JANE WANJIRU WAWERU (NPI# 1033606165) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1033606165 |
Entity Type | Individual |
Full Name | JANE WANJIRU WAWERU |
Credential | PMHNP |
Practice Address |
635 Windy Ridge Ln Se Atlanta GA 30339-2438 |
Practice Telephone | 4045793767 |
Mailing Telephone | 4045793767 |
Enumeration Date | 2018-04-14 |
Last Update Date | 2018-06-16 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
NCO-000003 | GA | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NO OTHER NUMBERS | 0000000000 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225513898 | Jane Waweru | Licensed Vocational Nurse | 2883 Pansy Way, San Jacinto, CA 92582 | 2018-09-30 |
Street Address |
635 WINDY RIDGE LN SE |
City | ATLANTA |
State | GA |
Zip Code | 30339-2438 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891303426 | Cheryl E Williams | Counselor | 1870 The Exchange, Suite 200 - 361, Atlanta, GA 30339 | 2020-07-20 |
1245854371 | Synergia Integrated Telebehavioral Health | Clinic/Center | 3941 Old Atlanta Station Drive, Southeast, Atlanta, GA 30339 | 2020-06-04 |
1972123883 | Elizabeth Newton, Psyd and Assoc Inc | Psychologist | 1827 Powers Ferry Rd, Bldg 21, Atlanta, GA 30339 | 2020-04-21 |
1881165207 | Le Reve Medical Clinic PC | Family Medicine | 1827 Powers Ferryy Rd Se Bldg 7, Suite 150, Atlanta, GA 30339 | 2018-12-11 |
1013499821 | Deonna Pennamon | Specialist/Technologist | 5625 Suffex Green Lane, Atlanta, GA 30339 | 2018-08-29 |
1205326915 | Matthew Buyert | Counselor | 1827 Powers Ferry Rd Se Ste 22, Atlanta, GA 30339 | 2018-05-17 |
1760991632 | Horizons Unlimited Professional Services Inc. | Community/Behavioral Health | 1755 The Exchange Se Ste 190, Atlanta, GA 30339 | 2017-09-23 |
1932624418 | Kheder Basheer | Student in an Organized Health Care Education/Training Program | 3224 Post Woods Dr., Apt E, Atlanta, GA 30339 | 2017-08-07 |
1417486820 | Ashley Drake | Counselor | 4695 N Church Ln Se Apt 10306, Atlanta, GA 30339 | 2017-06-08 |
1992248298 | New Legacy Counseling and Training Center | Point of Service | 3350 Riverwood Parkway, Suite 1925, Atlanta, GA 30339 | 2016-11-18 |
Find all providers in zip 30339 |
Taxonomy Code | 363LP0808X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Psych/Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659989549 | Bosede Omolara Babalola-adejokun | Nurse Practitioner | 160 Magnolia Walk Ln, Atlanta, GA 30349-4067 | 2020-07-16 |
1891313276 | Health Medix Center Inc | Nurse Practitioner | 5401 Boreal Way Sw, Atlanta, GA 30331-9215 | 2020-07-11 |
1831736826 | Carol Lorraine Borchers | Nurse Practitioner | 3648 Peachtree Rd Ne Apt 1j, Atlanta, GA 30319-1271 | 2019-12-09 |
1780198820 | Joanne Patrice Parks | Nurse Practitioner | 3110 Henderson Walk, Atlanta, GA 30340-4329 | 2017-11-28 |
1013467570 | Jill Morich Webb | Nurse Practitioner | 2150 Peachford Rd Ste Q, Atlanta, GA 30338-6539 | 2016-10-09 |
1518413897 | Terre Cheely | Nurse Practitioner | 2 Ravinia Drive Suite 500, Atlanta, GA 30346 | 2016-08-28 |
1407211964 | Donna D. Wilson | Nurse Practitioner | 35 Collier Rd Nw Ste 425, Atlanta, GA 30309-1613 | 2015-12-28 |
1265785596 | Shikira Mone' Woods | Nurse Practitioner | 101 Marietta St Nw Ste 350, Atlanta, GA 30303-2724 | 2012-10-24 |
1104846385 | Elizabeth L Robinson | Nurse Practitioner | 289 Little St Se, Atlanta, GA 30315-1364 | 2006-07-20 |
1386243871 | Stacy Wideman | Nurse Practitioner | 5775 Peachtree Dunwoody Rd Ste C200, Atlanta, GA 30342-1509 | 2020-10-26 |
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.