MS. BRENDA KAY CIBULAS (NPI# 1003031097) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1003031097 |
Entity Type | Individual |
Full Name | MS. BRENDA KAY CIBULAS |
Credential | APRN, BC, CGP |
Practice Address |
450 Winn Way Decatur GA 30030-1715 |
Mailing Address |
2995 Sutton Gln Marietta GA 30062-4540 |
Practice Telephone | 4042940499 |
Mailing Telephone | 7705781206 |
Enumeration Date | 2007-04-16 |
Last Update Date | 2007-07-08 |
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 |
RN078372 | GA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
450 WINN WAY |
City | DECATUR |
State | GA |
Zip Code | 30030-1715 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922142108 | Dekalb Community Service Board | Community/Behavioral Health | 450 Winn Way, Decatur, GA 30030-1715 | 2007-02-19 |
1386130078 | James Cabble | Social Worker | 450 Winn Way, Decatur, GA 30030-1715 | 2018-07-05 |
1033621453 | Jennifer Young | Counselor | 450 Winn Way, Decatur, GA 30030-1715 | 2017-10-25 |
1528426178 | Jessica Brown | Counselor | 450 Winn Way, Decatur, GA 30030-1715 | 2016-02-10 |
1508106873 | Sabo Uba | Clinical Nurse Specialist | 450 Winn Way, Decatur, GA 30030-1715 | 2013-02-25 |
1174800072 | Shashank Kumar Jha | Nurse Practitioner | 450 Winn Way, Decatur, GA 30030-1715 | 2011-11-07 |
1720212616 | Nancy A Ruffin | Registered Nurse | 450 Winn Way, Decatur, GA 30030-1715 | 2009-05-07 |
1952544041 | Helenie Keyamo Davis | Registered Nurse | 450 Winn Way, Decatur, GA 30030-1715 | 2009-04-20 |
1316185374 | Lorraine D Corley | Social Worker | 450 Winn Way, Decatur, GA 30030-1715 | 2009-01-29 |
1346411899 | Sara R Grimsley | Pharmacist | 450 Winn Way, Decatur, GA 30030-1715 | 2008-03-12 |
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1417587478 | Elizabeth Heffron | Acupuncturist | 619b East College Avenue, Decatur, GA 30030 | 2020-01-17 |
1669016143 | Atlanta Upper Cervical Chiropractic LLC | Chiropractor | 125 E Trinity Place, Suite #247, Decatur, GA 30030 | 2019-10-29 |
1831757418 | Jessica Stewart | Counselor | 755 Commerce Dr Ste 903, Decatur, GA 30030 | 2019-05-30 |
1699238733 | Dinah Augustin | Registered Nurse | 1458 Church St., Unit B, Decatur, GA 30030 | 2019-04-06 |
1093284291 | Eliza Segell | Social Worker | 165 Dekalb Industrial Way Ste D-1, Decatur, GA 30030 | 2018-11-16 |
1912476466 | Positive Impact Health Centers, Inc. | Pharmacy | 523 Church Street, Suite B, Decatur, GA 30030 | 2018-11-14 |
1932685096 | T2 Imaging | Radiology | 1376 Church Street, Suite 100, Decatur, GA 30030 | 2018-07-12 |
1992292858 | Keeanna M Powell | Counselor | Agape Transformation Practice, 235 E. Ponce De Leon Ave Suite 103, Decatur, GA 30030 | 2018-04-17 |
1780185488 | Solutions Ae Inc | Counselor | One West Square Court, Suite 710, Decatur, GA 30030 | 2018-02-27 |
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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 |
---|---|---|---|---|
1730587551 | Laura Ann Graham | Clinical Nurse Specialist | 1805 Pennylane Se, Decatur, AL 35601-4541 | 2014-12-10 |
1356360150 | Melanie C Fisher | Clinical Nurse Specialist | 455 Winn Way, Dekalb Crisis Center, Decatur, GA 30030 | 2006-07-19 |
1649648239 | Patricia Danielle Belva | Clinical Nurse Specialist | 1551 Shoup Ct, Decatur, GA 30033-4607 | 2015-09-13 |
1508106873 | Sabo Uba | Clinical Nurse Specialist | 450 Winn Way, Decatur, GA 30030-1715 | 2013-02-25 |
1043230329 | Jennifer A Turner | Clinical Nurse Specialist | 455 Winn Way, Dekalb Crisis Center, Decatur, GA 30030 | 2006-07-20 |
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 |
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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.