ANGELA DERAAD (NPI# 1619409224) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619409224 |
| Entity Type | Individual |
| Full Name | ANGELA DERAAD |
| Other Name | LUCRETTIA ANGELIQUE NICOLETTE FRANKLIN |
| Practice Address |
1175 Cascade Pkwy Sw Atlanta GA 30311-3090 |
| Practice Telephone | 7064152862 |
| Mailing Telephone | 7064152862 |
| Enumeration Date | 2017-04-02 |
| Last Update Date | 2017-04-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WL0100X |
Registered Nurse Specialization: Lactation Consultant |
L-16676 | GA | Nursing Service Providers |
| Y | 163WM0102X |
Registered Nurse Specialization: Maternal Newborn |
129675 | GA | Nursing Service Providers |
| Street Address |
1175 CASCADE PKWY SW |
| City | ATLANTA |
| State | GA |
| Zip Code | 30311-3090 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932141710 | Kaiser Foundation Health Plan of Georgia, Inc. | Pharmacy | 1175 Cascade Pkwy Sw, Atlanta, GA 30311-3090 | 2006-06-13 |
| 1093289126 | Jo Underwood | Nurse Practitioner | 1175 Cascade Pkwy Sw, Atlanta, GA 30311-3090 | 2019-01-11 |
| 1700316858 | Aaron Pettyjohn | Student in an Organized Health Care Education/Training Program | 1175 Cascade Pkwy Sw, Atlanta, GA 30311-3090 | 2017-06-12 |
| 1598297632 | Ariel Nicole Grady | Internal Medicine | 1175 Cascade Pkwy Sw, Atlanta, GA 30311-3090 | 2017-03-29 |
| 1053866046 | Hannah Kang | Pharmacist | 1175 Cascade Pkwy Sw, Atlanta, GA 30311-3090 | 2016-08-18 |
| 1588008619 | Jennifer Tiamese Yancey Thomas | Pediatrics | 1175 Cascade Pkwy Sw, Atlanta, GA 30311 | 2013-04-19 |
| 1649559683 | Stephanie Mitchell Roberts | Pharmacist | 1175 Cascade Pkwy Sw, Atlanta, GA 30311-3090 | 2011-08-09 |
| 1407091267 | Joy Ekpo Uya | Family Medicine | 1175 Cascade Pkwy Sw, Atlanta, GA 30311 | 2008-12-09 |
| 1598928129 | Kaiser Foundation Health Plan of Georgia Inc. | Clinical Medical Laboratory | 1175 Cascade Pkwy Sw, Atlanta, GA 30311-3090 | 2008-07-03 |
| 1962699850 | Carrie Johnson | Pharmacist | 1175 Cascade Pkwy Sw, Atlanta, GA 30311-3090 | 2007-09-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528612694 | Modern Internal Medicine Urgent Care and Primary Care Inc | Clinic/Center | 2457 Martin Luther King Jr, Dr, Sw, Suit A, Atlanta, GA 30311 | 2019-07-27 |
| 1528515053 | Cherese Williams | Counselor | 2636 M L K Jr Dr Sw, Suite 22, Atlanta, GA 30311 | 2016-09-01 |
| 1558754168 | James Edwin Wagner | Licensed Practical Nurse | 377 Peyton Road S W, Atlanta, GA 30311 | 2015-03-07 |
| 1790180131 | Johnny L Johnson | Nutritionist | 3030 Cambelton Rd, Atlanta, GA 30311 | 2014-10-28 |
| 1770718330 | Clayton E. Bell Sr. | Chiropractor | 2905 Campbellton Road, Suite G, Atlanta, GA 30311 | 2009-05-26 |
| 1720243207 | Farida Zohouri | Counselor | 2536 Martin Luther King Jr. Dr. Sw, Atlanta, GA 30311 | 2008-07-23 |
| 1649348962 | Mona Elaine Reynolds | Chiropractor | 3079 Campbellton Road, Suite 205, Atlanta, GA 30311 | 2006-12-04 |
| 1245337211 | Loreen C Doyle-littles | Pediatrics | 1175 Cascade Pkwy, Pediatrics Health Care Team A, Atlanta, GA 30311 | 2006-09-20 |
| 1740383512 | Georgia Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 2429 Martin Luther King Jr. Dr., Atlanta, GA 30311 | 2006-09-07 |
| 1407806359 | Booker T Poe | Pediatrics | 2600 Martin Luther King Jr Dr, Ste 202, Atlanta, GA 30311 | 2006-05-11 |
| Find all providers in zip 30311 | ||||
| Taxonomy Code | 163WM0102X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Maternal Newborn |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780947051 | Atlanta Childbirth Resources, LLC | Registered Nurse | 2290 Ben Hill Rd Sw, Atlanta, GA 30311-5406 | 2012-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831466242 | Sandra Nanette Cox | Registered Nurse | 14 Gray Fox Ct, Cataula, GA 31804-4420 | 2011-11-30 |
| 1235398074 | Brenda Womack Blackmon | Registered Nurse | 300 W Hospital Road 11c17 Eamc, Attn Office of Graduate Medical Education, Fort Gordon, GA 30905-5650 | 2008-06-06 |
| 1699957530 | Danielle K Miller | Registered Nurse | 11301 Wesley Providence Pkwy, Lithonia, GA 30038-6979 | 2007-12-03 |
| 1124645981 | Jessica Logue | Registered Nurse | 791 Poplar St, Macon, GA 31201-2045 | 2020-06-28 |
| 1164958153 | Je'nine Lindie | Registered Nurse | 200 Crescent Center Pkwy, Tucker, GA 30084-7047 | 2017-05-11 |
| 1609225945 | Athanasia Ashley | Registered Nurse | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2016-06-07 |
| 1891153359 | Ann Elizabeth Brand | Registered Nurse | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2016-01-29 |
| 1215394747 | Jennifer Anne Parker | Registered Nurse | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2016-01-28 |
| 1215301262 | Courtney Salter | Registered Nurse | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2015-11-13 |
| 1992172001 | Rebecca Wolfe | Registered Nurse | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2015-08-24 |
| 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.