ALEXANDRIA FAWCETT GUMUCIO (NPI# 1477186161) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477186161 |
| Entity Type | Individual |
| Full Name | ALEXANDRIA FAWCETT GUMUCIO |
| Credential | NP |
| Practice Address |
2470 Cheshire Bridge Rd Ne Apt 1303 Atlanta GA 30324-3992 |
| Practice Telephone | 6156860947 |
| Enumeration Date | 2020-02-20 |
| Last Update Date | 2020-05-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | RN281103 | GA | Nursing Service Providers |
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
RN281103 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2470 CHESHIRE BRIDGE RD NE APT 1303 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30324-3992 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174158919 | Marianella Anzola | Dietitian, Registered | Grady Brookhaven Health Center, 2695 Buford Hwy Ne 200, Atlanta, GA 30324 | 2020-03-11 |
| 1326515636 | Jacqueline Beckhom | Rehabilitation Counselor | Trinity Social Services, LLC 50 Lenox Pointe, Ne Suite, Atlanta, GA 30324 | 2018-10-25 |
| 1366925497 | David Wayne Richardson | Psychiatry & Neurology | 400 Rock Springs Road Ne, Atlanta, GA 30324 | 2018-09-14 |
| 1730625989 | Hwh, LLC | In Home Supportive Care | 1108 Pine Heights Dr Ne, Atlanta, GA 30324 | 2017-01-12 |
| 1780134403 | The Kroger Co | Durable Medical Equipment & Medical Supplies | 2452 Morosgo Way Ne, Atlanta, GA 30324 | 2016-10-05 |
| 1063891372 | Jacqueline Nguyen | Family Medicine | 1125 Norwich Cir Ne, Atlanta, GA 30324 | 2015-05-20 |
| 1306277595 | Gerald Elroy Mitchell | Occupational Therapist | 1261 La Vista Road Ne, L - 4, Atlanta, GA 30324 | 2013-12-12 |
| 1487086138 | Continuum Care Group | Anesthesiology | 3574 Lenox Rd, 655, Atlanta, GA 30324 | 2013-08-05 |
| 1336589183 | Mary Azar Pride | Registered Nurse | 30-b Lenox Pte. N.e., Bldg 30 - Suite B, Atlanta, GA 30324 | 2013-06-26 |
| 1447594569 | Harley Anti-aging Institute LLC | Medical Genetics, Ph.D. Medical Genetics | 2678 Buford Highway Ne, Atlanta, GA 30324 | 2012-11-15 |
| Find all providers in zip 30324 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063053478 | Emily Elizabeth Adams | Nurse Practitioner | 887 W Marietta St Nw, Atlanta, GA 30318-5252 | 2019-10-07 |
| 1316461221 | Thera Donaldson | Nurse Practitioner | 550 Peachtree St Ne Fl St7, Atlanta, GA 30308-2247 | 2017-08-01 |
| 1083010961 | Shelley-ann Beaubrun | Nurse Practitioner | 1017 Fayetteville Rd Se Ste A, Atlanta, GA 30316-2932 | 2014-11-05 |
| 1063853133 | Tammy Felicia Blackmon | Nurse Practitioner | 270 17th St Nw Unit 2501, Atlanta, GA 30363-1218 | 2013-07-17 |
| 1629415880 | Gina Kim | Nurse Practitioner | 5673 Peachtree Dunwoody Rd Ste 300, Atlanta, GA 30342-1775 | 2013-05-29 |
| 1750559837 | Phyllis Powell Wright | Nurse Practitioner | 3037 Loridan Way Se, Atlanta, GA 30339-5710 | 2008-02-12 |
| 1710036686 | Amy D Imes | Nurse Practitioner | 1155 Perimeter Ctr Fl 11, Atlanta, GA 30338-5463 | 2007-01-09 |
| 1821106733 | Holly Lynne Brown | Nurse Practitioner | 925 Garrett St Se, Suite 313, Atlanta, GA 30316-6826 | 2006-08-29 |
| 1700496981 | Debra Beckum | Nurse Practitioner | 320 Parkway Dr Ne, Atlanta, GA 30312-1213 | 2020-08-03 |
| 1356803357 | Racheal Sowole | Nurse Practitioner | 303 Parkway Dr Ne, Atlanta, GA 30312-1212 | 2019-04-01 |
| 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.