TARA DARLENE KENDRICK (NPI# 1376942144) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1376942144 |
Entity Type | Individual |
Full Name | TARA DARLENE KENDRICK |
Credential | FNP-C |
Practice Address |
170 Curtis Pkwy Ne Suite 1 Calhoun GA 30701-2062 |
Mailing Address |
Po Box 12938 C/o Clinic Management Calhoun GA 30703-7013 |
Practice Telephone | 7068795770 |
Practice Fax Number | 7066244336 |
Enumeration Date | 2014-08-18 |
Last Update Date | 2018-12-20 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LX0001X |
Nurse Practitioner Specialization: Obstetrics & Gynecology |
RN144327 | GA | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
GA | 003155554B | 05 |
Street Address |
170 CURTIS PKWY NE SUITE 1 |
City | CALHOUN |
State | GA |
Zip Code | 30701-2062 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558337063 | Joy Akunna Nwadike | Obstetrics & Gynecology | 170 Curtis Pkwy Ne, Suite 1, Calhoun, GA 30701-2062 | 2006-02-24 |
1316255359 | Adventist Health System Georgia, Inc | Clinic/Center | 170 Curtis Pkwy Ne, Calhoun, GA 30701-2062 | 2010-09-23 |
1619108206 | Melodi Lynne Lewis-carvour | Physician Assistant | 170 Curtis Pkwy Ne, Suite 1, Calhoun, GA 30701-2062 | 2009-07-31 |
1841329794 | Calhoun Obstetrics and Gynecology Associates | Clinic/Center | 170 Curtis Pkwy Ne, Suite 1, Calhoun, GA 30701-2062 | 2007-03-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346856853 | Mahaly H Ashley | Counselor | 367 Richardson Rd, Calhoun, GA 30701 | 2020-09-21 |
1639714140 | Alexis Mann | Counselor | 629 Harkins Street, Calhoun, GA 30701 | 2019-11-08 |
1649812322 | K -va -t Food Stores Inc | Durable Medical Equipment & Medical Supplies | 225 Lovers Lane, Calhoun, GA 30701 | 2019-10-14 |
1225679186 | Alexandra Halleck | Physical Therapy Assistant | 1387 Hwy 41 N, Calhoun, GA 30701 | 2019-10-02 |
1508325432 | Angela Munyan Chin | Nurse Practitioner | 1754 Everett Springs Rd Ne, Calhoun, GA 30701 | 2019-03-19 |
1548745342 | Gacalhoun Snf LLC | Skilled Nursing Facility | 1387 Highway 41 N., Calhoun, GA 30701 | 2018-09-27 |
1568990018 | Katherine Ann Hayes | Physical Therapy Assistant | Blue Ridge Nursing Home Calhoun, 1387 Us 41 N, Calhoun, GA 30701 | 2017-05-30 |
1639566508 | Moslem Eskandari | Pharmacist | 1101 Red Bud Rd, Calhoun, GA 30701 | 2015-04-18 |
1366882367 | Stella P. Bonner | Dentist | 500 South Wall St., Calhoun, GA 30701 | 2013-07-05 |
1417393885 | New Serenity Inc | Clinic/Center | 1321 Hwy 41 N, Calhoun, GA 30701 | 2013-05-13 |
Find all providers in zip 30701 |
Taxonomy Code | 363LX0001X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Obstetrics & Gynecology |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871901090 | Carol Lumpkin | Nurse Practitioner | 15 Porter St East, Winder, GA 30680 | 2014-07-31 |
1992138788 | Lindley Ann Cone Kent | Nurse Practitioner | 285 Boulevard Ne Ste 110, Atlanta, GA 30312-4207 | 2013-08-15 |
1881963122 | Heather Calhoun Quaile | Nurse Practitioner | 3233 S Cherokee Ln Bldg 1000, Woodstock, GA 30188-4461 | 2011-12-15 |
1275812760 | Leah Galloway Pombo | Nurse Practitioner | 9 Dunwoody Park Ste 108, Atlanta, GA 30338-6712 | 2011-08-15 |
1033315122 | Suni Hamm Carroll | Nurse Practitioner | 1105 N 5th Ave Ne, Rome, GA 30165-2603 | 2007-06-25 |
1619189784 | Pamela T. Puett | Nurse Practitioner | 1279 Highway 54 W Ste 220, Fayetteville, GA 30214-4552 | 2007-05-03 |
1538201330 | Betty S Rhyne | Nurse Practitioner | 618 E Lamar St, Americus, GA 31709-3738 | 2007-02-12 |
1457389751 | Katina Catrice Hunter | Nurse Practitioner | 4849 Paulsen St Ste 314, Savannah, GA 31405-4426 | 2006-06-28 |
1912945288 | Angela B Townsend | Nurse Practitioner | 11168 Columbia St, Blakely, GA 39823-3474 | 2006-06-02 |
1316900343 | Regina C Bogle | Nurse Practitioner | 1301 Sigman Rd Ne Ste 180, Conyers, GA 30012-3924 | 2006-04-10 |
Find all providers with the same taxonomy |
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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.