AYODELE ADEGUNWA (NPI# 1912529025) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1912529025 |
Entity Type | Individual |
Full Name | AYODELE ADEGUNWA |
Credential | LPN |
Practice Address |
250 Bray Street Athens GA 30601-2244 |
Mailing Address |
2526 Briar Valley Way Dacula GA 30019-7515 |
Practice Telephone | 7063896767 |
Enumeration Date | 2020-05-12 |
Last Update Date | 2020-05-12 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 164W00000X | Licensed Practical Nurse | 26NP05001700 | NJ | Nursing Service Providers |
Y | 164W00000X | Licensed Practical Nurse | LPN071336 | GA | Nursing Service Providers |
Street Address |
250 BRAY STREET |
City | ATHENS |
State | GA |
Zip Code | 30601-2244 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447682083 | Brittany Lynn Lowery | Counselor | 250 Bray Street, Athens, GA 30601 | 2013-08-06 |
1588270664 | Jennifer Erin Jordan | Registered Nurse | 250 Bray Street, Athens, GA 30601-2244 | 2020-09-23 |
1659998722 | Amabel Sarmiento Acosta | Registered Nurse | 250 Bray Street, Athens, GA 30601-2244 | 2020-07-06 |
1154947182 | Mary Debra Casterline | Licensed Practical Nurse | 250 Bray Street, Athens, GA 30601-2244 | 2020-06-25 |
1558986430 | Melinda Howson | Registered Nurse | 250 Bray Street, Athens, GA 30601-2244 | 2020-06-16 |
1487277661 | Sara C Gartner | Social Worker | 250 Bray Street, Athens, GA 30601 | 2020-05-22 |
1891318333 | Michelle Cathleen Whatley | Registered Nurse | 250 Bray Street, Athens, GA 30601 | 2020-05-19 |
1801418876 | Anna Story | Social Worker | 250 Bray Street, Athens, GA 30601-2244 | 2020-05-13 |
1285098780 | Denise West | Counselor | 250 Bray Street, Athens, GA 30601-2244 | 2016-04-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154971679 | Classic City Counseling & Consultation LLC | Psychologist | 159 Oneta St., Unit 1a Suite 7, Athens, GA 30601 | 2019-09-17 |
1982172433 | Smith Dental Care of Athens Inc. | Clinic/Center | 801 Us Highway 29 North, Athens, GA 30601 | 2018-11-02 |
1356865935 | Elizabeth Anne Price | Pharmacist | 9249 Hwy 29, Athens Community Based Outpatient Va Clinic, Athens, GA 30601 | 2017-07-26 |
1386011575 | Janna Barham Cleveland | Nurse Practitioner | 496 Reese Street, Athens, GA 30601 | 2015-08-24 |
1295113769 | Brent Dillin Temple | Case Manager/Care Coordinator | 9249 Highway 29 North, Athens, GA 30601 | 2015-05-15 |
1356736417 | Brett Magner | Family Medicine | 855 W Broad St Ste 1, Athens, GA 30601 | 2015-04-05 |
1619397478 | The Kroger Co | Durable Medical Equipment & Medical Supplies | 700 Highway 29 N, Athens, GA 30601 | 2014-04-21 |
1972921021 | Issa Papiss Bagayogo | Psychiatry & Neurology | 297 Prince Avenue Suite 28a, Athens, GA 30601 | 2014-04-04 |
1417194135 | Carey Kirk | Counselor | 295 Mles St, Athens, GA 30601 | 2009-01-16 |
1275751448 | Athens Neighborhood Health Center Inc | Clinic/Center | 402 Mckinley Drive, Athens, GA 30601 | 2007-04-23 |
Find all providers in zip 30601 |
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 |
---|---|---|---|---|
1952926560 | Joanna I Griffin | Licensed Practical Nurse | 115 Laurel Dr, Athens, GA 30606-1640 | 2020-06-09 |
1831712363 | Rebecca John | Licensed Practical Nurse | 240 Mitchel Bridge Road, Athens, GA 30606 | 2020-05-19 |
1225538994 | Donna Gayle Howard | Licensed Practical Nurse | 806 Bradley Dr, Athens, TX 75751-2949 | 2018-02-19 |
1023549276 | Cynthia Mcwilliams | Licensed Practical Nurse | 27436 Ed Ray Rd, Athens, AL 35613-5510 | 2017-03-21 |
1740572627 | Julie Alayne Gladney | Licensed Practical Nurse | 217 Columbus Rd Ste 105, Athens, OH 45701-1393 | 2011-05-10 |
1750515169 | Roycia Bell Ross | Licensed Practical Nurse | 200 Sycamore Dr Apt 111, Athens, GA 30606-3424 | 2009-05-13 |
1083830665 | Paula A Newman | Licensed Practical Nurse | 9036 Salem Rd, Athens, OH 45701-8923 | 2007-04-18 |
1629108956 | Janet Smith Prior | Licensed Practical Nurse | 740 Prince Ave Ste 15, Athens, GA 30606-5903 | 2007-03-06 |
1154947182 | Mary Debra Casterline | Licensed Practical Nurse | 250 Bray Street, Athens, GA 30601-2244 | 2020-06-25 |
1912520933 | Doneille Michell Webster | Licensed Practical Nurse | 240 Mitchell Bridge Rd, Athens, GA 30606-2043 | 2020-05-26 |
Find all providers in ATHENS |
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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.