KIM SANDY TEAGUE (NPI# 1972743623) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972743623 |
| Entity Type | Individual |
| Full Name | KIM SANDY TEAGUE |
| Credential | RN, MS, CNS |
| Practice Address |
985 Ridge Tarn Atlanta GA 30350-3426 |
| Mailing Address |
985 Ridge Tarn Atlanta GA 30350 |
| Practice Telephone | 7703999365 |
| Practice Fax Number | 7703991871 |
| Mailing Telephone | 4046163454 |
| Mailing Fax Number | 4046164737 |
| Enumeration Date | 2009-02-20 |
| Last Update Date | 2009-02-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SP0808X |
Clinical Nurse Specialist Specialization: Psych/Mental Health |
RN105719 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
985 RIDGE TARN |
| City | ATLANTA |
| State | GA |
| Zip Code | 30350-3426 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659970697 | Conor John O'brien | Behavior Technician | 1218 Hightower Trail, B120, Atlanta, GA 30350 | 2020-10-21 |
| 1346853975 | Jessica Bernstein | Behavioral Analyst | 500 Vinington Court, Atlanta, GA 30350 | 2020-08-24 |
| 1619489390 | Breast Cancer Breast Care Products, LLC Dba Pink Ribbon Consulting | Durable Medical Equipment & Medical Supplies | 55 Saddleview Run, Atlanta, GA 30350 | 2017-11-02 |
| 1679090724 | Deliluz Roubert Echevarria | Speech-Language Pathologist | 8404 Roswell Rd Apt Q, Atlanta, GA 30350 | 2017-08-29 |
| 1164962882 | Ipsum Diagnostics LLC | Clinical Medical Laboratory | 8607 Roberts Dr Ste 125, Atlanta, GA 30350 | 2017-02-28 |
| 1700335627 | Juma Gassim | Specialist/Technologist, Other | 7949 Roswell Rd., Apt. F, Atlanta, GA 30350 | 2016-10-04 |
| 1902297153 | Hope Stoney | Chiropractor | 701 Harbor Pointe Parkway, Sandy Springs, GA 30350 | 2015-02-10 |
| 1942698386 | Laurie Johnson | Counselor | 1605 Lazy River Lane, Atlanta, GA 30350 | 2015-01-08 |
| 1497175905 | Ispm Labs, LLC | Clinical Medical Laboratory | 8601 Dunwoody Pl Ste 444, Atlanta, GA 30350 | 2014-04-23 |
| 1295097236 | Ginger Liane Hill | Behavioral Analyst | 1215 Hightower Trail, Bldg. B #120, Atlanta, GA 30350 | 2012-06-14 |
| Find all providers in zip 30350 | ||||
| Taxonomy Code | 364SP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235467978 | Venus Denise Millington-upshaw | Clinical Nurse Specialist | 950 Dannon View Sw, Suite 4201, Atlanta, GA 30331-2160 | 2009-11-18 |
| 1063651982 | Beverly Lynn Philson | Clinical Nurse Specialist | 80 Jesse Hill Jr Dr, Se, Atlanta, GA 30303-3801 | 2009-02-17 |
| 1750569729 | Lisa H Pipkin | Clinical Nurse Specialist | 2849b Henderson Mill Rd, Atlanta, GA 30341-5772 | 2008-02-01 |
| 1346441029 | Lana Marie Chase | Clinical Nurse Specialist | 3490 Bowling Green Way, Atlanta, GA 30340 | 2007-05-30 |
| 1487867115 | Anicia Sullivan Biglow | Clinical Nurse Specialist | 390 17th St Nw, Unit 2020, Atlanta, GA 30363-2000 | 2007-05-08 |
| 1386622009 | Suzan Yvette Neal | Clinical Nurse Specialist | 130 26th St Nw, Unit 107, Atlanta, GA 30309-2076 | 2006-01-03 |
| 1942849708 | Wdm Health LLC | Clinical Nurse Specialist | 2150 Peachford Rd Ste A, Atlanta, GA 30338-6521 | 2019-12-27 |
| 1992077234 | Peggy Clemons | Clinical Nurse Specialist | 1050 Crown Pointe Pkwy, Ste 450, Atlanta, GA 30338-7707 | 2012-02-02 |
| 1336399872 | Pamela Buckley Roberson | Clinical Nurse Specialist | 80 Jesse Hill Jr Dr Se, 13 Th Floor Pes, Atlanta, GA 30303-3031 | 2008-09-21 |
| 1124120142 | Ann C Hixson | Clinical Nurse Specialist | 20 Glenlake Parkway, Department of Behavioral Health, Atlanta, GA 30328 | 2006-09-01 |
| 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.