HEATHER CANTRELL (NPI# 1255354114) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1255354114 |
Entity Type | Individual |
Full Name | HEATHER CANTRELL |
Credential | C.N.M. |
Practice Address |
190 Handley Rd Tyrone GA 30290-2178 |
Practice Telephone | 7709975714 |
Practice Fax Number | 7709972810 |
Mailing Telephone | 7709975714 |
Mailing Fax Number | 7709972810 |
Enumeration Date | 2006-07-25 |
Last Update Date | 2011-06-27 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 176B00000X | Midwife | RN144694 | GA | Other Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
GA | 092104688A | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568903847 | Heather Cantrell | Peer Specialist | 2135 Highway 1185, Louisa, KY 41230-7968 | 2017-03-20 |
1932417003 | Heather Rooke-carney Cantrell | Nurse Practitioner | 2601 Gene George Blvd, Springdale, AR 72762-0845 | 2010-09-22 |
1255667580 | Heather Macdonald Cantrell | Massage Therapist | 15880 Quarry Rd, Lake Oswego, OR 97035-3336 | 2009-10-21 |
Street Address |
190 HANDLEY RD |
City | TYRONE |
State | GA |
Zip Code | 30290-2178 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538162169 | Lynn Marie Stock | Nurse Practitioner | 190 Handley Rd, Tyrone, GA 30290-2178 | 2005-05-27 |
1437684412 | Colby Fowler | Advanced Practice Midwife | 190 Handley Rd, Suite A, Tyrone, GA 30290-2178 | 2017-04-27 |
1609309269 | Yakirah Lee | Advanced Practice Midwife | 190 Handley Rd, Suite A, Tyrone, GA 30290-2178 | 2017-04-10 |
1710293360 | Katherine Edelstein | Advanced Practice Midwife | 190 Handley Rd, Tyrone, GA 30290-2178 | 2010-08-20 |
1972795995 | Ticaria Lynne Lipsey | Obstetrics & Gynecology | 190 Handley Rd, Suite A, Tyrone, GA 30290-2178 | 2007-08-14 |
1619092756 | Mary Jane Rager | Nurse Practitioner | 190 Handley Rd, Tyrone, GA 30290-2178 | 2007-03-20 |
1740204189 | Patricia Moore | Obstetrics & Gynecology | 190 Handley Rd, Tyrone, GA 30290-2178 | 2006-07-27 |
1033132998 | Wmc Tyrone LLC | Specialist | 190 Handley Rd, Tyrone, GA 30290-2178 | 2006-07-25 |
1073590485 | Elizabeth Ann Moore | Obstetrics & Gynecology | 190 Handley Rd, Tyrone, GA 30290-2178 | 2005-12-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407215361 | Kaitlin Lackey | Occupational Therapist | 105 Glendalough Court, Suite H, Tyrone, GA 30290 | 2016-02-19 |
1114211745 | Johannes Daniel Smit | Pharmacist | 525 Valleywood Drive, Tyrone, GA 30290 | 2011-05-31 |
1760700199 | Georgia Integrative Medicine | Preventive Medicine | 120 Milbrook Village Drive, Suite E, Tyrone, GA 30290 | 2010-05-10 |
1427384783 | Exelle Home Care | Home Health | 105 Silverthorn Drive, Tyrone, GA 30290 | 2009-10-21 |
1386884138 | Genesys Ob/gyn, LLC | Clinic/Center | 245 Greencastle Road, Tyrone, GA 30290 | 2009-03-05 |
1689858805 | Immediate Care Centers of Georgia, LLC | Clinic/Center | 190 Greencastle Rd., Tyrone, GA 30290 | 2007-12-24 |
1437212834 | Dawn M Coffman | Physician Assistant | 190 Handley Rd., Tyrone, GA 30290 | 2006-12-18 |
1912971805 | Jason Rex Lee | Dentist | 195 Greencastle Rd, Tyrone, GA 30290 | 2006-02-15 |
1053898759 | Heather Renee Ellis | Physical Therapist | 62 Carriage Oaks Dr, Tyrone, GA 30290 | 2018-07-25 |
1134630858 | Marjorie Yvette Elibert | Advanced Practice Midwife | 190 Handley Rd Ste A, Tyrone, GA 30290 | 2017-10-20 |
Find all providers in zip 30290 |
Taxonomy Code | 176B00000X |
Grouping | Other Service Providers |
Classification | Midwife |
A Midwife is a trained professional with special expertise in supporting women to maintain a healthy pregnancy birth, offering expert individualized care, education, counseling, and support to a woman and her newborn throughout the childbearing cycle. A Midwife is a skilled and independent practitioner who has undergone formalized training. Midwives are not required to be nurses and may be trained via multiple routes of education (apprenticeship, workshop, formal classes, or programs, etc., usually a combination). The educational background requirements and licensing requirements vary by state. The Midwife may or may not be certified by a state or national organization. |
Notes: Source: The National Uniform Claim Committee [7/1/2007: title changed, definition changed, source changed] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477164028 | Corrinna Monique Edwards | Midwife | 10375 Worthington Hills Mnr, Roswell, GA 30076-1725 | 2020-08-16 |
1942819677 | Haguerenesh Woldeyohannes | Midwife | 1608 Austin Meadows Dr, Decatur, GA 30032-3887 | 2020-07-29 |
1063046274 | Kyndall Mccall Proffitt | Midwife | 4442 Slygo Rd, Trenton, GA 30752-4118 | 2020-02-26 |
1942845250 | Breona Harlan | Midwife | 1836 Spring Ave Nw, Atlanta, GA 30318-2744 | 2019-11-11 |
1790336840 | Angel Leeann Gilreath | Midwife | Meadows Regional Medical Center, One Meadows Parkway, Vidalia, GA 30474-0979 | 2019-09-20 |
1104484443 | Elisa R Jenks | Midwife | 1120 15th Street Augusta University, Augusta, GA 30912-0001 | 2019-06-02 |
1982162780 | Mary Katherine Ness Murrey | Midwife | 96 Poplar Ct, Toccoa, GA 30577-6099 | 2019-03-11 |
1508332156 | Chakeeta L Williams | Midwife | 1458 Church St, Decatur, GA 30030-1671 | 2018-10-22 |
1922586346 | Maria Quinones | Midwife | 3740 Creekwood Dr, Loganville, GA 30052-2814 | 2018-07-30 |
1851888085 | Lauren Kate Collins | Midwife | 224 Perennial Springs Rd, Summerville, GA 30747-5639 | 2018-04-13 |
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.