JENNIFER LASSITER (NPI# 1679170740) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679170740 |
| Entity Type | Individual |
| Full Name | JENNIFER LASSITER |
| Credential | ACNPC-AG |
| Practice Address |
4116 Holley Rd. Lizella GA 31052 |
| Mailing Address |
Po Box 759 Lizella GA 31052-0759 |
| Practice Telephone | 4788082945 |
| Mailing Telephone | 4788082945 |
| Enumeration Date | 2020-10-02 |
| Last Update Date | 2020-10-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
RN164928 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
RN164928 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811208218 | Jennifer Chaffin Lassiter | Counselor | 3131 Palmer St, Sacramento, CA 95815-1412 | 2010-06-30 |
| 1518078195 | Jennifer W Lassiter | Pediatrics | 6488 Weddington-monroe Rd, Charlotte, NC 28104-6277 | 2006-08-31 |
| Street Address |
4116 HOLLEY RD. |
| City | LIZELLA |
| State | GA |
| Zip Code | 31052 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063463750 | Salvatore John Dellacona | Family Medicine | 1700 Springhill Church Rd, Lizella, GA 31052 | 2006-05-15 |
| 1710073234 | Nancy Jeffery | Nutritionist | 5190 Sandhill Circle North, Lizella, GA 31052-0624 | 2006-10-04 |
| 1841537362 | Caring Companions, Inc. | Home Health | 8821 Lower Thomaston Rd, Lizella, GA 31052-3148 | 2013-01-04 |
| 1063791739 | Flora Mae Ivey | Registered Nurse | 8167 Eisenhower Pkwy, Lizella, GA 31052-3219 | 2011-08-11 |
| 1538516182 | C Randon Sabathne | Marriage & Family Therapist | 109 Jordan Dr, Lizella, GA 31052-3340 | 2016-05-24 |
| 1407483076 | Sabrina Renee Coneway | Counselor | 3028 Arrowhead Dr, Lizella, GA 31052-3512 | 2020-03-24 |
| 1346505575 | Norma Ray Bivins | Recreation Therapist | 100 Gates Rd, Lizella, GA 31052-3616 | 2012-07-13 |
| 1003030388 | Andrea Thomas-ingram | Speech-Language Pathologist | 348 Hillridge Cv, Lizella, GA 31052-3633 | 2007-04-11 |
| 1760646095 | Traditional Family Healthcare | Family Medicine | 202 Watercress Dr, Lizella, GA 31052-3636 | 2008-07-16 |
| 1932640802 | Krista Nichole Zodarecky | Nurse Practitioner | 516 Spring Run, Lizella, GA 31052-3646 | 2017-03-13 |
| Find all providers in zip 31052 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932640802 | Krista Nichole Zodarecky | Nurse Practitioner | 516 Spring Run, Lizella, GA 31052-3646 | 2017-03-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265032114 | Candace Buckley | Nurse Practitioner | 244 Ashland Dr, Woodstock, GA 30189-7161 | 2020-10-29 |
| 1891301164 | Tashoy Wallace | Nurse Practitioner | 121 Odyssey Turn, Conyers, GA 30012-3681 | 2020-09-21 |
| 1912513672 | Katherine Anne Sego | Nurse Practitioner | 4060 Rolling Meadows Ln, Watkinsville, GA 30677-3011 | 2020-09-18 |
| 1548872468 | Phyllis Kelly Wood | Nurse Practitioner | 217 Banks Rd, Suite 31, Fayetteville, GA 30214 | 2020-08-21 |
| 1588276505 | Sherron Johnson | Nurse Practitioner | 1980 Wrights Way, Jonesboro, GA 30236-7205 | 2020-08-20 |
| 1942811682 | Ashlee Renee Mack | Nurse Practitioner | 116 Slate Cir, Savannah, GA 31419-9681 | 2020-08-16 |
| 1467063610 | Rosa Maria Phillips | Nurse Practitioner | 649 Amicalola Woods Rd, Dawsonville, GA 30534-1205 | 2020-08-12 |
| 1508476581 | Jarvis Reese | Nurse Practitioner | 413 Tug Ct, Warner Robins, GA 31088-2134 | 2020-08-05 |
| 1750991790 | Akosua Frema Sarfo | Nurse Practitioner | 116 Ginkgo Ln, Grovetown, GA 30813-5392 | 2020-08-04 |
| 1851919039 | Robert Brant | Nurse Practitioner | 20 Fairway Oaks, Waverly, GA 31565-2767 | 2020-07-14 |
| 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.