MS. MAUREEN FRANCES VIDRINE (NPI# 1326116633) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326116633 |
| Entity Type | Individual |
| Full Name | MS. MAUREEN FRANCES VIDRINE |
| Other Name | MAUREEN FRANCES ABBATE |
| Credential | APRN-PMH |
| Practice Address |
10385 Hwy 278 Covington GA 30014 |
| Mailing Address |
880 Bethel Church Rd Monroe GA 30655-8109 |
| Practice Telephone | 7707849777 |
| Mailing Telephone | 7707849777 |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2016-08-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | RN076382 | GA | Nursing Service Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
RN076382 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 364S00000X | Clinical Nurse Specialist | RN076382 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ANCC CNS | 019589102 | 01 |
| Street Address |
10385 HWY 278 |
| City | COVINGTON |
| State | GA |
| Zip Code | 30014 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801495635 | Cathy Cassandra Collins | Pharmacist | 3639 Hwy 278, Covington, GA 30014 | 2020-10-22 |
| 1154933877 | Atl Optical LLC | Optometrist | 3135 Highway 278 Ne, Covington, GA 30014 | 2020-08-24 |
| 1932737046 | Samagas House Org | Adult Companion | 1500 Mountain View Cirlcle, Conyers, GA 30014 | 2020-04-01 |
| 1356834360 | Covington Dental Care | Dentist | 4139 Baker Street, Suite 15, Covington, GA 30014 | 2018-06-13 |
| 1487190005 | New Avenues Assessment and Counseling Center LLC | Counselor | 3192 Spring Street, Covington, NEWTON 30014 | 2017-01-07 |
| 1275903973 | Jennifer Carol Bridges | Registered Nurse | 320 Malcom Lane, Covington, GA 30014 | 2015-10-07 |
| 1134598501 | Shelby Boggus King | Physician Assistant | 4181 Hospital Drive Ne, Suite 204, Covington, GA 30014 | 2015-09-16 |
| 1366829814 | Wendy Pazdur | Counselor | 5109 Hwy 278 East, Suite D, Covington, GA 30014 | 2015-05-05 |
| 1306235445 | Covington Center for Family Dentistry | Dentist | 10373 Industrial Blvd, Covington, GA 30014 | 2015-01-13 |
| 1992103428 | Modern Cosmetic Dental Care, LLC | Clinic/Center | 1750 Highway 11, Suite B, Covington, GA 30014 | 2014-12-16 |
| Find all providers in zip 30014 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578953139 | Kela Spikes Bickham | Nurse Practitioner | 112 Innwood Dr Ste H, Covington, LA 70433-9134 | 2015-02-03 |
| 1689933236 | Kelly Ann Robinson | Nurse Practitioner | 70372 5th St, Covington, LA 70433-5423 | 2012-05-16 |
| 1144839457 | George Andrew Darling | Nurse Practitioner | 513 Madison Ave, Covington, KY 41011-1505 | 2020-07-23 |
| 1750915310 | Jennifer Lane Dufriend | Nurse Practitioner | 201 Greenbrier Blvd, Covington, LA 70433-7236 | 2020-02-23 |
| 1912550526 | Justin Branham | Nurse Practitioner | 1401 Madison Ave, Covington, KY 41011-3313 | 2019-07-23 |
| 1053878611 | Melissa Ellis | Nurse Practitioner | 201 Greenbrier Blvd, Covington, LA 70433-7236 | 2019-03-01 |
| 1740633221 | Kylie Eckert | Nurse Practitioner | 513 Madison Ave, Covington, KY 41011-1562 | 2016-07-19 |
| 1669856514 | Reviving Minds LLC | Nurse Practitioner | 112 Innwood Dr Ste H, Covington, LA 70433-9134 | 2015-07-09 |
| 1396149951 | Sarah Dietrich | Nurse Practitioner | 1997 Highway 51 S, Covington, TN 38019-3630 | 2014-10-10 |
| 1487919353 | Living Wellness LLC | Nurse Practitioner | 70372 5th St, Covington, LA 70433-5423 | 2012-07-06 |
| Find all providers in COVINGTON | ||||
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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.