ALLISON BROOKE AUGESTAD (NPI# 1891112033) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891112033 |
| Entity Type | Individual |
| Full Name | ALLISON BROOKE AUGESTAD |
| Other Name | BROOKE AUGESTAD |
| Credential | NP-C |
| Practice Address |
11720 Medlock Bridge Rd Suite 170 Johns Creek GA 30097-1509 |
| Practice Telephone | 7702122242 |
| Practice Fax Number | 7702122278 |
| Mailing Telephone | 7702122242 |
| Mailing Fax Number | 7702122278 |
| Enumeration Date | 2014-03-26 |
| Last Update Date | 2014-03-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN206701 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
11720 MEDLOCK BRIDGE RD SUITE 170 |
| City | JOHNS CREEK |
| State | GA |
| Zip Code | 30097-1509 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669768461 | Diana Reeves | Massage Therapist | 11720 Medlock Bridge Rd, Johns Creek, GA 30097-1509 | 2011-06-21 |
| 1144534058 | Verona Howard | Massage Therapist | 11720 Medlock Bridge Rd, Johns Creek, GA 30097-1509 | 2010-08-03 |
| 1679887582 | Katherine Hawkins | Massage Therapist | 11720 Medlock Bridge Rd, Johns Creek, GA 30097-1509 | 2010-08-03 |
| 1427362326 | Cassandre Bosse | Massage Therapist | 11720 Medlock Bridge Rd, Johns Creek, GA 30097-1509 | 2010-08-03 |
| 1194039008 | Marcy Carr | Massage Therapist | 11720 Medlock Bridge Rd, Johns Creek, GA 30097-1509 | 2010-08-03 |
| 1811200926 | Dcc Optimum Investments, Inc | Massage Therapist | 11720 Medlock Bridge Rd, Johns Creek, GA 30097-1509 | 2010-07-17 |
| 1548573652 | Elizabeth Mosca | Massage Therapist | 11720 Medlock Bridge Rd, Johns Creek, GA 30097-1509 | 2010-07-17 |
| 1013045368 | Ricardo Fukuzato | Optometrist | 11720 Medlock Bridge Rd, Suite 140, Johns Creek, GA 30097-1509 | 2007-03-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659986057 | Herman Medical Solutions, LLC | Internal Medicine | 10700 Medlock Bridge Road, Suite 207, Duluth, GA 30097 | 2020-09-11 |
| 1649808619 | Kirsty Amber Ramirez | Behavior Technician | 218 Premiere Pkwy #500, Duluth, GA 30097 | 2020-03-27 |
| 1386277820 | Cristina Madalina Niculas | Pharmacist | Kroger Pharmacy 476, 6555 Sugarloaf Parkway, Duluth, GA 30097 | 2020-02-12 |
| 1619514924 | Opesdei Health Solutions | Home Health Aide | 6615 Abbotts Bridge Road, 6615 Abbotts Bridge Road Unit 1111, Johns Creek, GA 30097 | 2019-12-05 |
| 1700422979 | Ria Alexander | Nurse Practitioner | 6300 Hospital Parkway Ste 300, Johns Creek, GA 30097 | 2019-11-22 |
| 1043867765 | Mosesal Zakia White | Nurse Practitioner | 10680 Medlock Bridge Rd #102, Johns Creek, GA 30097 | 2019-08-19 |
| 1982187068 | Lighthouse Clinical Counseling, LLC | Counselor | 3883 Rogers Bridge Road, Suite 601, Duluth, GA 30097 | 2018-09-13 |
| 1376025643 | Faithe Beanne Kimsey | Counselor | 3883 Rogers Bridge Road Nw, Suite 601, Duluth, GA 30097 | 2018-09-04 |
| 1306330303 | Denise Jackson | Prosthetist | 11720 Medlock Bridge Rd Ste 155, Johns Creek, GA 30097 | 2018-06-21 |
| 1407363328 | Berkeley Van Dyke | Physical Therapist | 6335 Hospital Pkwy Ste 316, Johns Creek, GA 30097 | 2017-12-30 |
| Find all providers in zip 30097 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043867765 | Mosesal Zakia White | Nurse Practitioner | 10680 Medlock Bridge Rd #102, Johns Creek, GA 30097 | 2019-08-19 |
| 1508412453 | Eugeniu Boris Cucuta | Nurse Practitioner | 3000 Old Alabama Rd Ste 128a, Johns Creek, GA 30022-1901 | 2019-08-16 |
| 1487121679 | Michelle Chun | Nurse Practitioner | 10710 Medlock Bridge Rd Ste 150, Johns Creek, GA 30097-2440 | 2018-10-26 |
| 1912492489 | Kelsey Rolwood | Nurse Practitioner | 11705 Jones Bridge Rd Ste A201, Johns Creek, GA 30005-5080 | 2018-06-27 |
| 1538553623 | Hanna Lee Park | Nurse Practitioner | 11459 Johns Creek Pkwy Ste 250, Johns Creek, GA 30097-3517 | 2015-03-26 |
| 1902108491 | Roseline Makinde | Nurse Practitioner | 5808 State Bridge Rd, Johns Creek, GA 30097-6476 | 2010-12-03 |
| 1902448012 | Melanie Carroll Steen | Nurse Practitioner | 10692 Medlock Bridge Rd Ste 100a, Johns Creek, GA 30097-8497 | 2019-10-09 |
| 1922595099 | Jennifer Rosson | Nurse Practitioner | 6300 Hospital Pkwy Ste 375, Johns Creek, GA 30097-2461 | 2018-04-15 |
| 1205334661 | Vy Vy Ann Thi Pham | Nurse Practitioner | 11705 Jones Bridge Rd, Johns Creek, GA 30005-5078 | 2018-01-30 |
| 1174048474 | Monique Jennifer Stage | Nurse Practitioner | 11459 Johns Creek Pkwy Ste 250, Johns Creek, GA 30097-3517 | 2017-08-08 |
| Find all providers in JOHNS CREEK | ||||
| City | JOHNS CREEK |
| Zip Code | 30097 |
Please comment or provide details below to improve the information on ALLISON BROOKE AUGESTAD.
| 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.