MS. BRENDA KAY CIBULAS


Address: 450 Winn Way, Decatur, GA 30030-1715
Phone: 4042940499

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).

Provider Overview

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

Taxonomy

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

Office Location

Street Address 450 WINN WAY
City DECATUR
State GA
Zip Code 30030-1715

Providers in the same location

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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NPI Name Taxonomy Address Enumeration
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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
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Taxonomy Information

Taxonomy Code 364SP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Clinical Nurse Specialist
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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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Competitor

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City DECATUR
Zip Code 30030

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Dataset Information

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.

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