KATHRYN GRACE ENTREKIN (NPI# 1093346470) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093346470 |
| Entity Type | Individual |
| Full Name | KATHRYN GRACE ENTREKIN |
| Practice Address |
690 Courtenay Dr Ne Atlanta GA 30306-3421 |
| Mailing Address |
114 Kyle Way Carrollton GA 30117-4823 |
| Practice Telephone | 4048754551 |
| Enumeration Date | 2020-02-04 |
| Last Update Date | 2020-02-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0807X |
Registered Nurse Specialization: Psych/Mental Health, Child & Adolescent |
RN197971 | GA | Nursing Service Providers |
| Street Address |
690 COURTENAY DR NE |
| City | ATLANTA |
| State | GA |
| Zip Code | 30306-3421 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710280011 | Adam F Silberman | Psychiatry & Neurology | 690 Courtenay Dr Ne, Atlanta, GA 30306-3421 | 2010-12-08 |
| 1588279749 | Dana Smith | Social Worker | 690 Courtenay Dr Ne, Atlanta, GA 30306-3421 | 2020-09-14 |
| 1952931578 | Sarah Catherine Roux | Social Worker | 690 Courtenay Dr Ne, Atlanta, GA 30306-3421 | 2020-01-23 |
| 1386274025 | Natalie Anne Proshek | Social Worker | 690 Courtenay Dr Ne, Atlanta, GA 30306-3421 | 2020-01-22 |
| 1356983910 | Katherine O'lone | Social Worker | 690 Courtenay Dr Ne, Atlanta, GA 30306-3421 | 2019-10-15 |
| 1033751607 | Kathleen Lynn Herzer | Social Worker | 690 Courtenay Dr Ne, Atlanta, GA 30306-3421 | 2019-10-15 |
| 1477107258 | Madison Lanier Peters | Social Worker | 690 Courtenay Dr Ne, Atlanta, GA 30306-3421 | 2019-07-30 |
| 1619534377 | Lanota Fludd | Counselor | 690 Courtenay Dr Ne, Atlanta, GA 30306-3421 | 2019-05-28 |
| 1467915918 | Mary Dabney Bills | Social Worker | 690 Courtenay Dr Ne, Atlanta, GA 30306-3421 | 2019-04-11 |
| 1265908784 | Gabriel Silva | Social Worker | 690 Courtenay Dr Ne, Atlanta, GA 30306-3421 | 2018-10-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750900858 | Jill Driver | Chiropractor | 1390 Lanier Blvd Ne, 1409-a, Atlanta, GA 30306 | 2020-04-09 |
| 1447737697 | Heather Nicole Vansau | Speech-Language Pathologist | 1272 Stillwood Dr Ne, Atlanta, GA 30306 | 2018-07-20 |
| 1871095919 | Michelle Ruth Orovitz | Nurse Practitioner | 1140 Briarcliff Rd Ne Apt 1, Atlanta, GA 30306 | 2018-03-05 |
| 1497261960 | Rockwell Oral and Facial Surgery LLC | Dentist | 675 N. Highland Ave Ne, Suite 100, Atlanta, GA 30306 | 2017-12-20 |
| 1518414101 | David Alan Sturgess Jr. | Counselor | 696 Courtenay Dr, Ne, Atlanta, GA 30306 | 2016-09-01 |
| 1952778565 | Kristen Jugs | Speech-Language Pathologist | 609 Virginia Ave Ne Apt 4108, None, Atlanta, GA 30306 | 2015-08-31 |
| 1962749655 | Robert B Tersak | Pharmacist | 1001 Ponce De Leon Avenue Ne, Atlanta, GA 30306 | 2013-01-15 |
| 1730434812 | Poonam Bhakta Hurley | Physical Therapist | 842 N Highland Ave Ne Ste Ter, Atlanta, GA 30306 | 2012-07-16 |
| 1609158963 | Centers for Disease Control and Prevention, Us Public Health Service | Public Health or Welfare | 1600 Clifton Rd, Ms E46, Atlanta, GA 30306 | 2011-09-13 |
| 1598045965 | April Kooy | Physician Assistant | 1000 Briarcliff Road Ne, Atlanta, GA 30306 | 2011-08-17 |
| Find all providers in zip 30306 | ||||
| Taxonomy Code | 163WP0807X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health, Child & Adolescent |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659668622 | Willie C Onyilo | Registered Nurse | 3126 Esplanade Cir Sw, Atlanta, GA 30311-4221 | 2011-06-29 |
| 1801182928 | Lakisha Symone Sutton | Registered Nurse | 1724 Druid Oaks Ne, Atlanta, GA 30329-3283 | 2011-06-27 |
| 1740514108 | Rosa Wilson | Registered Nurse | 2267 Venetian Dr, Atlanta, GA 30311-3310 | 2009-10-01 |
| 1558636266 | Geraldine Bailey | Registered Nurse | 1830 Water Pl Se Ste 200, Atlanta, GA 30339-2042 | 2012-03-13 |
| 1215237003 | Laura Elizabeth Kless | Registered Nurse | 1405 Clifton Rd Ne, Atlanta, GA 30322-1062 | 2010-10-26 |
| 1295909430 | Sarah Graves Ninan | Registered Nurse | 1001 Johnson Ferry Rd Ne, Atlanta, GA 30342-1605 | 2008-04-18 |
| 1497871578 | A Laura Campbell | Registered Nurse | 25a Lenox Pointe Ne, Atlanta, GA 30324-3172 | 2007-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851877013 | Aurelia Linda Bryant-moody | Registered Nurse | 2012 Eastview Pkwy Ste 400, Conyers, GA 30013-5701 | 2018-07-11 |
| 1902349145 | Erica Steed | Registered Nurse | 3270 Cape Cir, Alpharetta, GA 30009-3772 | 2016-11-21 |
| 1821344557 | Nellie Idara Samuel | Registered Nurse | 2400 Northside Xing, Macon, GA 31210-2252 | 2012-07-31 |
| 1720340078 | Linda D Ilesanmi | Registered Nurse | 4045 George Busbee Pkwy Nw, Kennesaw, GA 30144-4894 | 2012-06-12 |
| 1386910438 | Thomas L Myers | Registered Nurse | 644 Shannon Way, Lawrenceville, GA 30044-6305 | 2012-03-22 |
| 1073889143 | Maureen U Anyaoha | Registered Nurse | 1410 Paddocks Way, Powder Springs, GA 30127-5500 | 2012-03-22 |
| 1780959106 | Barbara Elaine Hill-coatney | Registered Nurse | 1358 Thomas Rd, Decatur, GA 30030-4621 | 2012-03-19 |
| 1740554799 | Lanalynne Ann Kurtzworth | Registered Nurse | 35 Beranda Cir, Douglasville, GA 30134-4626 | 2012-03-07 |
| 1124314232 | Philomen Anabelle Mcfee | Registered Nurse | 225 Johnson Rd, 45e, Forest Park, GA 30297-2861 | 2011-06-27 |
| 1447224480 | Shannon Marie Linch | Registered Nurse | 940 A Ga Hwy 96, Warner Robins, GA 31088 | 2006-02-15 |
| 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.