JACQUELINE WIETING


Address: 1968 Peachtree Rd Nw Bldg 775th, Atlanta, GA 30309-1281
Phone: 4046054600

JACQUELINE WIETING (NPI# 1659870905) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1659870905
Entity Type Individual
Full Name JACQUELINE WIETING
Credential NP-BC
Practice Address 1968 Peachtree Rd Nw Bldg 775th
Atlanta
GA 30309-1281
Mailing Address 2727 Paces Ferry Rd Se Ste 1-1100
Atlanta
GA 30339-6151
Practice Telephone 4046054600
Mailing Telephone 4702713418
Enumeration Date 2018-02-01
Last Update Date 2019-03-18
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner RN263743 GA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1968 PEACHTREE RD NW BLDG 775TH
City ATLANTA
State GA
Zip Code 30309-1281

Providers in the same location

NPI Name Taxonomy Address Enumeration
1225211204 Sonjia L. Tucker Nurse Practitioner 1968 Peachtree Rd Nw Bldg 775th, Atlanta, GA 30309-1281 2007-12-12
1669943320 Kari Loucye Hurt Nurse Practitioner 1968 Peachtree Rd Nw Bldg 775th, Atlanta, GA 30309-1281 2018-12-06
1831668334 Stephanie Ann Arrington Nurse Practitioner 1968 Peachtree Rd Nw Bldg 775th, Atlanta, GA 30309-1281 2018-11-14
1033668231 Ashley Amanda Sweat Physician Assistant 1968 Peachtree Rd Nw Bldg 775th, Atlanta, GA 30309-1281 2016-09-28
1174976112 Nicole Richards Physician Assistant 1968 Peachtree Rd Nw Bldg 775th, Atlanta, GA 30309-1281 2016-07-14
1962750216 Megan Teresa Taylor Physician Assistant 1968 Peachtree Rd Nw Bldg 775th, Atlanta, GA 30309-1281 2012-08-16
1265759963 Clark David Kensinger Transplant Surgery 1968 Peachtree Rd Nw Bldg 775th, Atlanta, GA 30309-1281 2010-04-21
1912132218 Jessica L Cioffi Surgery 1968 Peachtree Rd Nw Bldg 775th, Atlanta, GA 30309-1281 2009-05-16
1972737674 Evan Weitman Transplant Surgery 1968 Peachtree Rd Nw Bldg 775th, Atlanta, GA 30309 2009-05-08
1780844043 Emmanuel Minja Transplant Surgery 1968 Peachtree Rd Nw Bldg 775th, Atlanta, GA 30309-1281 2008-06-11
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1396382354 Astoria Dentistry LLC Dentist 2233 Peachtree Rd. Nw, Suite 300, Atlanta, GA 30309 2019-12-09
1487133740 S2 Telehealth Technologies, LLC Psychiatry & Neurology 915 W Peachtree St Nw Apt 522, Atlanta, GA 30309 2018-08-08
1841782620 Janie Mardis Social Worker 3 Park Ln Ne, Apt H, Atlanta, GA 30309 2018-06-06
1083102842 Veronica L Bentley Specialist/Technologist, Other 1170 Peachtree Street Suite 1200, Atlanta, GA 30309 2018-04-27
1427566363 Net Medical Corp Chiropractor 1100 Spring St Sw, Ste#700, Atlanta, GA 30309 2018-01-12
1871000463 Mary James (jamie) Johnson Counselor 1100 Spring Street, Suite 380, Atlanta, GA 30309 2018-01-04
1306377817 Aliyah Lamis Scott Social Worker 1745 Peachtree Road Ne, Kaiser Permanente Brookwood Medical Office, Atlanta, GA 30309 2017-03-26
1013450774 Caroline Hallen Nurse Practitioner 105 Collier Rd Nw Suite 3040, Atlanta, GA 30309 2016-11-29
1528501723 Ant-aging Queen Nutritionist 1801 Atlanta Medical Clinic, Suite 250, Atlanta, GA 30309 2016-11-21
1790231439 Nurse 2 Health Home Care LLC Home Health 1075 Peachtree Street Ne, Atlanta, GA 30309 2016-09-01
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Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1457963456 Catelyn Conway Wheeler Nurse Practitioner 970 Gilbert St Se, Atlanta, GA 30316-2509 2020-08-20
1033737754 Meagan Ashley Short Nurse Practitioner 993 Johnson Fy Rd Ne Ste F210, Atlanta, GA 30342-1688 2020-07-09
1538796537 Johnanika Lanya House Nurse Practitioner 77 Collier Rd Nw Ste 2000, Atlanta, GA 30309-1754 2020-03-27
1952938466 Kelsey Claire Jones Nurse Practitioner 1325 Benteen Park Dr Se, Atlanta, GA 30315-4441 2020-03-25
1457986598 Joi Aimee Bell-blanding Nurse Practitioner 318 Parducci Trl, Atlanta, GA 30349-8125 2020-03-09
1932734530 Wellness Rx Medical Services LLC Nurse Practitioner 1379 Plaza Ave Sw, Atlanta, GA 30310-3742 2020-03-04
1366089757 Katherine Elizabeth Mitzel Nurse Practitioner 95 Collier Rd Nw Ste 4055, Atlanta, GA 30309-1749 2019-12-04
1114564754 Mary Twum Arthur Nurse Practitioner 7 Executive Park Dr Ne Apt 2303, Atlanta, GA 30329-2270 2019-12-02
1770127060 Trinetta Gipson Nurse Practitioner 2300 Global Forum Blvd Apt 838, Atlanta, GA 30340-4486 2019-10-30
1053965855 Patrice Munsel Henry Nurse Practitioner 80 Jessie Hill Drive Se, Atlanta, GA 30303 2019-07-30
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Competitor

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City ATLANTA
Zip Code 30309

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Dataset Information

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.

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