PATRICIA A SULLENS (NPI# 1154536613) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154536613 |
| Entity Type | Individual |
| Full Name | PATRICIA A SULLENS |
| Credential | MEDICAL ASSIT |
| Practice Address |
441 Professional Complex Suite 479d Baldwin GA 30511 |
| Practice Telephone | 7067780033 |
| Mailing Telephone | 7067780033 |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133NN1002X |
Nutritionist Specialization: Nutrition, Education |
Dietary & Nutritional Service Providers |
| Street Address |
441 PROFESSIONAL COMPLEX SUITE 479D |
| City | BALDWIN |
| State | GA |
| Zip Code | 30511 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023142304 | Nomora Corp | Pharmacy | 1667 Willingham Avenue, Baldwin, GA 30511 | 2007-03-16 |
| 1134404072 | Christy A Floyd | Nurse Practitioner | 155 Professional Dr, Baldwin, GA 30511 | 2011-10-11 |
| 1194182709 | Baldwin Pharmacy LLC | Pharmacy | 1667 Willingham Avenue, Baldwin, GA 30511-0910 | 2016-01-27 |
| 1902853427 | The Oaks - Scenic View Skilled Nursing, LLC | Skilled Nursing Facility | 205 Peach Orchard Rd, Baldwin, GA 30511-1803 | 2006-05-29 |
| 1548577026 | United Rehab Inc | Clinic/Center | 205 Peach Orchard Rd, Baldwin, GA 30511-1803 | 2010-09-07 |
| 1891735387 | Oak Manor LLC | Custodial Care Facility | 205 Peach Orchard Rd, Baldwin, GA 30511-1803 | 2006-06-07 |
| 1548539133 | Carl Douglas Little Jr. | Chiropractor | 386 Highway 441 Byp, Baldwin, GA 30511-1807 | 2011-12-28 |
| 1396899720 | Kurt Daniel York | Chiropractor | 386 Hwy 441 By Pass, Baldwin, GA 30511-1807 | 2007-01-23 |
| 1912066622 | John Keith Kleinert | Optometrist | 366 Highway 441 Bypass, Baldwin, GA 30511-1807 | 2006-12-08 |
| 1487186441 | Maureen Burnham | Nurse Practitioner | 386 Highway 441 Byp, Baldwin, GA 30511-1807 | 2017-03-29 |
| Find all providers in zip 30511 | ||||
| Taxonomy Code | 133NN1002X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Nutritionist |
| Specialization | Nutrition, Education |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417557638 | Brenda L Nelson-porter | Nutritionist | 105 Wilson Cir, Newnan, GA 30263-5594 | 2020-10-27 |
| 1265047674 | Tracey Lashae Copeland | Nutritionist | 139 Ralph Mcgill Blvd Ne # 5, Atlanta, GA 30308-3339 | 2020-09-11 |
| 1417570904 | Asase Ye Duru Holistic,llc | Nutritionist | 1201 W Peachtree St Nw, Atlanta, GA 30309-3449 | 2020-05-19 |
| 1942839659 | Taylor Renee Flewellen | Nutritionist | 8132 Autumn Forest Dr, Jonesboro, GA 30236-3971 | 2020-04-04 |
| 1548896731 | Veronica Oriako Okwoche | Nutritionist | 11130 State Bridge Rd Ste E101, Johns Creek, GA 30022-2641 | 2020-03-19 |
| 1326511940 | Olivia Haeberle | Nutritionist | 4113 Daniel Green Trl Se, Smyrna, GA 30080-6310 | 2019-01-07 |
| 1033622956 | Dhw Enterprises | Nutritionist | 5300 Brickleberry Way Ste 104, Douglasville, GA 30134-4065 | 2017-11-14 |
| 1609312487 | Alamo Health Group, LLC | Nutritionist | 4816 Ashford Ln, Atlanta, GA 30338-2650 | 2017-01-17 |
| 1093261034 | Amy Lambert | Nutritionist | 1575 Mclendon Ave Ne, Atlanta, GA 30307-2167 | 2016-08-30 |
| 1114311990 | Keena Stephens | Nutritionist | 211 Cove Pl, Atlanta, GA 30339-5207 | 2015-03-19 |
| 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.