REBECA C KLATT (NPI# 1093260564) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093260564 |
| Entity Type | Individual |
| Full Name | REBECA C KLATT |
| Other Name | MRS. RITA REBECA CORONADO |
| Credential | NP-C |
| Practice Address |
631 Professional Dr Suite 450 Lawrenceville GA 30046-3367 |
| Mailing Address |
1700 Tree Ln Suite 490 Snellville GA 30078-6782 |
| Practice Telephone | 7709638030 |
| Practice Fax Number | 6785331575 |
| Mailing Telephone | 7709638030 |
| Mailing Fax Number | 6785331575 |
| Enumeration Date | 2016-08-24 |
| Last Update Date | 2016-08-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
RN212534 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
631 PROFESSIONAL DR SUITE 450 |
| City | LAWRENCEVILLE |
| State | GA |
| Zip Code | 30046-3367 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104800572 | Lawrence D Kaplan | Internal Medicine | 631 Professional Dr, Suite 350, Lawrenceville, GA 30046-3367 | 2005-11-30 |
| 1477116564 | Yelitza Mari Guzman | Nurse Practitioner | 631 Professional Dr, Lawrenceville, GA 30046-3367 | 2019-04-15 |
| 1952836835 | Georgia Plastic Surgery & Reconstructive Care PC | Plastic Surgery | 631 Professional Dr, Suite 240, Lawrenceville, GA 30046-3367 | 2017-04-27 |
| 1972910768 | Cavells Inc | Prosthetic/Orthotic Supplier | 631 Professional Dr, Suite 230, Lawrenceville, GA 30046-3367 | 2014-07-14 |
| 1972918050 | Georgia Breast Surgery PC | Surgery | 631 Professional Dr, Suite 240, Lawrenceville, GA 30046-3367 | 2014-06-26 |
| 1093066706 | Rebekah E Thomas | Physician Assistant | 631 Professional Dr, Suite 360, Lawrenceville, GA 30046-3367 | 2012-09-21 |
| 1043587264 | Rosalee M Gobeille-dormio | Nurse Practitioner | 631 Professional Dr, Suite 360, Lawrenceville, GA 30046-3367 | 2011-11-17 |
| 1396037057 | Jill Brannan Danielson | Nurse Practitioner | 631 Professional Dr, Suite 360, Lawrenceville, GA 30046-3367 | 2011-05-12 |
| 1396049383 | Gwinnett Surgical Associates, LLP | Surgery | 631 Professional Dr, Suite 300, Lawrenceville, GA 30046-3367 | 2011-01-05 |
| 1871895821 | Gwinnett Surgery Center, LLC | Clinic/Center | 631 Professional Dr, Suite 300, Lawrenceville, GA 30046-3367 | 2010-11-24 |
| Find all providers in the same location | ||||
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|---|---|---|---|---|
| 1063023174 | Alpha & Omega Hearing Centers | Hearing Instrument Specialist | Alpha & Omega Hearing Centers, 250 Langley Drive, Suite 1106, Lawrenceville, GA 30046 | 2020-08-12 |
| 1285259846 | Mesun Health Services, Inc | Clinical Nurse Specialist | 88 Johnson Rd Building # 1-b, Lawrenceville, GA 30046 | 2020-06-10 |
| 1215550264 | Mesun Health Services, Inc | Skilled Nursing Facility | 88 Johnson Rd. Building #2, Lawrenceville, GA 30046 | 2020-05-26 |
| 1306499785 | Bryan Acosta | Chiropractor | 471 Scenic Hwy South, Lawrenceville, GA 30046 | 2019-07-24 |
| 1205308616 | Belle Lumiere Cosmetics LLC | Dermatology | 753 Old Norcross Road, Lawrenceville, GA 30046 | 2018-12-24 |
| 1548730179 | Alexis Nicole Robinson | Nurse Anesthetist, Certified Registered | 1000 Medical Center Boulevard, Lawrenceville, GA 30046 | 2018-11-27 |
| 1679060388 | Christopher Puckett | Student in an Organized Health Care Education/Training Program | 665 Duluth Hwy Suite 501, Lawrenceville, GA 30046 | 2018-04-18 |
| 1457851255 | Advanced Urology Institute of Georgia | Urology | 501 Crown Point Way, Lawrenceville, GA 30046 | 2018-02-19 |
| 1013447044 | Pharmacy Investments of Lawrenceville, LLC | Pharmacy | 738 Old Norcross Road, Ste A, Lawrenceville, GA 30046 | 2017-06-13 |
| 1225577000 | Priority Housecalls LLC | Clinic/Center | 225 Scenic Hwy, Ste 200, Lawrenceville, GA 30046 | 2017-02-14 |
| Find all providers in zip 30046 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033777826 | Jolly Maria Thomas | Nurse Practitioner | 1867 Anthony Nane Ct, Lawrenceville, GA 30043-3991 | 2019-06-05 |
| 1548292667 | Bonnie J Cross | Nurse Practitioner | Rr #3 Box 414, Lawrenceville, IL 62439 | 2006-07-07 |
| 1770515728 | Kimothy Ann Fulk | Nurse Practitioner | 11020 State Route 250, Lawrenceville, IL 62439-3379 | 2006-07-07 |
| 1912533548 | Frankie Ann Mitchell | Nurse Practitioner | 1925 Old Peachtree Rd Ne, Lawrenceville, GA 30043-2822 | 2020-03-16 |
| 1003454687 | Katherine Elaine Campbell Thomas | Nurse Practitioner | 1000 Medical Center Blvd, Lawrenceville, GA 30046-7694 | 2019-12-14 |
| 1902376197 | Elizabeth Ann Tursi | Nurse Practitioner | 168 Franklin Corner Rd Bldg 1, Lawrenceville, NJ 08648-2529 | 2018-11-29 |
| 1114443967 | Kristen Copeland | Nurse Practitioner | 631 Professional Dr Ste 450, Lawrenceville, GA 30046-3370 | 2017-08-14 |
| 1942619093 | Elizabeth Ann Ziegler | Nurse Practitioner | 1000 Medical Center Blvd, Lawrenceville, GA 30046-7694 | 2014-08-02 |
| 1558795229 | Marguerite Horen Bobon | Nurse Practitioner | 631 Professional Dr Ste 360, Lawrenceville, GA 30046-3370 | 2013-08-29 |
| 1992045462 | Rachel Elizabeth Nejem | Nurse Practitioner | 771 Old Norcross Rd Ste 200, Lawrenceville, GA 30046-4980 | 2013-02-21 |
| Find all providers in LAWRENCEVILLE | ||||
| City | LAWRENCEVILLE |
| Zip Code | 30046 |
Please comment or provide details below to improve the information on REBECA C KLATT.
| 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.