MS. DAPHENE LUVATA KIMBALL-BUTLER (NPI# 1669448643) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669448643 |
| Entity Type | Individual |
| Full Name | MS. DAPHENE LUVATA KIMBALL-BUTLER |
| Other Name | MS. DAPHENE LUVATA KIMBALL-WILLIAMSON |
| Credential | RN.PCM.CLC.SANE. |
| Practice Address |
4778 N Henry Blvd Stockbridge GA 30281-3566 |
| Mailing Address |
40 Blake Ave Porterdale GA 30014-5016 |
| Practice Telephone | 7066505793 |
| Practice Fax Number | 7707862223 |
| Mailing Telephone | 7066505793 |
| Mailing Fax Number | 7707862223 |
| Enumeration Date | 2006-02-28 |
| Last Update Date | 2010-01-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WC0400X |
Registered Nurse Specialization: Case Management |
R73283 | SC | Nursing Service Providers |
| N | 163WC0400X |
Registered Nurse Specialization: Case Management |
RN136141 | GA | Nursing Service Providers |
| N | 163WC1500X |
Registered Nurse Specialization: Community Health |
R73283 | SC | Nursing Service Providers |
| Y | 163WC1500X |
Registered Nurse Specialization: Community Health |
RN136141 | GA | Nursing Service Providers |
| N | 163WC1600X |
Registered Nurse Specialization: Continuing Education/Staff Development |
R73283 | SC | Nursing Service Providers |
| N | 163WC1600X |
Registered Nurse Specialization: Continuing Education/Staff Development |
RN136141 | GA | Nursing Service Providers |
| N | 163WL0100X |
Registered Nurse Specialization: Lactation Consultant |
R73283 | SC | Nursing Service Providers |
| N | 163WL0100X |
Registered Nurse Specialization: Lactation Consultant |
RN136141 | GA | Nursing Service Providers |
| N | 163WM0102X |
Registered Nurse Specialization: Maternal Newborn |
R73283 | SC | Nursing Service Providers |
| N | 163WM0102X |
Registered Nurse Specialization: Maternal Newborn |
RN136141 | GA | Nursing Service Providers |
| N | 163WP1700X |
Registered Nurse Specialization: Perinatal |
R73283 | SC | Nursing Service Providers |
| N | 163WW0000X |
Registered Nurse Specialization: Wound Care |
R73283 | SC | Nursing Service Providers |
| N | 163WW0000X |
Registered Nurse Specialization: Wound Care |
RN136141 | GA | Nursing Service Providers |
| N | 163WX0002X |
Registered Nurse Specialization: Obstetric, High-Risk |
R73283 | SC | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000847459B | 05 | |
| GA | 000847459A | 05 |
| Street Address |
4778 N HENRY BLVD |
| City | STOCKBRIDGE |
| State | GA |
| Zip Code | 30281-3566 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689048290 | Talitha Brooks-andino | Nurse Practitioner | 4778 N Henry Blvd, Suite 202, Stockbridge, GA 30281-3566 | 2015-11-19 |
| 1083644249 | Satyanarayana Rao Cheti | Internal Medicine | 4778 N Henry Blvd, Suite 202, Stockbridge, GA 30281-3566 | 2006-07-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164039095 | Colette Alls | Social Worker | 447 Lakeshore Dr, Stockbridge, GA 30281 | 2020-09-24 |
| 1982216800 | Pediatric and Family Behavioral Health of Georgia | Counselor | 1004 Ulster Court, Stockbridge, GA 30281 | 2020-08-21 |
| 1518577659 | Qunique Taveka Toxey | Behavior Technician | 115 N Park Trail, Suite 123, Stockbridge, GA 30281 | 2020-08-04 |
| 1497377675 | Melanie Harvey | Pharmacist | 4467 North Henry Boulevard, Stockbridge, GA 30281 | 2020-05-11 |
| 1114550571 | Cecile Maria Dunkley Layne | Counselor | 255 Corporte Drive, Stockbridge, GA 30281 | 2020-02-13 |
| 1306407143 | Palliative Care of Georgia. LLC | Home Health | 275 Corporate Center Court Ste C, Stockbridge, GA 30281 | 2019-06-24 |
| 1154883791 | Aaliyah Nura Fardan-alexander | Nurse's Aide | 105 Singletree, Stockbridge, GA 30281 | 2019-04-02 |
| 1306306261 | Prosthetic Care, Inc. | Prosthetic/Orthotic Supplier | 150 County Club Drive, Suite 200, Stockbridge, GA 30281 | 2019-03-25 |
| 1356814172 | Kristina Louissaint | Nurse Practitioner | 650 Country Club Dr, Stockbridge, GA 30281 | 2019-01-03 |
| 1942789284 | Cameren Barnes | Physical Therapist | 5473 N Henry Blvd, Stockbridge, GA 30281 | 2018-08-08 |
| Find all providers in zip 30281 | ||||
| Taxonomy Code | 163WC1500X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801349204 | Remigius Idaewor | Registered Nurse | 110 Eagle Spring Dr, Suite C, Stockbridge, GA 30281-6488 | 2016-08-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255967071 | Simran Kaur | Registered Nurse | 2252 Nellie Dr, Augusta, GA 30906-8964 | 2020-03-13 |
| 1124651914 | Gyneth Springs Givens | Registered Nurse | 30 Glen Ridge Ct, Covington, GA 30014-6080 | 2020-02-19 |
| 1760021448 | Kenneth Unuovurhaye | Registered Nurse | 2073 Corners Circle Trce, Lithonia, GA 30058-7993 | 2019-12-30 |
| 1063069391 | Mark Benson | Registered Nurse | 4176 Chatford Cv, Tucker, GA 30084-7907 | 2019-08-21 |
| 1508325242 | Yashate Kinkia Pendergrass | Registered Nurse | 2159 Grove Landing Way, Grovetown, GA 30813-7017 | 2019-03-12 |
| 1083196836 | Peta-gaye C Pilote | Registered Nurse | 319 Regal Way E, Mcdonough, GA 30253 | 2018-08-29 |
| 1144701855 | Nadiyah Gardner | Registered Nurse | 1790 Mulkey Rd Ste 3b, Austell, GA 30106-1122 | 2018-08-22 |
| 1205324357 | Lona M Sims | Registered Nurse | 2113 Defoors Ferry Rd Nw Apt F5, Atlanta, GA 30318-2344 | 2018-04-24 |
| 1881108884 | Carol Lee Hadley | Registered Nurse | 10 Park Place South Se Ste 445, Atlanta, GA 30303-2913 | 2017-11-29 |
| 1164940235 | De Advance Home Healthcare Services Inc | Registered Nurse | 932 Landon Dr, Marietta, GA 30064-6421 | 2017-09-08 |
| Find all providers with the same taxonomy | ||||
| City | STOCKBRIDGE |
| Zip Code | 30281 |
Please comment or provide details below to improve the information on MS. DAPHENE LUVATA KIMBALL-BUTLER.
| 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.