PATRICIA J VANBRUNT (NPI# 1235103326) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235103326 |
| Entity Type | Individual |
| Full Name | PATRICIA J VANBRUNT |
| Credential | PA |
| Practice Address |
159 W. Railroad Street Pembroke GA 31321-0190 |
| Mailing Address |
602 E. 72nd Street Savannah GA 31405-4913 |
| Practice Telephone | 9126532897 |
| Practice Fax Number | 9126534299 |
| Mailing Telephone | 9128197878 |
| Mailing Fax Number | 9128195044 |
| Enumeration Date | 2006-02-15 |
| Last Update Date | 2012-01-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
MP00663 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363L00000X | Nurse Practitioner | 006037 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | GEORGIA MEDICAL BOARD | 006037 | 01 |
| Street Address |
159 W. RAILROAD STREET |
| City | PEMBROKE |
| State | GA |
| Zip Code | 31321-0190 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003265836 | Harley Hendrix | Family Medicine | 159 W. Railroad Street, Pembroke, GA 31321 | 2016-06-13 |
| 1578712121 | Janice E. Shiver | Nurse Practitioner | 159 W. Railroad Street, Pembroke, GA 31321-0190 | 2008-09-18 |
| 1558546267 | Denise Michelle Mcbroom | Family Medicine | 159 W. Railroad Street, Pembroke, GA 31321-0190 | 2008-01-02 |
| 1235145509 | Lisa Shuman | Nurse Practitioner | 159 W. Railroad Street, Pembroke, GA 31321 | 2006-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679198410 | Lorri Michelle Strickland | Counselor | 1040 Us Hwy 280 W, Pembroke, GA 31321 | 2020-06-08 |
| 1649830001 | Jennifer Creek Poston | Physical Medicine & Rehabilitation | 105 East Bacon Street, Pembroke, GA 31321 | 2019-06-18 |
| 1790289544 | Effingham Rehab Services, LLC | Clinic/Center | 105 E Bacon St, Pembroke, GA 31321 | 2018-03-19 |
| 1356539894 | Kristen Altman | Physical Therapist | 205 East Bacon Steet, Pembroke, GA 31321 | 2007-10-10 |
| 1366573297 | Malken Pharm Services Inc | Pharmacy | 137 E. Bacon St, Pembroke, GA 31321 | 2007-03-09 |
| 1184753709 | Gateway Behavioral Health Services | Community/Behavioral Health | 40 E Industrial Blvd, Pembroke, GA 31321 | 2007-03-02 |
| 1972611663 | Bryan County Emergency Medical Service | Ambulance | 116 Lanier Street, Pembroke, GA 31321 | 2006-08-25 |
| 1154349850 | Saint Josephs Medical Group Inc | Family Medicine | 159 West Railroad St, Pembroke, GA 31321 | 2006-07-18 |
| 1760886402 | Sharon Estill | Registered Nurse | 430 Ledford Street, Pembroke, GA 31321 | 2014-10-09 |
| 1033513775 | Joanne S Burnsed | Registered Nurse | 430 Ledford Street, Pembroke, GA 31321 | 2014-10-09 |
| Find all providers in zip 31321 | ||||
| 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 |
|---|---|---|---|---|
| 1578174215 | Courtney Bailey | Nurse Practitioner | 199 Plymouth St, Pembroke, MA 02359-3521 | 2020-08-16 |
| 1487294559 | Timothy Clynch | Nurse Practitioner | 296 Old Oak St, Pembroke, MA 02359 | 2020-01-07 |
| 1518519115 | Lisa Rappa-mannion | Nurse Practitioner | 894 Wellington Way, Pembroke, NH 03275-3902 | 2019-07-13 |
| 1659896793 | Zena Cummings | Nurse Practitioner | 2757 Union Chapel Road, Pembroke, NC 28372-0451 | 2017-08-10 |
| 1912507823 | Sarah Bevis | Nurse Practitioner | 296 Old Oak St, Pembroke, MA 02359-1981 | 2020-10-29 |
| 1194282285 | University of North Carolina At Pembroke | Nurse Practitioner | 1 University Drive, Brave Health Center, Pembroke, NC 28372 | 2019-02-25 |
| 1932628187 | Locklear Family Practice, Pllc | Nurse Practitioner | 812 Candy Park Rd Ste 7101-a, Pembroke, NC 28372-9129 | 2017-09-19 |
| 1144207234 | Rebecca E. Graziano | Nurse Practitioner | 28 Riverside Dr, Pembroke, MA 02359-1937 | 2005-12-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346841186 | Cynthia Marie Benjamin Bates | Nurse Practitioner | 2746 Willis Foreman Rd, Hephzibah, GA 30815-6935 | 2020-11-06 |
| 1841891199 | Gloria Oduro | Nurse Practitioner | 983 Bentley Estates Dr, Dacula, GA 30019-7795 | 2020-11-03 |
| 1689274094 | Shundria Brown | Nurse Practitioner | 2122 Ellwyn Dr, Chamblee, GA 30341-1520 | 2020-10-27 |
| 1629677455 | Amy Lynn Patterson | Nurse Practitioner | 254 Senna St, Marietta, GA 30064-4417 | 2020-10-22 |
| 1538768965 | Tabitha Ford | Nurse Practitioner | 110 Shorter St Lot 9, Ty Ty, GA 31795-3179 | 2020-10-16 |
| 1902404320 | Shanelle Lynette Raiford | Nurse Practitioner | 2028 Hidden Meadow Ln, Stone Mountain, GA 30088-4448 | 2020-10-16 |
| 1760089072 | Diana Maresi Bulimu | Nurse Practitioner | 6050 Peachtree Pkwy # 240-178, Norcross, GA 30092-3336 | 2020-10-08 |
| 1760089692 | Natalie Xiomara Leak | Nurse Practitioner | 4855 Chesterfield Ct, Suwanee, GA 30024-1350 | 2020-10-05 |
| 1548877723 | Camille Watson-clarke | Nurse Practitioner | 3650 Steve Reynolds Blvd Ste 316, Duluth, GA 30096-4506 | 2020-09-30 |
| 1801403654 | Jacqueline Richart | Nurse Practitioner | 6300 Hospital Pkwy Ste 260, Johns Creek, GA 30097-1829 | 2020-09-25 |
| 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.