DR. WAIKIKI L UPSHAW (NPI# 1942432885) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942432885 |
| Entity Type | Individual |
| Full Name | DR. WAIKIKI L UPSHAW |
| Credential | EDD, NCC, LPC |
| Practice Address |
286 Highway 138 Sw Suite E Riverdale GA 30274-4010 |
| Mailing Address |
170 Brookstone Crst Newnan GA 30265-2270 |
| Practice Telephone | 7706294833 |
| Practice Fax Number | 7707036687 |
| Mailing Telephone | 7703566145 |
| Mailing Fax Number | 7702511713 |
| Enumeration Date | 2009-08-11 |
| Last Update Date | 2009-08-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
LPC004680 | GA | Behavioral Health & Social Service Providers |
| Street Address |
286 HIGHWAY 138 SW SUITE E |
| City | RIVERDALE |
| State | GA |
| Zip Code | 30274-4010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245862507 | Todd L. Reed | Chiropractor | 83 Upper Riverdale Rd, Riverdale, GA 30274 | 2020-02-05 |
| 1487135992 | Freddie L Sallette IIi | Technician, Pathology | 385 Brookview Dr, Riverdale, GA 30274 | 2018-08-22 |
| 1366933210 | Dawn A. Paul | Nurse Practitioner | 238 Professional Ct Ste A, Riverdale, GA 30274 | 2018-05-27 |
| 1851894588 | Absolute Health Family & Urgent Care Clinic | Clinic/Center | 7574 Ga 85, Riverdale, GA 30274 | 2018-03-08 |
| 1366972127 | Jamillah Ingram | Physical Therapy Assistant | 315 Upper Riverdale Rd., Riverdale, GA 30274 | 2017-06-14 |
| 1114456514 | Grace L Kelson | Licensed Practical Nurse | 9142 Clubhouse Dr, Riverdale, GA 30274 | 2017-06-08 |
| 1790167799 | Cristian Carbuccia | Internal Medicine | 33 Upper Riverdale Rd Sw Ste 10, Riverdale, GA 30274 | 2015-06-25 |
| 1265857692 | Right Choice Enterprises LLC | Technician | 638 Sterling Ct, Riverdale, GA 30274 | 2014-02-21 |
| 1942571625 | Lowes Guardian Angel LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7056 Eunice Dr., Riverdale, GA 30274 | 2012-01-26 |
| 1508134156 | Education System Management, Inc | Social Worker | 125 Highway 138, Riverdale, GA 30274 | 2011-12-12 |
| Find all providers in zip 30274 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801414578 | Keva Ellis | Counselor | 6815 W Fayetteville Rd, Riverdale, GA 30296-2528 | 2020-07-09 |
| 1346886686 | Jeremiah Johnson | Counselor | 7430 Royale Ln, Riverdale, GA 30296-7223 | 2019-11-21 |
| 1841835600 | Jernica Mcneil | Counselor | 7237 Mockingbird Trl, Riverdale, GA 30274-3732 | 2019-11-15 |
| 1134779366 | Kristol Daley | Counselor | 1343 E Fayetteville Rd, Riverdale, GA 30296-3101 | 2019-09-19 |
| 1104287606 | Luciana Renea Wright | Counselor | 6373 Bell Haven Ln, Riverdale, GA 30296-2553 | 2016-03-10 |
| 1285023457 | Shalette Lawton | Counselor | 150 Medical Way Suite F1, Riverdale, GA 30274-3027 | 2015-01-12 |
| 1639406945 | Martalyn Grace Stephens-billingsley | Counselor | 7000 Kimberly Ln, Riverdale, GA 30296-2000 | 2009-11-06 |
| 1417112749 | Thomas A Parker | Counselor | 1999 Levgard Ln, Riverdale, GA 30296-2427 | 2008-07-25 |
| 1205099926 | Juanita M. Dunn | Counselor | 302 W 145th St, Riverdale, IL 60827-2711 | 2008-07-02 |
| 1962671131 | Keisha Latonya Pou | Counselor | 6961 Apache Ln, Riverdale, GA 30274-3162 | 2008-02-21 |
| Find all providers in RIVERDALE | ||||
Please comment or provide details below to improve the information on DR. WAIKIKI L UPSHAW.
| 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.