MS. ELEANORE REISS (NPI# 1659395796) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659395796 |
| Entity Type | Individual |
| Full Name | MS. ELEANORE REISS |
| Credential | APRN, BC |
| Practice Address |
4153 Lawrenceville Hwy Nw Suite 5 Lilburn GA 30047-2854 |
| Mailing Address |
1527 Silver Hill Ct Stone Mountain GA 30087-2411 |
| Practice Telephone | 7709358616 |
| Mailing Telephone | 7708790780 |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN070451 NP | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4153 LAWRENCEVILLE HWY NW SUITE 5 |
| City | LILBURN |
| State | GA |
| Zip Code | 30047-2854 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912324518 | Mary Maloof | Physical Therapist | 4153 Lawrenceville Hwy Nw, Lilburn, GA 30047-2854 | 2014-03-21 |
| 1164638029 | Michelle Beth Finnegan | Physical Therapist | 4153 Lawrenceville Hwy Nw, Lilburn, GA 30047-2854 | 2007-05-15 |
| 1245308865 | Pma Health Services, Inc. | Chiropractor | 4153 Lawrenceville Hwy Nw, Suite 3, Lilburn, GA 30047-2854 | 2006-12-01 |
| 1548345127 | Philip Anthony Mcwilliams | Chiropractor | 4153 Lawrenceville Hwy Nw, Suite 3, Lilburn, GA 30047-2854 | 2006-10-25 |
| 1013098441 | Roselyn Burton Brown | Physician Assistant | 4153 Lawrenceville Hwy Nw, Suite 5, Lilburn, GA 30047-2854 | 2006-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750861217 | Latrina S Walden | Nurse Practitioner | 887 Ryan Lane, Lilburn, GA 30047 | 2018-08-15 |
| 1811483928 | Olivia Oyegunle | Optometrist | 4153 Lawrenceville Hwy Nw Ste 5, Lilburn, GA 30047 | 2018-07-02 |
| 1932619285 | Mpm Creative, LLC | Speech-Language Pathologist | 1560 Hewatt Rd, Lilburn, GA 30047 | 2017-10-01 |
| 1528515186 | Smith Dental Care of Lilburn, Inc. | Dentist | 3100 Five Forks Trickham Rd Suite 201, Lilburn, GA 30047 | 2016-09-01 |
| 1891143244 | Choices Behavioral Alternatives | Counselor | 4037 Darling Court, Suite B, Lilburn, GA 30047 | 2016-05-26 |
| 1235595687 | Georgia Dental Associates | Clinic/Center | 3100 Five Forks Trickum Road Suite 201, Lilburn, GA 30047 | 2016-01-14 |
| 1912382144 | Sangeetha Asokan | Dentist | 609, Beaver Ruin Road, Tebo Dental for Kids, Lilburn, GA 30047 | 2015-07-29 |
| 1467836403 | Pamela Neal | Registered Nurse | 3315 Landingview Ct, Lilburn, GA 30047 | 2015-07-18 |
| 1699172452 | Josie Kou, Kulah Curran | Registered Nurse | 3708 Tamer Ln, Lilburn, GA 30047 | 2014-11-21 |
| 1184039380 | Cheryl Lee | Chiropractor | 5014 Stone Mountain Hwy, Suite C, Lilburn, GA 30047 | 2014-06-25 |
| Find all providers in zip 30047 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235749284 | Hannah Camille Christopher | Nurse Practitioner | 3834 River Dr Sw, Lilburn, GA 30047-2140 | 2020-08-05 |
| 1376028639 | Janice A Scott | Nurse Practitioner | 3275 Landingview Ct, Lilburn, GA 30047-1405 | 2018-10-02 |
| 1649767310 | Anna Carolina Wheeler Wright | Nurse Practitioner | 707 Planters Row Sw, Lilburn, GA 30047-4142 | 2018-04-18 |
| 1033632047 | Esther Djangmaakwor Narhmartey-darku | Nurse Practitioner | 160 Emily Dr Sw, Lilburn, GA 30047-5268 | 2017-07-21 |
| 1790236040 | Gina Baptiste | Nurse Practitioner | 4603 Creek Forest Ct, Lilburn, GA 30047-8936 | 2016-10-21 |
| 1750787834 | Frederick Benjamin Kay Rovner | Nurse Practitioner | 4756 Habersham Rdg Sw, Lilburn, GA 30047-5603 | 2014-11-17 |
| 1073918280 | Almas Soyal Momin | Nurse Practitioner | 4025 Lawrenceville Highway, Suite A, Lilburn, GA 30047-3013 | 2014-10-30 |
| 1205189107 | Irene Stephanopoulos | Nurse Practitioner | 615 Beaver Ruin Rd Nw Ste B, Lilburn, GA 30047-3401 | 2012-10-17 |
| 1215115092 | Modesta S Hanley | Nurse Practitioner | 4030 Lawrenville Hwy, Georgia Clinic, PC, Lilburn, GA 30047 | 2008-02-05 |
| 1366919698 | Bonnie Marie Lexo-hudson | Nurse Practitioner | 976 Killian Hill Rd Sw, Lilburn, GA 30047-3102 | 2018-10-24 |
| Find all providers in LILBURN | ||||
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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.