KATHLEEN D TETA (NPI# 1952460115) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952460115 |
| Entity Type | Individual |
| Full Name | KATHLEEN D TETA |
| Credential | CPNP |
| Practice Address |
5887 Glenridge Dr Ne Suite 140 Atlanta GA 30328-5574 |
| Practice Telephone | 6787057341 |
| Practice Fax Number | 6789730578 |
| Mailing Telephone | 6787057341 |
| Mailing Fax Number | 6789730578 |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2012-02-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
R090588 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
5887 GLENRIDGE DR NE SUITE 140 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30328-5574 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689740987 | Frank Berenson | Psychiatry & Neurology | 5887 Glenridge Dr Ne, Suite 140, Atlanta, GA 30328-5574 | 2006-11-28 |
| 1740558485 | Atlanta Headache Specialists | Psychiatry & Neurology | 5887 Glenridge Dr Ne, Suite 140, Atlanta, GA 30328-5574 | 2011-12-08 |
| 1104084870 | Michael Everett Sheffield | Specialist/Technologist, Other | 5887 Glenridge Dr Ne, Suite 450, Atlanta, GA 30328-5574 | 2008-05-29 |
| 1437225737 | Juio Robert Flamini | Psychiatry & Neurology | 5887 Glenridge Dr Ne, Suite 140, Atlanta, GA 30328-5574 | 2006-11-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467910042 | Amber Andrews | Behavior Technician | 750 Hammond Drive Bldg 7 Suite 100, Atlanta, GA 30328 | 2019-03-04 |
| 1215492830 | Ryan William Dubinin | Behavior Technician | 750 Hammond Drive, Building 7, Suite 100, Atlanta, NJ 30328 | 2019-02-07 |
| 1346710142 | Emily Rose Lloyd Swavely | Speech-Language Pathologist | 5825 Glenridge Rd., Building 1, Suite 133, Atlanta, GA 30328 | 2018-12-05 |
| 1063994481 | Mark Edward Brachmanski | Optometrist | 800 Mount Vernon Highway Ne, Suite 130, Atlanta, GA 30328 | 2018-09-01 |
| 1407352578 | Nina Brown | Massage Therapist | 7100 Peachtree Dunwoody Rd Ste 110, Sandy Springs, GA 30328 | 2018-04-05 |
| 1336657741 | Renee Usher Reeves | Assistant Behavior Analyst | 750 Hammond Dr Building 7, Suite 100, Atlanta, GA 30328 | 2018-01-19 |
| 1487168274 | Patricia Nicole Felder | Student in an Organized Health Care Education/Training Program | 270 Carpenter Dr, Ne, Suite # 400, Atlanta, GA 30328 | 2017-12-01 |
| 1447762927 | Ponders Podiatry LLC | Podiatrist | 275 Carpenter Drive Ne, Suite 106, Atlanta, GA 30328 | 2017-10-24 |
| 1770093601 | Syed M Rasheed | Physician Assistant | 5788 Roswell Rd Ste 100, Atlanta, GA 30328 | 2017-10-05 |
| 1437678190 | Jeanette Denise Jones | Counselor | 270 Carpenter Drive, Suite 400, Sandy Springs, GA 30328 | 2017-09-13 |
| Find all providers in zip 30328 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518565811 | Rebecca Danielle Wegman | Nurse Practitioner | 5445 Meridian Mark Rd Ste 380, Atlanta, GA 30342-4755 | 2020-10-09 |
| 1629675657 | Casey Cullins | Nurse Practitioner | 980 Johnson Fy Rd Ne Ste 680, Atlanta, GA 30342-1608 | 2020-10-02 |
| 1538798095 | Brittany Nicole Heitkamp | Nurse Practitioner | 5461 Meridian Mark Rd Ste 540, Atlanta, GA 30342-3283 | 2020-04-06 |
| 1093342131 | Lindsay Pare | Nurse Practitioner | 2225 Twin Lakes Dr, Atlanta, GA 30339-4123 | 2020-03-26 |
| 1487290581 | Fawn Aryana Hastay | Nurse Practitioner | 1400 Tullie Rd Ne Fl 6, Atlanta, GA 30329-2309 | 2019-11-23 |
| 1245798057 | Rebecca Emory | Nurse Practitioner | 975 Johnson Ferry Rd Ste 340, Atlanta, GA 30342-4735 | 2019-03-11 |
| 1497265904 | Stephanie Edlhuber | Nurse Practitioner | 1100 Lake Hearn Dr Ste 100, Atlanta, GA 30342-1524 | 2017-10-10 |
| 1275074924 | Anna Louise Kelly | Nurse Practitioner | 993 Johnson Ferry Rd # 440, Atlanta, GA 30342-1620 | 2017-03-14 |
| 1518410984 | Brie Batchelor Baxter | Nurse Practitioner | 5461 Meridian Marks Rd, Suite 200, Atlanta, GA 30342 | 2016-08-02 |
| 1649630310 | Mary Bertossi | Nurse Practitioner | 1800 Howell Mill Rd Nw Ste 475, Atlanta, GA 30318-0920 | 2016-02-24 |
| Find all providers in ATLANTA | ||||
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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.