ALLYSON BLUE (NPI# 1184288730) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184288730 |
| Entity Type | Individual |
| Full Name | ALLYSON BLUE |
| Credential | NP |
| Practice Address |
7870 Waterlace Dr Fairburn GA 30213-4647 |
| Practice Telephone | 4045425017 |
| Mailing Telephone | 4045425017 |
| Enumeration Date | 2019-04-30 |
| Last Update Date | 2020-06-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WC0400X |
Registered Nurse Specialization: Case Management |
RN086104 | GA | Nursing Service Providers |
| N | 163WH0200X |
Registered Nurse Specialization: Home Health |
RN086104 | GA | Nursing Service Providers |
| N | 163WI0500X |
Registered Nurse Specialization: Infusion Therapy |
RN086104 | GA | Nursing Service Providers |
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
RN086104 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
RN086104 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
7870 WATERLACE DR |
| City | FAIRBURN |
| State | GA |
| Zip Code | 30213-4647 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457984262 | Stephanie Westbrook | Counselor | 5847 Landers Loop, Fairburn, GA 30213 | 2020-02-20 |
| 1255990529 | Compass Home Dialysis LLC | Clinic/Center | 178 West Cambellton St, Fairburn, GA 30213 | 2019-06-11 |
| 1780152694 | Selah | In Home Supportive Care | 5228 Rosewood Place, Fairburn, GA 30213 | 2018-11-08 |
| 1134642846 | Shaquina Jimmerson | Counselor | 1401 Peachtree St Ne, Suite 500, Atlanta, GA 30213 | 2017-07-25 |
| 1013447143 | Destoni Fleming | Durable Medical Equipment & Medical Supplies | 3885 Grassy Trace, Fairburn, GA 30213 | 2017-06-12 |
| 1003290891 | Tanya Sykes-clark | Speech-Language Pathologist | 6179 Chastain Way, Fairburn, GA 30213 | 2015-07-13 |
| 1467858613 | Dayo Ahisha Williams | Licensed Practical Nurse | 8064 South Fulton Parkway #1102, Fairburn, GA 30213 | 2014-11-17 |
| 1144658543 | Vanetta Donna Della Williams | Social Worker | 7923 Heathmore Drive, Fairburn, GA 30213 | 2013-10-22 |
| 1831522671 | Monique Harris | Social Worker | 7922 Applemist Dr, Fairburn, GA 30213 | 2013-08-15 |
| 1255668406 | Linda Walton | Occupational Therapy Assistant | 7040 Smoke Ridge Dr, Fairburn, GA 30213 | 2009-11-09 |
| Find all providers in zip 30213 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992711121 | Rosemary Osarhiemen Morris-heckstall | Nurse Practitioner | 7734 Birdsview Dr, Fairburn, GA 30213-7425 | 2006-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477154110 | Christina Danielle Palau Vaccari | Nurse Practitioner | 712 Pasley Ave Se, Atlanta, GA 30316-2158 | 2020-11-07 |
| 1427657113 | Cynthia Diane Prather | Nurse Practitioner | 3264 Lower Boston Rd, Thomasville, GA 31757-1311 | 2020-10-22 |
| 1932706728 | Alecia Ann Czarnecki | Nurse Practitioner | 6240 Crooked Creek Dr, Rex, GA 30273-5006 | 2020-10-05 |
| 1801401112 | Cotenna D. Clark | Nurse Practitioner | 1857 Cameo Ct, Tucker, GA 30084-7002 | 2020-09-14 |
| 1487264370 | Helen Young Yates | Nurse Practitioner | 40 Red Rock Ct Ne, Ludowici, GA 31316-6280 | 2020-08-05 |
| 1982214334 | Jasmine Alecia Henderson | Nurse Practitioner | 52 Roseberry Cir, Port Wentworth, GA 31407-5612 | 2020-07-31 |
| 1275142994 | Theresia Richardson | Nurse Practitioner | 2033 Buford Hwy Ste 109, Buford, GA 30518-8802 | 2020-07-28 |
| 1063021277 | Elsa Duncan Duncan | Nurse Practitioner | 1822 E Gwinnett St, Savannah, GA 31404-1853 | 2020-07-24 |
| 1154941946 | Joy P Wharton | Nurse Practitioner | 182 Silver Arrow Cir, Austell, GA 30168-7490 | 2020-04-21 |
| 1235769985 | Michelle Brack | Nurse Practitioner | 502 Hall Rd, Thomasville, GA 31757-8105 | 2020-01-22 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on ALLYSON BLUE.
| 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.