BRANDI MICHELLE ST. JOHN (NPI# 1003395690) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003395690 |
| Entity Type | Individual |
| Full Name | BRANDI MICHELLE ST. JOHN |
| Credential | NP |
| Practice Address |
80 W Main St Butler GA 31006 |
| Mailing Address |
1015 Hancock Dr Americus GA 31709-4129 |
| Practice Telephone | 4788625453 |
| Practice Fax Number | 4788625454 |
| Mailing Telephone | 2298154832 |
| Enumeration Date | 2018-08-14 |
| Last Update Date | 2018-08-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN245234 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
80 W MAIN ST |
| City | BUTLER |
| State | GA |
| Zip Code | 31006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215301320 | Sybil Lew | Nurse Practitioner | 80 W Main St, Butler, GA 31006-5156 | 2015-12-01 |
| 1992126775 | Amanda Jenkins Riley | Nurse Practitioner | 80 W Main St, Butler, GA 31006-5156 | 2013-12-23 |
| 1104255934 | Careconnect Health, Inc. | Clinic/Center | 80 W Main St, Butler, GA 31006-5156 | 2013-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295347888 | Freemans Early Intervention Services | Community/Behavioral Health | 13 Peach St, Butler, GA 31006 | 2020-08-17 |
| 1609327089 | Butler Long Term Care Solutions | Pharmacy | 10 B North Poplar St, Butler, GA 31006 | 2016-10-20 |
| 1639297229 | New Horizons Management, Inc | Assisted Living Facility | 19 Hillcrest Circle, Butler, GA 31006 | 2007-03-26 |
| 1184774499 | Scott Albert Niette | Dentist | 43 South Broad Street, Butler, GA 31006 | 2007-01-11 |
| 1962593541 | Commissioners of Roads and Revenues Taylor County | Ambulance | 1 Court Square, Butler, GA 31006 | 2006-09-27 |
| 1871604355 | Julie Oliver | Physician Assistant | 80 West Main St., Butler, GA 31006 | 2006-08-31 |
| 1144333915 | Smith's Pharmacy | Pharmacy | 10 North Poplar St, Butler, GA 31006 | 2006-08-16 |
| 1902833965 | Taylor County Board of Health | Public Health or Welfare | Highway 137 West, Butler, GA 31006 | 2006-06-27 |
| 1316065915 | New Horizons Management, Inc | Assisted Living Facility | 19 Hillcrest Circle, Butler, GA 31006 | 2007-03-26 |
| 1790815132 | Taylor County Health Care, LLC | Clinic/Center | Highway 19 South, Butler, GA 31006 | 2007-03-06 |
| Find all providers in zip 31006 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215571146 | Alyssa Renee Hartman | Nurse Practitioner | 301 Meadowmere Dr, Butler, IN 46721-1070 | 2019-11-04 |
| 1073002465 | Daniel Raymond Klaber Jr. | Nurse Practitioner | 176 Retreat St, Butler, KY 41006-8702 | 2018-05-01 |
| 1629595285 | Tekondia Carter | Nurse Practitioner | 340 Carnation Dr, Butler, AL 36904-3164 | 2017-08-24 |
| 1912335332 | Linette R Hilliard | Nurse Practitioner | 109 Technology Dr Ste A, Butler, PA 16001-1785 | 2013-10-22 |
| 1376896241 | Christine Cassioli | Nurse Practitioner | 104 Shepperd Dr, Butler, PA 16002-3664 | 2012-10-17 |
| 1164706727 | Sheryl M Neely | Nurse Practitioner | 581 Three Degree Rd, Butler, PA 16002-7645 | 2011-09-30 |
| 1770679219 | Megan Walzer | Nurse Practitioner | 14 Stonybrook Ct, Butler, NJ 07405 | 2006-10-04 |
| 1013913193 | Leslie Elizabeth Acevedo | Nurse Practitioner | 231 W Diamond St, Butler, PA 16001-5784 | 2005-06-23 |
| 1285636407 | Rebecca A. Johnson | Nurse Practitioner | 280 New Castle Rd, Butler, PA 16001-2530 | 2005-06-01 |
| 1558979203 | Bryan L Artiles | Nurse Practitioner | 1 Hospital Way, Butler, PA 16001-4670 | 2020-07-20 |
| Find all providers in BUTLER | ||||
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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.