CHRISTINE ESTABROOK (NPI# 1396982559) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396982559 |
| Entity Type | Individual |
| Full Name | CHRISTINE ESTABROOK |
| Credential | ANP-BC |
| Practice Address |
1506 Klondike Rd Sw 203 Conyers GA 30094-5173 |
| Practice Telephone | 7707617260 |
| Practice Fax Number | 6784131818 |
| Mailing Telephone | 7707617260 |
| Mailing Fax Number | 6784131818 |
| Enumeration Date | 2009-01-09 |
| Last Update Date | 2010-03-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
185062 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1506 KLONDIKE RD SW 203 |
| City | CONYERS |
| State | GA |
| Zip Code | 30094-5173 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518940055 | Anuj Masih | Physical Therapist | 1506 Klondike Rd Sw, Suite 202, Conyers, GA 30094-5173 | 2005-11-29 |
| 1457867731 | Lauren Marie Zauche | Nurse Practitioner | 1506 Klondike Rd Sw, Conyers, GA 30094-5173 | 2017-12-21 |
| 1942677901 | Kabian Brown | Social Worker | 1506 Klondike Rd Sw, Ste 403, Conyers, GA 30094-5173 | 2015-08-26 |
| 1710374731 | Schnese Tanel Boddie | Nurse Practitioner | 1506 Klondike Rd Sw, 205, Conyers, GA 30094-5173 | 2015-04-16 |
| 1720345820 | Eagle Physical Therapy and Wellness | Physical Therapist | 1506 Klondike Rd Sw, Suite 202, Conyers, GA 30094-5173 | 2012-04-13 |
| 1437416708 | Pediatric Center for Wellness | Pediatrics | 1506 Klondike Rd Sw, Suite 205, Conyers, GA 30094-5173 | 2012-04-11 |
| 1528129251 | Crystal Berry Hood | Pediatrics | 1506 Klondike Rd Sw, Suite 205, Conyers, GA 30094-5173 | 2006-12-13 |
| 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 | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437634540 | Michaela Seward Jones | Nurse Practitioner | 1010 E Freeway Dr Se, Conyers, GA 30094-5965 | 2018-09-25 |
| 1285103499 | Gaynor Powell | Nurse Practitioner | 985 Taylor St Sw, Conyers, GA 30012-5357 | 2018-11-16 |
| 1730576786 | Erika Dorsey | Nurse Practitioner | 1301 Sigman Rd Ne, Suite 200, Conyers, GA 30012-3812 | 2015-04-16 |
| 1205225257 | Rehana Jiwani | Nurse Practitioner | 1412 Milstead Ave Ne, Conyers, GA 30012-3877 | 2015-01-14 |
| 1487089918 | Yendi Nancy Gomes | Nurse Practitioner | 1301 Sigman Rd Ne Ste 200, Conyers, GA 30012-3819 | 2013-09-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477154110 | Christina Danielle Palau Vaccari | Nurse Practitioner | 712 Pasley Ave Se, Atlanta, GA 30316-2158 | 2020-11-07 |
| 1427657113 | Cynthia Diane Prather | Nurse Practitioner | 3264 Lower Boston Rd, Thomasville, GA 31757-1311 | 2020-10-22 |
| 1932706728 | Alecia Ann Czarnecki | Nurse Practitioner | 6240 Crooked Creek Dr, Rex, GA 30273-5006 | 2020-10-05 |
| 1801401112 | Cotenna D. Clark | Nurse Practitioner | 1857 Cameo Ct, Tucker, GA 30084-7002 | 2020-09-14 |
| 1487264370 | Helen Young Yates | Nurse Practitioner | 40 Red Rock Ct Ne, Ludowici, GA 31316-6280 | 2020-08-05 |
| 1982214334 | Jasmine Alecia Henderson | Nurse Practitioner | 52 Roseberry Cir, Port Wentworth, GA 31407-5612 | 2020-07-31 |
| 1275142994 | Theresia Richardson | Nurse Practitioner | 2033 Buford Hwy Ste 109, Buford, GA 30518-8802 | 2020-07-28 |
| 1063021277 | Elsa Duncan Duncan | Nurse Practitioner | 1822 E Gwinnett St, Savannah, GA 31404-1853 | 2020-07-24 |
| 1154941946 | Joy P Wharton | Nurse Practitioner | 182 Silver Arrow Cir, Austell, GA 30168-7490 | 2020-04-21 |
| 1235769985 | Michelle Brack | Nurse Practitioner | 502 Hall Rd, Thomasville, GA 31757-8105 | 2020-01-22 |
| 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.