SARAH PRESIDENT (NPI# 1912434168) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1912434168 |
Entity Type | Individual |
Full Name | SARAH PRESIDENT |
Credential | F1116456 |
Practice Address |
431 Sage St Temple GA 30179-3726 |
Mailing Address |
2629 Hilderbrand Dr Douglasville GA 30135-5135 |
Practice Telephone | 7705629007 |
Practice Fax Number | 7705629060 |
Mailing Telephone | 7706167758 |
Mailing Fax Number | 7705629060 |
Enumeration Date | 2017-05-18 |
Last Update Date | 2017-05-18 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
F1116456 | GA | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
GA | NURSE PRACTITIONERS CERTIFICATION PROGRAM | F1116456 | 01 |
Street Address |
431 SAGE ST |
City | TEMPLE |
State | GA |
Zip Code | 30179-3726 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649717083 | Thomas Jackson Fowler II | Pharmacist | 488 Carrollton Street, Temple, GA 30179 | 2017-01-24 |
1184982605 | Gina Ann Canuel | Speech-Language Pathologist | 64 North Ave, Temple, GA 30179 | 2012-05-03 |
1740556620 | Natalie Brittain | Speech-Language Pathologist | 146 Morningview Dr, Temple, GA 30179 | 2012-03-26 |
1356529358 | Jessica Erin Ellis | Registered Nurse | 500 Bethany Woods Dr, Temple, GA 30179-3574 | 2008-02-01 |
1750608014 | Kristy Dawn Drummond | Counselor | 305 Carrollton St, Temple, GA 30179-3796 | 2010-04-27 |
1124433768 | Total Care Family Medicine PC | Family Medicine | 305 Carrollton St, Temple, GA 30179-3796 | 2014-06-23 |
1942226196 | Temple Pharmacy, Inc. | Pharmacy | 285 Sage St, Temple, GA 30179-3846 | 2006-07-14 |
1215115134 | Adra Faith Smith | Pharmacist | 285 Sage St, Temple, GA 30179-3846 | 2008-02-01 |
1790336766 | Stephanie Harris | Speech-Language Pathologist | 514 Willow Creek Dr, Temple, GA 30179-3972 | 2019-09-21 |
1801053129 | Duane Edward Cox | Dentist | 486 Long Branch Rd, Temple, GA 30179-4012 | 2008-05-22 |
Find all providers in zip 30179 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134732787 | Rebecca Taylor Battleson | Nurse Practitioner | 764 Marlandwood Rd Apt 515, Temple, TX 76502-3654 | 2020-08-24 |
1598393050 | Katelin Nicole Arnold | Nurse Practitioner | 4016 Brookhaven Dr, Temple, TX 76504-3981 | 2020-03-31 |
1598397747 | Conor Quen Miller | Nurse Practitioner | 61 N Kegley Rd, Temple, TX 76502-4067 | 2020-02-05 |
1528531969 | Karen J Greene | Nurse Practitioner | 289 Nh Route 45, Temple, NH 03084-4212 | 2019-01-08 |
1063924629 | Trung Doan | Nurse Practitioner | 1212 H K Allen Pkwy, Temple, TX 76502-3669 | 2017-11-03 |
1801306071 | Sabrina Latrica Cruz | Nurse Practitioner | 2401 S 31st St., Temple, TX 76508-0001 | 2017-10-02 |
1558721894 | Erica Griffin | Nurse Practitioner | 240 Oaken Bucket Dr, Temple, GA 30179-5603 | 2016-02-29 |
1871920033 | Hil David Lazol | Nurse Practitioner | 6625 Misty Creek Ln, Temple, TX 76502-5587 | 2013-10-02 |
1508144825 | Sara Allen | Nurse Practitioner | The Scott & White Eye Institute Ctr, 2401 S 31st Street, Temple, TX 76508-0001 | 2011-08-03 |
1295807634 | Michelle Faulkner | Nurse Practitioner | 2401 S. 31st St, Temple, TX 76508-0001 | 2006-11-14 |
Find all providers in TEMPLE |
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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.