MRS. KATHERINE JEAN HANSON (NPI# 1265939417) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1265939417 |
Entity Type | Individual |
Full Name | MRS. KATHERINE JEAN HANSON |
Credential | FNP-BC |
Practice Address |
207 31st Ave Se Moultrie GA 31768-6703 |
Practice Telephone | 2292170088 |
Mailing Telephone | 2292170088 |
Enumeration Date | 2018-04-12 |
Last Update Date | 2018-04-12 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
186180 | GA | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487031290 | Katherine Michelle Hanson | Social Worker | 11615 Se Fuller Rd, Apt # 102, Milwaukie, OR 97222-1328 | 2015-04-30 |
1073922100 | Katherine Becerra Hanson | Counselor | 12345 Lake City Way Ne # 209, Seattle, WA 98125-5401 | 2014-08-02 |
1285848267 | Katherine A Hanson | Counselor | 738 N 179th St, Shoreline, WA 98133-4730 | 2007-05-09 |
1699302596 | Katherine Hanson | Student in an Organized Health Care Education/Training Program | 420 Delaware St Se, Minneapolis, MN 55455-0341 | 2020-03-23 |
1992331904 | Katherine Harris Hanson | Social Worker | 1042 Washington St, Raleigh, NC 27605-1258 | 2020-03-21 |
1114564804 | Katherine Hanson | Counselor | 1724 N Gilpin St, Denver, CO 80218-1206 | 2019-12-02 |
1891298352 | Katherine Elizabeth Hanson | Speech-Language Pathologist | 8270 Willow Oaks Corporate Dr, Fairfax, VA 22031-4511 | 2018-03-12 |
1174021190 | Katherine M Hanson | Behavioral Analyst | 187 W Schrock Rd, Westerville, OH 43081-2890 | 2018-01-24 |
1457785032 | Katherine A Hanson | Nurse's Aide | 4300 Sw 13th St, Gainesville, FL 32608-4006 | 2013-08-30 |
1295167666 | Katherine Hanson | Social Worker | 1026 Arch St, Philadelphia, PA 19107-3002 | 2013-08-07 |
Street Address |
207 31ST AVE SE |
City | MOULTRIE |
State | GA |
Zip Code | 31768-6703 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366734683 | Convenient Care LLC | Family Medicine | 207 31st Ave Se, Moultrie, GA 31768-6703 | 2011-05-04 |
1932631371 | Convenient Care, LLC | Nurse Practitioner | 207 31st Ave Se, Moultrie, GA 31768-6703 | 2017-04-03 |
1184089088 | Sydney Jackson | Nurse Practitioner | 207 31st Ave Se, Moultrie, GA 31768-6703 | 2015-12-18 |
1477986859 | Hughston Clinic PC | Durable Medical Equipment & Medical Supplies | 207 31st Ave Se, Moultrie, GA 31768-6703 | 2013-08-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356975452 | Zachary Schiffer | Specialist/Technologist | 3131 S Main Street, Moultrie, GA 31768 | 2020-02-27 |
1326697731 | Daisy Concierge Care | Nursing Care | 437 S. Morris Rd Lt 1, Moultrie, GA 31768 | 2019-09-09 |
1194208751 | Regina Mercer Ward | Nurse Practitioner | 1724 Villa Dr Sw, Moultrie, GA 31768 | 2018-09-10 |
1225473630 | Moultrie Orthodontics, P.C. | Clinic/Center | 12 Longleaf Office Park, Moultrie, GA 31768 | 2013-04-30 |
1497032239 | Freds Stores of Tennessee Inc | Pharmacy | 2601 South Main Street, Moultrie, GA 31768 | 2011-11-08 |
1821382672 | Colquitt Regional Ob/gyn, LLC | Obstetrics & Gynecology | 3 Sweet Bay Ct, Moultrie, GA 31768 | 2011-06-08 |
1568779809 | Shana Goodno | Nurse Practitioner | 207 31 St Ave Se, Moultrie, GA 31768 | 2010-09-08 |
1508177445 | Cherokee Rose Emergency Physicians | Emergency Medicine | 3131 South Main Street, Moultrie, GA 31768 | 2010-06-25 |
1023299963 | Hetal Patel | Counselor | 600 2nd St South East, Moultrie, GA 31768 | 2007-11-20 |
1720146756 | William C Byrd Inc | Assisted Living Facility | 498 5th Street Se, Moultrie, GA 31768 | 2006-12-04 |
Find all providers in zip 31768 |
Taxonomy Code | 363LP2300X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Primary Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639784788 | Natasha Allen | Nurse Practitioner | 4177 Pelham Cir, Lithonia, GA 30038-6140 | 2020-09-14 |
1336753920 | Henny P Brown | Nurse Practitioner | 3430 Ridgeland Pl, Alpharetta, GA 30004-8483 | 2020-09-01 |
1487267415 | Alethea Hope Tucker | Nurse Practitioner | 3685 Braselton Hwy Ste 100, Dacula, GA 30019-5920 | 2020-08-28 |
1952913808 | Carol Jo Wilbanks | Nurse Practitioner | 206 Crest Dr, Rock Spring, GA 30739-2041 | 2020-08-21 |
1164032017 | Myiesha Sellers Mcfarlin | Nurse Practitioner | 55 Sellers Ln, Baxley, GA 31513-2208 | 2020-08-05 |
1124645395 | Kisha Smalley | Nurse Practitioner | 117 Gambier Cv, Mcdonough, GA 30252-6273 | 2020-07-02 |
1346861127 | Finan Tedla | Nurse Practitioner | 2626 Peachtree Rd Nw Unit 1802, Atlanta, GA 30305-5633 | 2020-05-03 |
1841819547 | Millicent Charte Duncan | Nurse Practitioner | 138 Parkview Rd, Savannah, GA 31419-9672 | 2020-04-13 |
1891329660 | Tracey Lynn Murray | Nurse Practitioner | 980 Johnson Ferry Rd Ste 880, Sandy Springs, GA 30342-1609 | 2020-03-02 |
1841820917 | Vedic Family Practice and Wellness | Nurse Practitioner | 1240 Upper Hembree Rd Ste E, Roswell, GA 30076-0914 | 2020-01-17 |
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.