KIMBERLY FAITH MELVAN (NPI# 1477863157) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477863157 |
| Entity Type | Individual |
| Full Name | KIMBERLY FAITH MELVAN |
| Other Name | KIMBERLY FAITH HARRIS |
| Credential | DPT |
| Practice Address |
59 Executive Park S Suite 1100 Atlanta GA 30329-2208 |
| Mailing Address |
Po Box 102831 Atlanta GA 30368-2831 |
| Practice Telephone | 4047786330 |
| Practice Fax Number | 4047786370 |
| Mailing Telephone | 4047786330 |
| Mailing Fax Number | 4047786370 |
| Enumeration Date | 2010-10-15 |
| Last Update Date | 2015-11-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
07968R | LA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
59 EXECUTIVE PARK S SUITE 1100 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30329-2208 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427054386 | Atlanta Prosthetics & Orthotics, Inc. | Durable Medical Equipment & Medical Supplies | 59 Executive Park S, Suite 1300, Atlanta, GA 30329-2208 | 2005-06-24 |
| 1174143275 | Alexander Ross Webb | Student in an Organized Health Care Education/Training Program | 59 Executive Park S, Atlanta, GA 30329-2208 | 2020-04-20 |
| 1275152019 | Haley Marie Mckissack | Student in an Organized Health Care Education/Training Program | 59 Executive Park S, Atlanta, GA 30329-2208 | 2020-04-12 |
| 1609405356 | Jason Shah | Student in an Organized Health Care Education/Training Program | 59 Executive Park S, Atlanta, GA 30329-2208 | 2020-04-05 |
| 1326693656 | Shatari Grimes | Occupational Therapist | 59 Executive Park S, Atlanta, GA 30329-2208 | 2019-08-05 |
| 1245798248 | Erin Dobeck | Nurse Practitioner | 59 Executive Park S, Atlanta, GA 30329-2208 | 2019-03-08 |
| 1548793185 | Huai Ming Phen | Student in an Organized Health Care Education/Training Program | 59 Executive Park S, Suite 2000, Atlanta, GA 30329-2208 | 2017-04-11 |
| 1598128092 | Heather Schmidt | Specialist/Technologist | 59 Executive Park S, Atlanta, GA 30329-2208 | 2016-04-01 |
| 1932562824 | Cherell Lawson | Specialist/Technologist | 59 Executive Park S, Atlanta, GA 30329-2208 | 2016-03-30 |
| 1245693209 | Jordan Teboda | Specialist/Technologist | 59 Executive Park S, Atlanta, GA 30329-2208 | 2016-03-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871084111 | Inner Peace Counseling Services,llc | Counselor | 2801 Bufford Highway, Suite T-10, Atlanta, GA 30329 | 2018-05-22 |
| 1912409392 | Joie De Vivre Counseling and Therapy | Counselor | 2801 Buford Highway, Ne, Atlanta, GA 30329 | 2018-03-01 |
| 1902329105 | Barbara Dunbar | Psychologist | 1777 Northeast Expressway, #175, Atlanta, GA 30329 | 2017-07-19 |
| 1114449048 | Cricket Cheyenne Gullickson | Student in an Organized Health Care Education/Training Program | 1371 Briarvista Way Ne, Atlanta, GA 30329 | 2017-07-12 |
| 1902357866 | Carla Zimmerly | Nurse Practitioner | 1711 Tullie Circle, Atlanta, GA 30329 | 2016-10-17 |
| 1316490808 | Shahzad Ghori | Student in an Organized Health Care Education/Training Program | 1727 Druid Oaks Ne, Atlanta, GA 30329 | 2016-08-01 |
| 1023467768 | Ashley Elliott | Physician Assistant | 59 Executive Park, Atlanta, GA 30329 | 2016-06-03 |
| 1285096115 | Kimberley Fox | Internal Medicine | 1600 Clifton Rd Ne, Ms A-04, Cdc, Atlanta, GA 30329 | 2016-03-21 |
| 1275991648 | Mary Patricia Joyce | Internal Medicine | 1600 Clifton Road, E-47, Centers for Disease Control and Prevention, Atlanta, GA 30329 | 2016-02-01 |
| 1346656618 | Amelia Muniz Hernandez | Pediatrics | 1841 Clifton Rd Ne # 508, Atlanta, GA 30329 | 2014-07-08 |
| Find all providers in zip 30329 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649791005 | Caitlin Moriah Clark | Physical Therapist | 1995 N Park Pl Se Ste 410, Atlanta, GA 30339-2072 | 2017-07-06 |
| 1669862769 | Westside Physical Therapy, LLC | Physical Therapist | 1695 Marietta Blvd Nw, At Atlanta Ballet, Atlanta, GA 30318-3644 | 2015-01-27 |
| 1689073553 | Ilana Danneman | Physical Therapist | 2016 Lakesprings Way, Atlanta, GA 30338-4414 | 2014-08-17 |
| 1366851107 | Mackenzie Olson | Physical Therapist | 1365 Clifton Rd Ne Ste 2218, Atlanta, GA 30322-1013 | 2014-08-06 |
| 1992066013 | Nia I Seidu-clark | Physical Therapist | 688 Spring St, Atlanta, GA 30354-1414 | 2012-06-05 |
| 1750601464 | Audrey K Jones | Physical Therapist | 195 Arizona Ave., L/w-2, Suite 400, Atlanta, GA 30307 | 2010-06-03 |
| 1588995054 | Stacy Hosp | Physical Therapist | 3280 Peachtree Rd Ne, 225, Atlanta, GA 30305-2430 | 2010-01-24 |
| 1326372293 | Leslie K Wolfe | Physical Therapist | 1144 Zimmer Dr Ne, Atlanta, GA 30306-3321 | 2009-09-25 |
| 1912988098 | Injury Prevention & Management Consulting LLC | Physical Therapist | 1 Dunwoody Park, Suite 121, Atlanta, GA 30338-6202 | 2005-11-07 |
| 1982266284 | Sabrina Michelle Viola | Physical Therapist | 3200 Downwood Cir Nw Ste 700, Atlanta, GA 30327-5308 | 2019-07-08 |
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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.