MS. SANDRA B. PULASKI (NPI# 1578520557) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1578520557 |
Entity Type | Individual |
Full Name | MS. SANDRA B. PULASKI |
Other Name | MISS SANDRA JEAN BRUBAKER |
Credential | APRN |
Practice Address |
2550 Windy Hill Rd Se Suite 115 Marietta GA 30067-8665 |
Mailing Address |
494 Maxwell Rd Roswell GA 30075-3726 |
Practice Telephone | 7709801818 |
Practice Fax Number | 7709801873 |
Mailing Telephone | 7708833203 |
Enumeration Date | 2006-04-26 |
Last Update Date | 2012-02-21 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 163WG0000X |
Registered Nurse Specialization: General Practice |
2045242 | FL | Nursing Service Providers |
N | 163WG0000X |
Registered Nurse Specialization: General Practice |
R137019 | GA | Nursing Service Providers |
N | 363L00000X | Nurse Practitioner | 2045242 | FL | Physician Assistants & Advanced Practice Nursing Providers |
N | 363L00000X | Nurse Practitioner | R137019 | GA | Physician Assistants & Advanced Practice Nursing Providers |
N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
2045242 | FL | Physician Assistants & Advanced Practice Nursing Providers |
Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
R137019 | GA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
2550 WINDY HILL RD SE SUITE 115 |
City | MARIETTA |
State | GA |
Zip Code | 30067-8665 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619971686 | Deborah M. Burton | Specialist | 2550 Windy Hill Rd Se, Ste 307, Marietta, GA 30067-8665 | 2005-06-08 |
1609202720 | Mak Anesthesia Nw LLC | Anesthesiology | 2550 Windy Hill Rd Se, Suite 218, Marietta, GA 30067-8665 | 2013-09-20 |
1477813954 | Monica Trechele Mcgowan | Nurse Practitioner | 2550 Windy Hill Rd Se, Suite 215, Marietta, GA 30067-8665 | 2012-05-18 |
1457638652 | Arthur H. Mann | Physical Therapist | 2550 Windy Hill Rd Se, Suite 317, Marietta, GA 30067-8665 | 2011-11-16 |
1952606907 | Georgia Pain Physicians, PC | Pharmacist | 2550 Windy Hill Rd Se, Suite 215, Marietta, GA 30067-8665 | 2011-01-24 |
1184936775 | Michael Allen Blakley | Massage Therapist | 2550 Windy Hill Rd Se, 215, Marietta, GA 30067-8665 | 2010-07-12 |
1467773812 | John Kevin Bires | Massage Therapist | 2550 Windy Hill Rd Se, Suite 215, Marietta, GA 30067-8665 | 2010-06-21 |
1255655403 | Juan He | Physician Assistant | 2550 Windy Hill Rd Se, Suite 215, Marietta, GA 30067-8665 | 2010-03-17 |
1316277338 | Aisha Jenelle Mcknight Baron | Plastic Surgery | 2550 Windy Hill Rd Se, Suite # 312, Marietta, GA 30067-8665 | 2010-01-14 |
1346474905 | Gregory Alan Taylor | Chiropractor | 2550 Windy Hill Rd Se, 215, Marietta, GA 30067-8665 | 2009-05-12 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689140022 | Sherry Wilson King | Marriage & Family Therapist | 1640 Powers Ferry Rd Blg 7, Ste 300, Marietta, GA 30067 | 2018-10-23 |
1053886861 | Precious Angel Home Care Services Inc | Adult Companion | 2470 Windy Hill Road, Marietta, Suite 253, Marietta, GA 30067 | 2018-10-08 |
1194206466 | Joshua P Moree | Chiropractor | 860 Franklin Gtwy Se Apt 111, Marietta, GA 30067 | 2018-08-24 |
1841778081 | Sun Pediatrics LLC | Pediatrics | 2520 Windy Hill Rd Se Ste 104, Marietta, GA 30067 | 2018-07-31 |
1508358714 | Mbs Wellness Group, LLC | Durable Medical Equipment & Medical Supplies | 62 Shawnee Trail Se, Marietta, GA 30067 | 2018-06-04 |
1497254213 | Allison M Jancik | Chiropractor | 1355 Terrell Mill Road Se, Bldg 1474, Ste 150, Marietta, GA 30067 | 2018-02-07 |
1801304969 | Danielle Ann Dietrich | Chiropractor | 805 Winterset Pkwy Se, Marietta, GA 30067 | 2018-01-11 |
1740794866 | Jessica Lofgren | Chiropractor | 1130 Northchase Pkwy Se Ste 125, Marietta, GA 30067 | 2017-11-28 |
1871026393 | Rhonda Dawes Milner | Counselor | 1640 Powers Ferry Rd Bldg 16, Suite 100, Marietta, GA 30067 | 2017-04-11 |
1457894537 | Carcelia Delk | Counselor | 1110 Augusta Dr Se, Marietta, GA 30067 | 2016-11-22 |
Find all providers in zip 30067 |
Taxonomy Code | 363LA2200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Adult Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194207613 | Morgan Medical Associates | Nurse Practitioner | 802 Merlon Ct Sw # 30064, Marietta, GA 30064-1592 | 2018-08-31 |
1912431867 | Anthony Izore | Nurse Practitioner | 5163 Tall Oak Drive, Marietta, GA 30068 | 2017-04-18 |
1952768939 | Neighborhood Medical Associates Inc | Nurse Practitioner | 2481 Hurt Rd Sw, Marietta, GA 30008-6029 | 2016-01-22 |
1801208145 | Hardie Calvert Tatman | Nurse Practitioner | 1640 Powers Ferry Rd Se Ste 330, Marietta, GA 30067-5491 | 2014-05-21 |
1720339682 | Natoya Nicola Bender | Nurse Practitioner | 3630 Edenbourgh Pl, Marietta, GA 30066-3081 | 2012-10-01 |
1174898548 | Angel Elizabeth Nofziger | Nurse Practitioner | 3750 Palladian Village Dr Ste 300, Marietta, GA 30066 | 2012-03-18 |
1821268897 | Kim Jane Bruner | Nurse Practitioner | Lockheed Martin, 86 S Cobb Dr, Marietta, GA 30063-0001 | 2008-03-06 |
1780291468 | Tina Annette Mcgrew | Nurse Practitioner | 400 Matthew St Ste 302, Marietta, OH 45750-1656 | 2020-09-28 |
1225514995 | Janet Annikki Dits-rinta-koski | Nurse Practitioner | 1395 S Marietta Pkwy Se Ste 730, Marietta, GA 30067-7886 | 2018-07-16 |
1851842652 | Philip Garofano | Nurse Practitioner | 1395 S Marietta Pkwy Se, Marietta, GA 30067-4440 | 2016-10-18 |
Find all providers in MARIETTA |
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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.