CATHERINE R BOMAR (NPI# 1093755175) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093755175 |
| Entity Type | Individual |
| Full Name | CATHERINE R BOMAR |
| Other Name | CATHERINE RENEE BOMAR |
| Credential | CPNP |
| Practice Address |
1100 Lake Hearn Drive Ste 450 Atlanta GA 30342 |
| Practice Telephone | 4042527339 |
| Practice Fax Number | 4042570337 |
| Mailing Telephone | 4042527339 |
| Mailing Fax Number | 4042570337 |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2012-05-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
R077495 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000487099A | 05 |
| Street Address |
1100 LAKE HEARN DRIVE STE 450 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30342 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346297561 | Regena G Spratling | Internal Medicine | 1100 Lake Hearn Drive, Ste 450, Atlanta, GA 30342 | 2006-05-31 |
| 1851325831 | Lisa M Waller | Physician Assistant | 1100 Lake Hearn Drive, Ste #450, Atlanta, GA 30342 | 2006-07-10 |
| 1689605081 | Brian R Wingrove | Physician Assistant | 1100 Lake Hearn Drive, Ste 450, Atlanta, GA 30342 | 2006-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144820614 | Nia Charnice Griffin | Nurse Practitioner | 5670 Peachtree Dunwoodyroad, Suite 900, Atlanta, GA 30342 | 2020-10-26 |
| 1255945184 | Jennifer Lynne Cole | Behavior Technician | 5555 Glenridge Con Suite 200, Atlanta, GA 30342 | 2020-09-08 |
| 1093336232 | Van Tran | Respiratory Therapist, Registered | 1000 Johnson Ferry Rd Ne, Atlanta, Ga 30342, Atlanta, GA 30342 | 2020-04-28 |
| 1356978340 | Twyla Douglas Jackson I | Clinical Nutrition, 1000 Johnson Ferry Rd Ne, Atlanta, GA 30342 | 2020-03-27 | |
| 1760013411 | Emily Hamm | Dietitian, Registered | 933 D Johnson Ferry Road, Suite 250, Atlanta, GA 30342 | 2020-01-31 |
| 1043855984 | Mackenzie Tucker Wayda | Registered Nurse | 1001 Johnson Ferry Rd. Ne, Atlanta, GA 30342 | 2019-11-14 |
| 1386288454 | Tiauna Lashun Cochman | Psychologist | 1307 Glenridge Dr, Sandy Springs, GA 30342 | 2019-11-01 |
| 1164074399 | Stephen J. White | Hearing Instrument Specialist | 5775 Peachtree Dunwoody Rd Suite 600 Fl. 6, Uhc Hearing, Atl., GA 30342 | 2019-07-09 |
| 1144788142 | Jaytyn LLC | Internal Medicine | 4600 Broswell Road, Atlanta, GA 30342 | 2019-03-08 |
| 1760954705 | Mishele Walker LLC | Counselor | 555 Glenridge Connector, Suite 200, Sandy Springs, GA 30342 | 2018-12-31 |
| Find all providers in zip 30342 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518565811 | Rebecca Danielle Wegman | Nurse Practitioner | 5445 Meridian Mark Rd Ste 380, Atlanta, GA 30342-4755 | 2020-10-09 |
| 1629675657 | Casey Cullins | Nurse Practitioner | 980 Johnson Fy Rd Ne Ste 680, Atlanta, GA 30342-1608 | 2020-10-02 |
| 1538798095 | Brittany Nicole Heitkamp | Nurse Practitioner | 5461 Meridian Mark Rd Ste 540, Atlanta, GA 30342-3283 | 2020-04-06 |
| 1093342131 | Lindsay Pare | Nurse Practitioner | 2225 Twin Lakes Dr, Atlanta, GA 30339-4123 | 2020-03-26 |
| 1487290581 | Fawn Aryana Hastay | Nurse Practitioner | 1400 Tullie Rd Ne Fl 6, Atlanta, GA 30329-2309 | 2019-11-23 |
| 1245798057 | Rebecca Emory | Nurse Practitioner | 975 Johnson Ferry Rd Ste 340, Atlanta, GA 30342-4735 | 2019-03-11 |
| 1497265904 | Stephanie Edlhuber | Nurse Practitioner | 1100 Lake Hearn Dr Ste 100, Atlanta, GA 30342-1524 | 2017-10-10 |
| 1275074924 | Anna Louise Kelly | Nurse Practitioner | 993 Johnson Ferry Rd # 440, Atlanta, GA 30342-1620 | 2017-03-14 |
| 1518410984 | Brie Batchelor Baxter | Nurse Practitioner | 5461 Meridian Marks Rd, Suite 200, Atlanta, GA 30342 | 2016-08-02 |
| 1649630310 | Mary Bertossi | Nurse Practitioner | 1800 Howell Mill Rd Nw Ste 475, Atlanta, GA 30318-0920 | 2016-02-24 |
| 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.