MRS. BRENDA SHORTER (NPI# 1336148188) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336148188 |
| Entity Type | Individual |
| Full Name | MRS. BRENDA SHORTER |
| Credential | NP-C, NNP-BC |
| Practice Address |
980 Johnson Fy Rd Ne Ste 620 Atlanta GA 30342 |
| Mailing Address |
980 Johnson Fy Rd Ne Ste 620 Atlanta GA 30342-1608 |
| Practice Telephone | 4042529751 |
| Practice Fax Number | 6789905763 |
| Mailing Telephone | 4042529751 |
| Mailing Fax Number | 6789905763 |
| Enumeration Date | 2005-07-14 |
| Last Update Date | 2018-07-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN139907 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LN0000X |
Nurse Practitioner Specialization: Neonatal |
RN139907 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 713532283A | 05 | |
| GA | 713532283B | 05 | |
| GA | 713532283C | 05 |
| Street Address |
980 JOHNSON FY RD NE STE 620 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30342 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427685866 | Kristin Ruth Smith | Nurse Practitioner | 980 Johnson Fy Rd Ne Ste 620, Atlanta, GA 30342-1608 | 2020-03-25 |
| 1922501477 | Kelsey Mastin | Advanced Practice Midwife | 980 Johnson Fy Rd Ne Ste 620, Atlanta, GA 30342-1608 | 2018-03-12 |
| 1316238074 | Nabihah R Mahmood | Pediatrics | 980 Johnson Fy Rd Ne Ste 620, Atlanta, GA 30342-1608 | 2011-04-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144820614 | Nia Charnice Griffin | Nurse Practitioner | 5670 Peachtree Dunwoodyroad, Suite 900, Atlanta, GA 30342 | 2020-10-26 |
| 1255945184 | Jennifer Lynne Cole | Behavior Technician | 5555 Glenridge Con Suite 200, Atlanta, GA 30342 | 2020-09-08 |
| 1093336232 | Van Tran | Respiratory Therapist, Registered | 1000 Johnson Ferry Rd Ne, Atlanta, Ga 30342, Atlanta, GA 30342 | 2020-04-28 |
| 1356978340 | Twyla Douglas Jackson I | Clinical Nutrition, 1000 Johnson Ferry Rd Ne, Atlanta, GA 30342 | 2020-03-27 | |
| 1760013411 | Emily Hamm | Dietitian, Registered | 933 D Johnson Ferry Road, Suite 250, Atlanta, GA 30342 | 2020-01-31 |
| 1043855984 | Mackenzie Tucker Wayda | Registered Nurse | 1001 Johnson Ferry Rd. Ne, Atlanta, GA 30342 | 2019-11-14 |
| 1386288454 | Tiauna Lashun Cochman | Psychologist | 1307 Glenridge Dr, Sandy Springs, GA 30342 | 2019-11-01 |
| 1164074399 | Stephen J. White | Hearing Instrument Specialist | 5775 Peachtree Dunwoody Rd Suite 600 Fl. 6, Uhc Hearing, Atl., GA 30342 | 2019-07-09 |
| 1144788142 | Jaytyn LLC | Internal Medicine | 4600 Broswell Road, Atlanta, GA 30342 | 2019-03-08 |
| 1760954705 | Mishele Walker LLC | Counselor | 555 Glenridge Connector, Suite 200, Sandy Springs, GA 30342 | 2018-12-31 |
| Find all providers in zip 30342 | ||||
| Taxonomy Code | 363LN0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Neonatal |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871034587 | Stephanie Joseph | Nurse Practitioner | 4316 Sublime Trl, Atlanta, GA 30349-8882 | 2017-03-14 |
| 1245315118 | Sara Gelson Martin | Nurse Practitioner | 1762 Clifton Rd Ne Ste 103, Emory University, Atlanta, GA 30322-4001 | 2006-10-26 |
| 1548716806 | Kevin Robert Gilliam | Nurse Practitioner | 5901-b Peachtree Dunwoody Road, Atlanta, GA 30328-7156 | 2016-08-28 |
| 1629437348 | Lindsey Martin | Nurse Practitioner | 1001 Johnson Ferry Rd, Atlanta, GA 30342-1605 | 2016-02-23 |
| 1356672034 | Crystal Barcenas | Nurse Practitioner | 550 Peachtree St Ne, Atlanta, GA 30308-2208 | 2010-01-20 |
| 1427388164 | Lisa F Yarn | Nurse Practitioner | 2015 Uppergate Dr, Atlanta, GA 30030 | 2009-12-31 |
| 1326285388 | Mary Neel Johnson | Nurse Practitioner | 5901 Peachtree Dunwoody Rd Ne, Suite B-420, Atlanta, GA 30328-5382 | 2009-01-13 |
| 1891932257 | Alison L Middleton | Nurse Practitioner | 550 Peachtree St Ne, Atlanta, GA 30308-2247 | 2009-01-07 |
| 1043465941 | Jennifer A Button | Nurse Practitioner | 2015 Upper Gate Dr Ne, Atlanta, GA 30322-1014 | 2008-11-20 |
| 1932364684 | Alyssa Nolan Carlson | Nurse Practitioner | 303 Parkway Dr Ne, Atlanta, GA 30312-1212 | 2008-07-22 |
| 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.