TAYLOR ELIADES (NPI# 1326607573) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326607573 |
| Entity Type | Individual |
| Full Name | TAYLOR ELIADES |
| Practice Address |
3700 Crestwood Pkwy Nw Ste 180 Duluth GA 30096-5583 |
| Mailing Address |
345 Green Rd Sparta NJ 07871-3029 |
| Practice Telephone | 7706912322 |
| Mailing Telephone | 8623242759 |
| Enumeration Date | 2019-06-11 |
| Last Update Date | 2019-06-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
3700 CRESTWOOD PKWY NW STE 180 |
| City | DULUTH |
| State | GA |
| Zip Code | 30096-5583 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477074466 | Kelly Ann Pohlman | Dentist | 3700 Crestwood Pkwy Nw Ste 180, Duluth, GA 30096-5583 | 2017-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922615897 | Georgia Eye Optical, LLC | Ophthalmology | 3800 Pleasant Hill Rd Ste 3, Duluth, GA 30096 | 2020-09-25 |
| 1568090868 | Positive Behavior Services, Inc | Behavior Technician | 3765 Crestwood Pkwy Nw, Duluth, GA 30096 | 2020-03-31 |
| 1861031940 | Elizabeth Ashley Edouard | Counselor | 3464 Duluth Hwy 120, Duluth, GA 30096 | 2020-01-06 |
| 1245701044 | Kathryn Irene Vaughn | Social Worker | 3968 Mainsail Court, Duluth, GA 30096 | 2018-12-06 |
| 1083184626 | Aica Orthopedics, P.C. | Orthopaedic Surgery | 3775 Venture Drive Bldg F, Duluth, GA 30096 | 2018-11-27 |
| 1245709799 | Positive Impact Health Centers, Inc. | Pharmacy | 3350 Breckinridge Blvd, Suite 200a, Duluth, GA 30096 | 2018-11-14 |
| 1235611724 | Katherine Winstead Knott | Counselor | 3460 Summit Ridge Parkway, Suite 503, Duluth, GA 30096 | 2018-08-31 |
| 1710467857 | Envision Optics LLC | Optometrist | 1943 Pleasant Hill Rd, Duluth, GA 30096 | 2018-08-17 |
| 1104314202 | Erin Mckernan Scupham | Chiropractor | 3820 Pleasant Hill Rd. Ne, Suite 4, Duluth, GA 30096 | 2018-04-25 |
| 1053839456 | Rogers Bridge Pediatric Therapy, LLC | Clinic/Center | 2845 Summercrest Ln, Duluth, GA 30096 | 2017-09-06 |
| Find all providers in zip 30096 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154921047 | Liesa Clare Erickson | Student in an Organized Health Care Education/Training Program | 100 Elizabeth St Apt 416, Duluth, MN 55803-2643 | 2020-10-29 |
| 1669087516 | Nurin Ghazzawi | Student in an Organized Health Care Education/Training Program | 1953 Valley Ridge Ln, Duluth, GA 30096-6024 | 2020-09-08 |
| 1447873567 | Elena Marie Lushine | Student in an Organized Health Care Education/Training Program | 4601 Gladstone St, Duluth, MN 55804-2319 | 2020-05-22 |
| 1831719459 | Jennifer Anne Senn | Student in an Organized Health Care Education/Training Program | 2213 W 6th St, Duluth, MN 55806-1513 | 2020-04-23 |
| 1306479852 | Kevin Nevonen | Student in an Organized Health Care Education/Training Program | 2348 Drexel Rd, Duluth, MN 55804-3215 | 2020-02-12 |
| 1073073193 | Quinton Cobb | Student in an Organized Health Care Education/Training Program | 2430 Castlemaine Ct, Duluth, GA 30097-7359 | 2019-03-24 |
| 1093299828 | Gabriela Beatriz Rodriguez | Student in an Organized Health Care Education/Training Program | 2250 Satellite Blvd Ste 175, Duluth, GA 30097-4920 | 2018-09-18 |
| 1033606595 | Daniel James Larson | Student in an Organized Health Care Education/Training Program | 4701 1st Ave S, Duluth, MN 55803-1308 | 2018-04-19 |
| 1891221594 | Cosmina Cristea | Student in an Organized Health Care Education/Training Program | 1335 Herrington Rd, Apt 3228, Duluth, GA 30096-4683 | 2017-05-02 |
| 1962934216 | Kirsten Henk | Student in an Organized Health Care Education/Training Program | 418 N 15th Ave E, Apt 1, Duluth, MN 55812-1225 | 2017-03-28 |
| Find all providers in DULUTH | ||||
Please comment or provide details below to improve the information on TAYLOR ELIADES.
| 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.