Jones | Counselor | 445 Winn Way, Decatur, GA 30030-1707 | 2020-09-01 |
| 1376166611 | Rashanna Ratliff | Counselor | 445 Winn Way, Decatur, GA 30030-1707 | 2020-05-21 |
| 1710513783 | Mary L Locke | Counselor | 445 Winn Way, Decatur, GA 30030-1707 | 2020-03-20 |
| 1306477138 | Obiageri Ohayagha | Nurse Practitioner | 445 Winn Way, Decatur, GA 30030-1707 | 2020-01-30 |
| 1053959254 | John Francis Beltrami | Preventive Medicine | 445 Winn Way, Decatur, GA 30030-1707 | 2019-12-18 |
| 1609411172 | Jean Lehmann | Dietitian, Registered | 445 Winn Way, Decatur, GA 30030-1707 | 2019-11-08 |
| 1437709086 | Joseph Pfeffer | Counselor | 445 Winn Way, Decatur, GA 30030-1707 | 2019-09-16 |
| 1760047013 | Karen Brown Taylor | Counselor | 445 Winn Way, Decatur, GA 30030-1707 | 2019-05-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801413174 | Pa-c Surgical Assist, LLC | Clinic/Center | 520 W Ponce Leon Ave #1706, Decatur, GA 30030 | 2020-07-02 |
| 1417587478 | Elizabeth Heffron | Acupuncturist | 619b East College Avenue, Decatur, GA 30030 | 2020-01-17 |
| 1669016143 | Atlanta Upper Cervical Chiropractic LLC | Chiropractor | 125 E Trinity Place, Suite #247, Decatur, GA 30030 | 2019-10-29 |
| 1831757418 | Jessica Stewart | Counselor | 755 Commerce Dr Ste 903, Decatur, GA 30030 | 2019-05-30 |
| 1699238733 | Dinah Augustin | Registered Nurse | 1458 Church St., Unit B, Decatur, GA 30030 | 2019-04-06 |
| 1093284291 | Eliza Segell | Social Worker | 165 Dekalb Industrial Way Ste D-1, Decatur, GA 30030 | 2018-11-16 |
| 1912476466 | Positive Impact Health Centers, Inc. | Pharmacy | 523 Church Street, Suite B, Decatur, GA 30030 | 2018-11-14 |
| 1932685096 | T2 Imaging | Radiology | 1376 Church Street, Suite 100, Decatur, GA 30030 | 2018-07-12 |
| 1992292858 | Keeanna M Powell | Counselor | Agape Transformation Practice, 235 E. Ponce De Leon Ave Suite 103, Decatur, GA 30030 | 2018-04-17 |
| 1780185488 | Solutions Ae Inc | Counselor | One West Square Court, Suite 710, Decatur, GA 30030 | 2018-02-27 |
| Find all providers in zip 30030 | ||||
| Taxonomy Code | 163WP0809X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health, Adult |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760845267 | Cassandra Faye Milton | Registered Nurse | 2971 Gena Dr, Decatur, GA 30032-5706 | 2016-04-01 |
| 1366775058 | Simple Care Solutions LLC | Registered Nurse | 235 Ponce De Leon Ave, Suite 225, Decatur, GA 30030-3488 | 2009-09-11 |
| 1932283553 | Jeanne Samter | Registered Nurse | 1670 Clairmont, Decatur, GA 30033 | 2006-10-24 |
| 1215950498 | Brendolyn Joyce Tarver | Registered Nurse | 3302 Glenco Dr, Decatur, GA 30032-5964 | 2006-07-26 |
| 1649796764 | Angela Durr | Registered Nurse | 151 N Main St, Decatur, IL 62523-1206 | 2017-08-21 |
| 1992922835 | Mary Clarice Stamper | Registered Nurse | 450 Winn Way, Dekalb Crisis Center, Decatur, GA 30030-1715 | 2007-04-20 |
| 1679677116 | Kathleen Cooper | Registered Nurse | 1670 Clairmont Rd, Decatur, GA 30033-4004 | 2006-09-12 |
| 1689690075 | Alexandra Whiddon | Registered Nurse | 465 Winn Way Ste 221, Decatur, GA 30030-1723 | 2006-07-15 |
| 1306873997 | Ruth Houck Bohrer | Registered Nurse | 1670 Clairmont Road, Decatur, GA 30033 | 2006-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619599115 | Alana Jane Sibley | Registered Nurse | 940 Ga - 96, Warner Robins, GA 31088 | 2020-05-07 |
| 1255895710 | Latane Diaz | Registered Nurse | 597 Brigham Trl, Augusta, GA 30909-6060 | 2019-01-29 |
| 1871099036 | Mary Jane Cleghorn | Registered Nurse | 5563 Concord Cir, Gainesville, GA 30507-8704 | 2018-04-04 |
| 1386097418 | Debra Zwemer | Registered Nurse | 4593 Hebbard Way, Evans, GA 30809-3811 | 2016-07-13 |
| 1336589183 | Mary Azar Pride | Registered Nurse | 30-b Lenox Pte. N.e., Bldg 30 - Suite B, Atlanta, GA 30324 | 2013-06-26 |
| 1710222450 | Cynthia M. Brown | Registered Nurse | 34 Peachtree St., N.w., Suite 77 Mhm, Atlanta, GA 30303 | 2012-12-06 |
| 1609107721 | Dorcas A Bolaji | Registered Nurse | 1231 Sweetgum Trl, Conyers, GA 30012-3593 | 2010-01-29 |
| 1841521721 | Quality Care | Registered Nurse | 3021 Brook Ln, Rex, GA 30273-2434 | 2010-01-17 |
| 1447585898 | Beverly A Williams | Registered Nurse | 9490 Deer Crossing Dr, Jonesboro, GA 30236-5197 | 2009-10-02 |
| 1831332725 | Katherine H Steele | Registered Nurse | 2801 Buford Highway Ne, Suite 470, Atlanta, GA 30329 | 2009-04-08 |
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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.