JUANITA NEIRA FRESNEDA (NPI# 1083030548) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1083030548 |
Entity Type | Individual |
Full Name | JUANITA NEIRA FRESNEDA |
Credential | M.D |
Practice Address |
1365 Clifton Rd Ne Building B Suite 2200 Atlanta GA 30322 |
Practice Telephone | 4047788570 |
Practice Fax Number | 4047788562 |
Mailing Telephone | 4047788570 |
Mailing Fax Number | 4047788562 |
Enumeration Date | 2014-03-08 |
Last Update Date | 2018-01-23 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207SG0201X |
Medical Genetics Specialization: Clinical Genetics (M.D.) |
078093 | GA | Allopathic & Osteopathic Physicians |
N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
Street Address |
1365 CLIFTON RD NE BUILDING B SUITE 2200 |
City | ATLANTA |
State | GA |
Zip Code | 30322 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124022637 | Richard Duszak Jr. | Radiology | 1365 Clifton Rd Ne, Emory University Department of Radiology, Atlanta, GA 30322-1013 | 2005-06-13 |
1891319091 | Kayla Sondria Freeman | Registered Nurse | 1365 Clifton Rd Ne, Atlanta, GA 30322-1013 | 2020-06-03 |
1548881576 | Rachelle Leona Rouse | Student in an Organized Health Care Education/Training Program | 1365 Clifton Rd Ne, Atlanta, GA 30322-1013 | 2020-04-30 |
1982233227 | Kayla Anne Nichols | Pharmacist | 1365 Clifton Rd Ne, Atlanta, GA 30322-1013 | 2020-04-08 |
1326675380 | Tankeia Tanye' Warren | Nurse Practitioner | 1365 Clifton Rd Ne, Atlanta, GA 30322-1013 | 2020-03-26 |
1407488687 | Bethany Joan Hanscom | Physician Assistant | 1365 Clifton Rd Ne, Atlanta, GA 30322-1013 | 2020-02-06 |
1518505577 | Juanjuan Wu | Nurse Practitioner | 1365 Clifton Rd Ne, Atlanta, GA 30322-1013 | 2019-12-20 |
1942847587 | Nour Majed Moukalled | Internal Medicine | 1365 Clifton Rd Ne, Atlanta, GA 30322-1013 | 2019-12-02 |
1528604816 | Tram Bao Vu | Physician Assistant | 1365 Clifton Rd Ne, Atlanta, GA 30322-1013 | 2019-11-21 |
1083266845 | Desiree Morgan Rogers | Nurse Practitioner | 1365 Clifton Rd Ne, Atlanta, GA 30322-1013 | 2019-07-11 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700445830 | Justin Gill | Student in an Organized Health Care Education/Training Program | 1365 Clifton Rd Ne, Clinic B - Suite B6100, Atlanta, GA 30322 | 2019-06-12 |
1891354510 | Gwendolyn Gisiner Gunn | Genetic Counselor, MS | Emory Genetics Clinic, 1365 Clifton Road Ne, Atlanta, GA 30322 | 2019-06-06 |
1144710567 | Lisa Cathy-ann Akosa | Registered Nurse | 1365 Cifton Road Ne, Atlanta, GA 30322 | 2018-05-10 |
1083118004 | Jessica Milian Keilson | Student in an Organized Health Care Education/Training Program | 1364 Clifton Road Ne, Suite H100, Emory University Hospital Office of Surgical Education, Atlanta, GA 30322 | 2018-03-23 |
1568982684 | Jennifer Bilko | Dietitian, Registered | 1365 Clifton Rd., Bldg A, 1st Floor, Suite 1450, Atlanta, GA 30322 | 2017-06-20 |
1134652258 | Kassahun Bilcha | Student in an Organized Health Care Education/Training Program | 1525 Clifton Rd Ne Ste 100, Atlanta, GA 30322 | 2017-04-05 |
1356872246 | Tova Rogers | Dermatology | 1525 Clifton Road Suite 105, Atlanta, GA 30322 | 2017-03-23 |
1194271445 | Dina Amin | Dentist | 1365 Clifton,building B, Oral and Maxillofacial Surgery, Suite 2300, Atlanta, GA 30322 | 2016-08-28 |
1427404904 | Rita Kaur Kuwahara | Student in an Organized Health Care Education/Training Program | 100 Woodruff Circle, Suite 327, Atlanta, GA 30322 | 2016-05-13 |
1891176251 | Octav Cristea | Transplant Surgery | 1365 Clifton Road Northeast, Building B, 6th Floor, Atlanta, GA 30322 | 2015-06-11 |
Find all providers in zip 30322 |
Taxonomy Code | 207SG0201X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Medical Genetics |
Specialization | Clinical Genetics (M.D.) |
A clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Medical Genetics, 2007. http://www.abmg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Medical Genetics. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902147093 | Stuart K. Shapira | Medical Genetics | 1600 Clifton Rd., Mailstop E-87, Atlanta, GA 30333 | 2013-03-14 |
1255345435 | Stephanie Burns Wechsler | Medical Genetics | 1365 Clifton Rd Ne Bldg B Ste B 2200, Atlanta, GA 30322-1013 | 2006-07-27 |
1053730838 | Emily Black | Medical Genetics | 1365 Clifton Rd Ne Ste 2200, Atlanta, GA 30322 | 2014-04-09 |
1093078305 | Rossana Lucia Sanchez Russo | Medical Genetics | 1365 Clifton Rd Ne Ste 2200, Atlanta, GA 30322-5307 | 2012-06-21 |
1770547366 | John Mckinley Shoffner | Medical Genetics | 1 Dunwoody Park, Suite 250, Atlanta, GA 30338-7404 | 2006-04-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700410867 | Reem Hudaib | Medical Genetics | 1470 Bramlett Forest Trl, Lawrenceville, GA 30045-7281 | 2020-02-27 |
1225229693 | Pediatrics & Genetics, LLC | Medical Genetics | 3586 Old Milton Pkwy, Alpharetta, GA 30005-4465 | 2007-08-09 |
1497702872 | Vidya Krishnamurthy | Medical Genetics | 3510 Old Milton Pkwy, Alpharetta, GA 30005-4458 | 2006-05-30 |
1427513266 | Cynthia Ann Moore | Medical Genetics | 440 Prior St Se, Gainesville, GA 30501-3402 | 2019-02-06 |
1811160609 | Hong Li | Medical Genetics | 2165 N Decatur Rd, Decatur, GA 30033-5307 | 2008-04-11 |
1992985741 | Georgia Genetics, LLC | Medical Genetics | 3180 N Point Pkwy, Suite202, Alpharetta, GA 30005-4248 | 2007-11-09 |
1427266055 | Suma P Shankar | Medical Genetics | 2165 N Decatur Rd, Department of Human Genetics, Decatur, GA 30033-5307 | 2007-05-18 |
1417174186 | Muhammad Ali Pervaiz | Medical Genetics | 3000 Hospital Blvd, Roswell, GA 30076-4915 | 2007-04-20 |
1851516769 | Richard Olney | Medical Genetics | 2165 N Decatur Rd, Emory Division of Medical Genetics, Decatur, GA 30033-5307 | 2007-04-16 |
1003926569 | David B. Flannery | Medical Genetics | 1120 15th St, Augusta, GA 30912-0004 | 2006-08-30 |
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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.