IVAN FIELDS (NPI# 1255880654) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255880654 |
| Entity Type | Individual |
| Full Name | IVAN FIELDS |
| Practice Address |
7109 Greystone Dr Riverdale GA 30296-2256 |
| Practice Telephone | 2024272264 |
| Mailing Telephone | 2024272264 |
| Enumeration Date | 2016-09-26 |
| Last Update Date | 2016-09-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | GA | Behavioral Health & Social Service Providers |
| Street Address |
7109 GREYSTONE DR |
| City | RIVERDALE |
| State | GA |
| Zip Code | 30296-2256 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417558594 | James D Hickman | Home Health Aide | 2252 Addison Park, Riverdale, GA 30296 | 2020-11-04 |
| 1255973251 | Octavia Bostic | Nurse's Aide | 7670 Creekside Lane, Riverdale, GA 30296 | 2019-10-10 |
| 1548746829 | Verna Stoner-frazier | Physical Therapist | 1542 Bethaven Rd, Riverdale, GA 30296 | 2018-07-19 |
| 1346762705 | Letty Searcy | Case Manager/Care Coordinator | 7125 E. Village Ct, Riverdale, GA 30296 | 2017-07-07 |
| 1225402639 | Optima Physical Therapy Services | Clinic/Center | 808 Commerce Boulevard, Riverdale, GA 30296 | 2015-11-23 |
| 1437409224 | Mobile Nursing Service LLC | Nursing Care | 829 Scott Rd, Riverdale, GA 30296 | 2012-09-19 |
| 1104069517 | Taina S. Holly | Licensed Practical Nurse | 1234 Elgin Way, Riverdale, GA 30296 | 2009-04-15 |
| 1386720118 | Absolute Healthcare & Rehab Center | Chiropractor | 1807 Hwy 138 Sw, Riverdale, GA 30296 | 2006-10-27 |
| 1467558650 | Daniel Tesfa Redie | Dentist | 1849 Hwy 138, Riverdale, GA 30296 | 2006-09-15 |
| 1033214184 | Malcolm Hill | Chiropractor | 1296 Hwy 138, Suite 105, Riverdale, GA 30296 | 2006-09-13 |
| Find all providers in zip 30296 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992205694 | Conscientious Coupling, LLC | Counselor | 6811 Kenilworth Ave # 500-w3, Riverdale, MD 20737-1333 | 2018-02-19 |
| 1851817894 | Sheila Eloise Smith | Counselor | 8491 Cedar Creek Rdg, Riverdale, GA 30274-4558 | 2017-08-22 |
| 1871046284 | Karla Rosen | Counselor | 5202 S. Freeway Park Dr., Riverdale, UT 84405 | 2016-08-02 |
| 1932570033 | Vernon Mae Gates | Counselor | 8206 Winewood Ct, Riverdale, GA 30274-4232 | 2015-10-14 |
| 1225386931 | Lawana Waiters | Counselor | 136 Highway 138, Riverdale, GA 30236 | 2012-08-28 |
| 1578728671 | Life Changers Community Empowerment Enterprises, Inc | Counselor | 7098 Sir Charles Ct, Suite A, Riverdale, GA 30274-3236 | 2008-07-28 |
| 1881745263 | Kennard Nears | Counselor | 187 Shenandoah Dr, Riverdale, GA 30274-3247 | 2007-01-14 |
| 1861934812 | Caleb Clark | Counselor | 5202 Freeway Park Dr, Riverdale, UT 84405-4016 | 2016-11-08 |
| 1144762196 | Tyler Arrington | Counselor | 5202 Freeway Park Dr, Riverdale, UT 84405-4016 | 2016-11-08 |
| 1790237931 | Carter Wright | Counselor | 5202 Freeway Park Dr, Riverdale, UT 84405-4016 | 2016-11-03 |
| Find all providers in RIVERDALE | ||||
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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.