MISS ROSELANDE EMMANUEL (NPI# 1336694595) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336694595 |
| Entity Type | Individual |
| Full Name | MISS ROSELANDE EMMANUEL |
| Credential | NP |
| Practice Address |
1990 Old Parker Rd Se Conyers GA 30094-6239 |
| Mailing Address |
1990 Old Parker Rd Se Ste 100 Conyers GA 30094-6239 |
| Practice Telephone | 6783742959 |
| Mailing Telephone | 6783742959 |
| Enumeration Date | 2016-08-17 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN210331 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3424 Sardis Bend Dr, Buford, GA 305196027 | 6786770707 |
| Street Address |
1990 OLD PARKER RD SE |
| City | CONYERS |
| State | GA |
| Zip Code | 30094-6239 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699119255 | Atlanta Quality Care Solutions, LLC | Community/Behavioral Health | 1990 Old Parker Rd Se, Suite 100, Conyers, GA 30094-6239 | 2013-04-24 |
| 1427474030 | Sydney Hendrix | Social Worker | 1990 Old Parker Rd Se, Suite 100, Conyers, GA 30094-6239 | 2014-03-07 |
| 1497170716 | Terra Humphrey | Counselor | 1990 Old Parker Rd Se, Suite 100, Conyers, GA 30094-6239 | 2014-02-24 |
| 1750706313 | Jose Delacruz | Counselor | 1990 Old Parker Rd Se, Suite 100, Conyers, GA 30094-6239 | 2014-02-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164029054 | Darlene Fletcher | Counselor | 827 St. Clair Dr., Conyers, GA 30094 | 2020-10-05 |
| 1194363366 | Clara A Matthews | Physician Assistant | 1930 Windsor Creek Drive Sw, Conyers, GA 30094 | 2019-12-18 |
| 1659838571 | Sensitive Home Care Agency Inc. | PACE Provider Organization | 2225 Morning Dew, Conyers, GA 30094 | 2019-02-27 |
| 1679097992 | Sheira Dennis | Case Management | 3828 Martingale Dr Se, Conyers, GA 30094 | 2017-07-28 |
| 1730571399 | Wellness and Trauma Recovery Center | Counselor | 1775 Parker Rd. Building C, Suite 210, Conyers, GA 30094 | 2015-02-19 |
| 1760870612 | Michael Terrell | Technician/Technologist | 806 Cambridge Creek Dr, Conyers, GA 30094 | 2014-12-30 |
| 1538567466 | Jennifer Angela Johnson | Registered Nurse | 2240 Wren Rd Se, Conyers, GA 30094 | 2014-12-09 |
| 1225445208 | Wanda Marcella Rainey-reed | Counselor | 1453 Klondike Rd Sw Ste D, Conyers, GA 30094 | 2014-07-22 |
| 1508155268 | Nicklaus Trent Rice | Obstetrics & Gynecology | 2750 Owens Dr, Conyers, GA 30094 | 2011-04-04 |
| 1720219660 | Candace Alexander | Dentist | 863 Flat Shoals Rd Se, Suite C #220, Conyers, GA 30094 | 2009-07-27 |
| Find all providers in zip 30094 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760082283 | Helen King-cox | Nurse Practitioner | 1650 Honey Creek Cmns Se, Conyers, GA 30013-5831 | 2020-10-26 |
| 1982202644 | Kathy Delaine Reid | Nurse Practitioner | 2324 Wilson Rd Nw, Conyers, GA 30012-2720 | 2020-10-15 |
| 1720606437 | Natalie Shelton | Nurse Practitioner | 1950 Lancaster Dr Se, Conyers, GA 30013-6442 | 2020-07-09 |
| 1013561323 | Assumpta Ogbedeagu | Nurse Practitioner | 2920 Highway 138 Ne, Conyers, GA 30013-1110 | 2019-07-25 |
| 1528611522 | Danyelle M Smith | Nurse Practitioner | 1755 Parker Rd Se Ste A120, Conyers, GA 30094-6665 | 2019-07-18 |
| 1013475110 | Cecelin E Fields | Nurse Practitioner | 1706 Woodstone Cv Se, Conyers, GA 30013-6303 | 2019-03-07 |
| 1851858914 | Moun E. Thomas | Nurse Practitioner | 2405 Hyde Park Ct, Conyers, GA 30013-7434 | 2019-02-25 |
| 1972075919 | Candice Mooyin | Nurse Practitioner | 1506 Klondike Rd Sw Ste 250, Conyers, GA 30094-5173 | 2018-12-31 |
| 1801362140 | Linda M Leiser | Nurse Practitioner | 1066 Plantation Blvd Se, Conyers, GA 30094-4120 | 2018-10-14 |
| 1356822126 | Glory Dioh-esona | Nurse Practitioner | 2340 Deeside Se, Conyers, GA 30013-6470 | 2018-08-28 |
| Find all providers in CONYERS | ||||
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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.