WANDA ALLEN (NPI# 1104431568) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104431568 |
| Entity Type | Individual |
| Full Name | WANDA ALLEN |
| Credential | DNP, MSN, AGNP-C |
| Practice Address |
2860 Landfill Rd Pelham GA 31779-5960 |
| Mailing Address |
Po Box 386 Pelham GA 31779-0386 |
| Practice Telephone | 2293286555 |
| Mailing Telephone | 2293286555 |
| Enumeration Date | 2020-09-12 |
| Last Update Date | 2020-09-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | RN142481 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235690959 | Wanda Anita Allen | Social Worker | 1700 Autumnwood Blvd, Clarksville, TN 37042-1704 | 2019-03-26 |
| Street Address |
2860 LANDFILL RD |
| City | PELHAM |
| State | GA |
| Zip Code | 31779-5960 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205480167 | Kierra Sade Allen | Social Worker | 2860 Landfill Rd, Pelham, GA 31779-5960 | 2019-07-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831689728 | Autry State Prison Pharmacy | Pharmacy | 3178 Mount Zion Church Rd, Pelham, GA 31779 | 2018-05-16 |
| 1851776181 | Thomas & Son Family & Child Resource Center, Inc | Community/Behavioral Health | 113 Mclaughlin Street, Nw, Pelham, GA 31779 | 2015-07-28 |
| 1811922115 | Hayden H Moye | Pharmacist | 162 E Railroad St Se, Pelham, GA 31779 | 2006-07-12 |
| 1295820660 | Hospital Authority of Mitchell County | Skilled Nursing Facility | 608 Dogwood Dr Ne, Pelham, GA 31779-1132 | 2006-10-03 |
| 1326329566 | Mary Elaine Bailey | Nurse Practitioner | 250 Blanton St Ne, Pelham, GA 31779-1138 | 2011-09-01 |
| 1053763961 | Sarah Brooks | Nurse Practitioner | 250 Blanton St Ne, Pelham, GA 31779-1138 | 2016-07-05 |
| 1881960151 | Hospital Authority of Mitchell County | Clinic/Center | 250 Blanton St Ne, Pelham, GA 31779-1138 | 2012-03-30 |
| 1902828205 | B. Bonita Richter | Dentist | 137 Hand Pl, Pelham, GA 31779-1236 | 2006-07-24 |
| 1194790626 | Cynthia Parker Drury | Family Medicine | 167 Hand Ave W, Pelham, GA 31779-1268 | 2006-02-20 |
| 1306046016 | Mitchell County Hospital | Clinic/Center | 167 Hand Ave W, Pelham, GA 31779-1268 | 2007-07-20 |
| Find all providers in zip 31779 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205304557 | Kristen Jane Betts | Nurse Practitioner | 300 Big Mountain Cir, Pelham, AL 35124-4102 | 2018-11-05 |
| 1073120960 | Stacy Eddleman Stuart | Nurse Practitioner | 333 Business Cir, Pelham, AL 35124-1778 | 2020-09-25 |
| 1831725944 | Jessica Ann St Jean | Nurse Practitioner | 27 Spring St, Pelham, NH 03076-2826 | 2020-03-20 |
| 1467919365 | Dianne Kelly Smith | Nurse Practitioner | 333 Business Cir, Pelham, AL 35124-1778 | 2019-02-27 |
| 1083196026 | Alaina Shelton Contestabile | Nurse Practitioner | 2100 County Services Dr, Pelham, AL 35124-6150 | 2018-09-06 |
| 1144605866 | Haley Jost | Nurse Practitioner | 120 Cahaba Valley Pkwy, Suite 200, Pelham, AL 35124-1185 | 2015-07-23 |
| 1326285347 | Dennis Doss | Nurse Practitioner | 245 Cahaba Valley Pkwy, #110, Pelham, AL 35124-2216 | 2009-01-13 |
| 1134336423 | Lynne England | Nurse Practitioner | 33 Windham Rd, Pelham, NH 03076-2372 | 2007-05-17 |
| 1457463093 | Tracy Darlene Hardy | Nurse Practitioner | 49 Atwood Rd, Pelham, NH 03076-3719 | 2006-08-31 |
| 1962453043 | Jason Harris | Nurse Practitioner | 33 Windham Rd, Pelham, NH 03076-2372 | 2006-05-13 |
| Find all providers in PELHAM | ||||
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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.