MS. KRISTEN SHEA (NPI# 1285002188) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285002188 |
| Entity Type | Individual |
| Full Name | MS. KRISTEN SHEA |
| Practice Address |
2850 Springdale Rd Sw Atlanta GA 30315 |
| Mailing Address |
740 Sidney Marcus Blvd Ne Atlanta GA 30324-3194 |
| Practice Telephone | 4047628672 |
| Enumeration Date | 2015-09-09 |
| Last Update Date | 2019-04-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
R187273 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
R187273 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6095 Marshalee Dr, Elkridge, MD 210756053 | 8003077820 |
| Street Address |
2850 SPRINGDALE RD SW |
| City | ATLANTA |
| State | GA |
| Zip Code | 30315 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417907098 | Sunbridge Retirement Care Associates LLC | Skilled Nursing Facility | 2850 Springdale Rd Sw, Atlanta, GA 30315-7802 | 2006-05-12 |
| 1629545975 | Fulton Center for Rehabilitation LLC | Skilled Nursing Facility | 2850 Springdale Rd Sw, Atlanta, GA 30315-7802 | 2018-10-25 |
| 1760990097 | Michael Santos | Occupational Therapist | 2850 Springdale Rd Sw, Atlanta, GA 30315-7802 | 2018-01-22 |
| 1881064467 | Geps Physician Group of Georgia PC | Internal Medicine | 2850 Springdale Rd Sw, Atlanta, GA 30315-7802 | 2015-09-25 |
| 1770828691 | Joseph Riordan | Occupational Therapy Assistant | 2850 Springdale Rd Sw, Atlanta, GA 30315-7802 | 2012-12-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083181341 | Erin Cole | Specialist/Technologist | Lakewood Ave Se, Atlanta, GA 30315 | 2018-10-25 |
| 1942701081 | Julie Crocker | Dental Hygienist | 1046 Ridge Ave. Sw, Atlanta, GA 30315 | 2018-02-23 |
| 1457695850 | Dominica Aquino Morales-gibson | Physical Therapist | 2850 Springdale Road Sw, Atlanta, GA 30315 | 2012-11-26 |
| 1912264813 | Maxwell Uhakheme | Internal Medicine | 6875 Douglas Blvd, Suite A, Kaiser Permanente Douglasville Medical Center, Douglasville, GA 30315 | 2012-04-16 |
| 1427329093 | Sulonda Smith | Counselor | 34 Atlanta Ave. Se, Hank Aaron Blvd, Atlanta, GA 30315 | 2012-01-13 |
| 1407152507 | Gerald Leroy Griffin | Pharmacist | 520 Boulevard, Atlanta, GA 30315 | 2011-02-07 |
| 1245404854 | Tunisia Finch Cornelius | Dermatology | 1039 Grant St Se Ste A-11, Atlanta, GA 30315 | 2008-04-15 |
| 1356512180 | Chandra Blakely | Counselor | 215 Lakewood Way, Suite 205, Atlanta, GA 30315 | 2008-03-19 |
| 1104043967 | Alvin H. Clair, M.d.p.c. | Dermatology | 777 Cleveland Ave.,sw Ste.500, Atlanta, GA 30315 | 2007-04-20 |
| 1396877742 | Scott M Russell | Speech-Language Pathologist | 1364 Clifton Road, Atlanta, GA 30315 | 2007-03-12 |
| Find all providers in zip 30315 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063053478 | Emily Elizabeth Adams | Nurse Practitioner | 887 W Marietta St Nw, Atlanta, GA 30318-5252 | 2019-10-07 |
| 1316461221 | Thera Donaldson | Nurse Practitioner | 550 Peachtree St Ne Fl St7, Atlanta, GA 30308-2247 | 2017-08-01 |
| 1083010961 | Shelley-ann Beaubrun | Nurse Practitioner | 1017 Fayetteville Rd Se Ste A, Atlanta, GA 30316-2932 | 2014-11-05 |
| 1063853133 | Tammy Felicia Blackmon | Nurse Practitioner | 270 17th St Nw Unit 2501, Atlanta, GA 30363-1218 | 2013-07-17 |
| 1629415880 | Gina Kim | Nurse Practitioner | 5673 Peachtree Dunwoody Rd Ste 300, Atlanta, GA 30342-1775 | 2013-05-29 |
| 1750559837 | Phyllis Powell Wright | Nurse Practitioner | 3037 Loridan Way Se, Atlanta, GA 30339-5710 | 2008-02-12 |
| 1710036686 | Amy D Imes | Nurse Practitioner | 1155 Perimeter Ctr Fl 11, Atlanta, GA 30338-5463 | 2007-01-09 |
| 1821106733 | Holly Lynne Brown | Nurse Practitioner | 925 Garrett St Se, Suite 313, Atlanta, GA 30316-6826 | 2006-08-29 |
| 1700496981 | Debra Beckum | Nurse Practitioner | 320 Parkway Dr Ne, Atlanta, GA 30312-1213 | 2020-08-03 |
| 1356803357 | Racheal Sowole | Nurse Practitioner | 303 Parkway Dr Ne, Atlanta, GA 30312-1212 | 2019-04-01 |
| Find all providers in ATLANTA | ||||
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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.