DR. JENNIFER MAE HOOTMAN (NPI# 1134240484) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134240484 |
| Entity Type | Individual |
| Full Name | DR. JENNIFER MAE HOOTMAN |
| Credential | PHD, ATC |
| Practice Address |
3004 Windward Dr Nw Kennesaw GA 30152-4668 |
| Practice Telephone | 7704886038 |
| Practice Fax Number | 7704885486 |
| Mailing Telephone | 7704886038 |
| Mailing Fax Number | 7704885486 |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1744R1102X |
Specialist Specialization: Research Study |
Other Service Providers |
| Street Address |
3004 WINDWARD DR NW |
| City | KENNESAW |
| State | GA |
| Zip Code | 30152-4668 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821647124 | Ashley Dover | Nurse Practitioner | 1300 Ridenour Blvd, Suite 300, Kennesaw, GA 30152 | 2019-09-09 |
| 1205306891 | Lashanda Denise Moore | Nurse Practitioner | 1600 Kennesaw Due West Rd Nw #205, Kennesaw, GA 30152 | 2018-11-27 |
| 1265901094 | Focused Loving Home Care Services LLC | In Home Supportive Care | 2151 Marne Glen Nw, Kennesaw, GA 30152 | 2018-11-22 |
| 1083199152 | Raven Ashley Thomas | Behavioral Analyst | 1619 Collins Rd Nw Ste 500, Kennesaw, GA 30152 | 2018-09-25 |
| 1821592593 | Eseovhe Egborge PC | Clinic/Center | 1600 Kennesaw Due West Rd Nw Ste 205, Kennesaw, GA 30152 | 2018-03-19 |
| 1184143059 | Kennesaw Mountain Dental Associates | Dentist | 1815 Old 41 Hwy, Ste 310, Kennesaw, GA 30152 | 2017-09-12 |
| 1265955983 | Deborah Ruth Stern Compton | Registered Nurse | 1291 Stanley Rd., Kennesaw, GA 30152 | 2017-07-25 |
| 1912452939 | Mak Anesthesia Holdings LLC | Anesthesiology | 1300 Ridenour Blvd., Ste. 300, Kennesaw, GA 30152 | 2016-08-19 |
| 1528430279 | Tineka Nichol Wyckoff | Counselor | 1967 Lake Heights Circle, Kennesaw, GA 30152 | 2015-10-21 |
| 1669753992 | American Current Care Pa | Clinic/Center | 2953 Cobb Parkway, Suite 400, Kennesaw, GA 30152 | 2011-08-31 |
| Find all providers in zip 30152 | ||||
| Taxonomy Code | 1744R1102X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| Specialization | Research Study |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649676156 | Aaron Tomer | Specialist | 2 Ivy Pkwy Ne, Atlanta, GA 30342-4241 | 2014-11-10 |
| 1982969937 | Kenneth Lee Dominguez | Specialist | 1229 Wildcliff Pkwy Ne, Atlanta, GA 30329-3464 | 2012-07-05 |
| 1285153122 | Populations and Interventions Team Company (pitc) | Specialist | 3182 Berthas Overlook, Douglasville, GA 30135-8458 | 2017-09-12 |
| 1437514031 | James Alec Ellison Jr. | Specialist | 1600 Clifton Rd Ne, Mailstop G33, Atlanta, GA 30329-4018 | 2015-12-23 |
| 1295003531 | Atlanta Vascular Research Foundation | Specialist | 3562 Habersham At Northlake, Building J, Tucker, GA 30084-4010 | 2011-12-01 |
| 1942578281 | Atlanta Clinical Research Center | Specialist | 3562 Habersham At Northlake, Building J, Tucker, GA 30084-4010 | 2011-12-01 |
| 1235296443 | Executive Health and Research Associates, Inc. | Specialist | 5505 Peachtree Dunwoody Rd Ne, Suite 650, Atlanta, GA 30342-1705 | 2007-01-03 |
| 1679682728 | Anna Marie Likos | Specialist | 1600 Clifton Rd Ne, Atlanta, GA 30329-4018 | 2006-08-30 |
| 1578552881 | Eleanor Geller Botha | Specialist | 2165 N Decatur Rd, Of Human Genetics/division of Medical Genetics, Decatur, GA 30033-5307 | 2005-10-19 |
Please comment or provide details below to improve the information on DR. JENNIFER MAE HOOTMAN.
| 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.