MS. INGE C LUECHINGER (NPI# 1003001843) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1003001843 |
Entity Type | Individual |
Full Name | MS. INGE C LUECHINGER |
Credential | APRNPMH |
Practice Address |
1269 Parker Rd Se Conyers GA 30094-5957 |
Practice Telephone | 6784384733 |
Practice Fax Number | 7707619070 |
Mailing Telephone | 6784384233 |
Mailing Fax Number | 7707619070 |
Enumeration Date | 2007-09-13 |
Last Update Date | 2019-12-04 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 364SP0808X |
Clinical Nurse Specialist Specialization: Psych/Mental Health |
RN079843 CNS/PMH | GA | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
GA | 609588713A | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
24 Chechero St Ste 2, Clayton, GA 305256181 | 6784384233 |
Street Address |
1269 PARKER RD SE |
City | CONYERS |
State | GA |
Zip Code | 30094-5957 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952835704 | Jill Osborne, Lpc, LLC | Counselor | 1269 Parker Rd Se, Conyers, GA 30094-5957 | 2017-04-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164029054 | Darlene Fletcher | Counselor | 827 St. Clair Dr., Conyers, GA 30094 | 2020-10-05 |
1194363366 | Clara A Matthews | Physician Assistant | 1930 Windsor Creek Drive Sw, Conyers, GA 30094 | 2019-12-18 |
1659838571 | Sensitive Home Care Agency Inc. | PACE Provider Organization | 2225 Morning Dew, Conyers, GA 30094 | 2019-02-27 |
1679097992 | Sheira Dennis | Case Management | 3828 Martingale Dr Se, Conyers, GA 30094 | 2017-07-28 |
1730571399 | Wellness and Trauma Recovery Center | Counselor | 1775 Parker Rd. Building C, Suite 210, Conyers, GA 30094 | 2015-02-19 |
1760870612 | Michael Terrell | Technician/Technologist | 806 Cambridge Creek Dr, Conyers, GA 30094 | 2014-12-30 |
1538567466 | Jennifer Angela Johnson | Registered Nurse | 2240 Wren Rd Se, Conyers, GA 30094 | 2014-12-09 |
1225445208 | Wanda Marcella Rainey-reed | Counselor | 1453 Klondike Rd Sw Ste D, Conyers, GA 30094 | 2014-07-22 |
1508155268 | Nicklaus Trent Rice | Obstetrics & Gynecology | 2750 Owens Dr, Conyers, GA 30094 | 2011-04-04 |
1720219660 | Candace Alexander | Dentist | 863 Flat Shoals Rd Se, Suite C #220, Conyers, GA 30094 | 2009-07-27 |
Find all providers in zip 30094 |
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 |
---|---|---|---|---|
1619493988 | Aleaser Palmer | Clinical Nurse Specialist | 615 Lawrenceville Suwanee Rd, Lawrenceville, GA 30046-4325 | 2017-08-18 |
1548501745 | Maria Flordesol Abuloc Culpa-bondal | Clinical Nurse Specialist | 145 Stone Brooke Dr, Gray, GA 31032-5864 | 2013-03-13 |
1730425307 | Brenda Gayle Smith | Clinical Nurse Specialist | 20 Hawkins St Apt G, Dahlonega, GA 30533-1154 | 2012-12-29 |
1861745994 | Sherry Marie Mccoy | Clinical Nurse Specialist | 3015 Veterans Parkaway, Moultrie, GA 31788 | 2012-10-26 |
1205112489 | Sharon Lee Evers | Clinical Nurse Specialist | 130 Lagrange St, Newnan, GA 30263-2938 | 2011-11-01 |
1609183755 | Marcia Younker | Clinical Nurse Specialist | 825 S Mulberry St, D, Jackson, GA 30233-2474 | 2010-09-10 |
1235467978 | Venus Denise Millington-upshaw | Clinical Nurse Specialist | 950 Dannon View Sw, Suite 4201, Atlanta, GA 30331-2160 | 2009-11-18 |
1063749588 | David H Fowler | Clinical Nurse Specialist | 306 Shorter Ave, Rome, GA 30165 | 2009-11-04 |
1972743623 | Kim Sandy Teague | Clinical Nurse Specialist | 985 Ridge Tarn, Atlanta, GA 30350-3426 | 2009-02-20 |
1063651982 | Beverly Lynn Philson | Clinical Nurse Specialist | 80 Jesse Hill Jr Dr, Se, Atlanta, GA 30303-3801 | 2009-02-17 |
Find all providers with the same taxonomy |
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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.