LUCYL-MAMS EYONGNDIP FONKENG (NPI# 1093241754) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093241754 |
| Entity Type | Individual |
| Full Name | LUCYL-MAMS EYONGNDIP FONKENG |
| Practice Address |
601 Northolt Pkwy Suwanee GA 30024-4360 |
| Practice Telephone | 7709043222 |
| Mailing Telephone | 7709043222 |
| Enumeration Date | 2017-05-02 |
| Last Update Date | 2017-05-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
601 NORTHOLT PKWY |
| City | SUWANEE |
| State | GA |
| Zip Code | 30024-4360 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033161237 | Ggnsc Lawrenceville LLC | Skilled Nursing Facility | 601 Northolt Pkwy, Suwanee, GA 30024-4360 | 2006-05-16 |
| 1265902530 | Mlh Salude - Gwinnett LLC | Skilled Nursing Facility | 601 Northolt Pkwy, Suwanee, GA 30024-4360 | 2018-11-29 |
| 1053840959 | Roberta Anne Walters | Nurse Practitioner | 601 Northolt Pkwy, Suwanee, GA 30024-4360 | 2017-06-06 |
| 1558733261 | Hila Oren | Nurse Practitioner | 601 Northolt Pkwy, Suwanee, GA 30024-4360 | 2015-10-21 |
| 1558744680 | George Leonard Shaw Jr. | Physical Therapist | 601 Northolt Pkwy, Suwanee, GA 30024-4360 | 2015-07-07 |
| 1497155238 | Ggnsc Lawrenceville LLC | Family Medicine | 601 Northolt Pkwy, Suwanee, GA 30024-4360 | 2014-08-29 |
| 1013253780 | Clarice M Ezeanya | Physical Therapist | 601 Northolt Pkwy, Suwanee, GA 30024-4360 | 2012-12-27 |
| 1093734238 | Alan L Wang | Internal Medicine | 601 Northolt Pkwy, Suwanee, GA 30024-4360 | 2006-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356996565 | Stephanie Arkin | Student in an Organized Health Care Education/Training Program | 25 Old Peachtree Rd Nw, Suwanee, GA 30024 | 2019-08-05 |
| 1164989638 | Laquitta Craft | Registered Nurse | 2855 Lawrenceville Suwanee Road Suite 330/340, Suwanee, GA 30024 | 2019-02-21 |
| 1467937235 | Greater Atlanta Monitoring, LLC | Electrodiagnostic Medicine | 3651 Peachtree Ste E. #331, Suwanee, GA 30024 | 2018-09-27 |
| 1760963482 | Esther Natacha Lafontant | Public Health or Welfare | 3205 Maple Terrace Drive, Suwanee, GA 30024 | 2018-08-22 |
| 1740778463 | Immaculate Healthcare Solutions, LLC | Home Health | 970 Peachtree Industrial Blvd Ste 8, Suwanee, GA 30024 | 2018-04-27 |
| 1053819235 | Sean Wonsuk Jang | Chiropractor | 3370 Lawrenceville Suwanee Rd Ste 118, Suwanee, GA 30024 | 2018-01-23 |
| 1932628468 | Silver Health Services, Inc. | Case Manager/Care Coordinator | 2640 Westbury Court, Swanee, GA 30024 | 2017-09-15 |
| 1285159095 | April L. Rivers | Nurse Practitioner | 4411 Suwanee Dam Rd Ste 110, Suwanee, GA 30024 | 2017-08-14 |
| 1144743840 | Nabil Elkareh | Pharmacist | 5049 Tarry Glen Drive., Suwanee, GA 30024 | 2017-07-25 |
| 1720508294 | Robert A Finkel Dds PC | Clinic/Center | 1325 Satellite Blvd Nw Ste 1304, Suwanee, GA 30024 | 2017-06-26 |
| Find all providers in zip 30024 | ||||
| Taxonomy Code | 224Z00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapy Assistant |
| An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examination for occupational therapy assistants, and fulfills state requirements for licensure, certification, or registration. An occupational therapy assistant provides interventions under the supervision of an occupational therapist which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapy assistants address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life. |
| Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, source changed] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790315463 | Lindsay Caroline Hancock | Occupational Therapy Assistant | 5050 Research Ct Ste 800, Suwanee, GA 30024-6606 | 2020-01-22 |
| 1154971935 | Donisha D Jones | Occupational Therapy Assistant | 1220 Satellite Blvd Nw, Suwanee, GA 30024-3223 | 2019-09-13 |
| 1457699670 | Carrie Natoli | Occupational Therapy Assistant | 3500 Annandale Ln, Suwanee, GA 30024-2150 | 2013-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801403282 | Kaitlyn Breese Swain | Occupational Therapy Assistant | 3713 Tarva Rd, Albany, GA 31721-8687 | 2020-09-29 |
| 1306451414 | Yvonne G Forbes | Occupational Therapy Assistant | 3412 Conley Downs Dr, Powder Springs, GA 30127-1199 | 2020-09-15 |
| 1396356614 | Chukwuma Jordan Okafor | Occupational Therapy Assistant | 3201 Windcliff Dr Se, Marietta, GA 30067-3814 | 2020-08-11 |
| 1861018913 | Lavina Michelle Andrews | Occupational Therapy Assistant | 288 Osceola Trl N, Jesup, GA 31545-4853 | 2020-06-24 |
| 1386285153 | Rww Outpatient Rehab Services, LLC | Occupational Therapy Assistant | 1860 Atkinson Rd Ste 100, Lawrenceville, GA 30043-5065 | 2019-10-03 |
| 1356998769 | Jaclyn Renee Mason | Occupational Therapy Assistant | 609 Lake Vista Dr, Jefferson, GA 30549-4606 | 2019-08-20 |
| 1326692658 | Jacqueline Renee Rhem | Occupational Therapy Assistant | 1012 Enota Ave Ne, Gainesville, GA 30501-1802 | 2019-07-25 |
| 1437719713 | Tommy Tanner | Occupational Therapy Assistant | 3018 Spicewood Dr, Augusta, GA 30909-6489 | 2019-06-18 |
| 1962061457 | Stuart Paul Shaklee | Occupational Therapy Assistant | 1356 Redmond Road, Rome, GA 30165 | 2019-06-10 |
| 1508424458 | Misty Myrick Copeland | Occupational Therapy Assistant | 318 Keen Rd, Summerville, GA 30747-6379 | 2019-06-04 |
| Find all providers with the same taxonomy | ||||
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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.