MS. NOCOLLEGE A PUPUMA (NPI# 1689626657) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689626657 |
| Entity Type | Individual |
| Full Name | MS. NOCOLLEGE A PUPUMA |
| Credential | P.A.C. |
| Practice Address |
1431 Riverside Pkwy Suite B Lawrenceville GA 30043-5946 |
| Practice Telephone | 7705130111 |
| Practice Fax Number | 7705133731 |
| Mailing Telephone | 7705130111 |
| Mailing Fax Number | 7705133731 |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
003263 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1431 RIVERSIDE PKWY SUITE B |
| City | LAWRENCEVILLE |
| State | GA |
| Zip Code | 30043-5946 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518370196 | Julie Pryor | Registered Nurse | 1431 Riverside Pkwy, Lawrenceville, GA 30043-5996 | 2014-06-11 |
| 1588782346 | Prohealth Integrated Medical | Chiropractor | 1431 Riverside Pkwy, Lawrenceville, GA 30043-5946 | 2007-03-27 |
| 1841233905 | Sylvia Marie Halleck | General Practice | 1431 Riverside Pkwy, Suite B, Lawrenceville, GA 30043-5946 | 2006-06-14 |
| 1841244175 | Christopher P Willis | Chiropractor | 1431 Riverside Pkwy, Suite B, Lawrenceville, GA 30043-5946 | 2006-05-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609483882 | Brittany Javier Dunn | Counselor | 2387 Lawrenceville Huntcrest Way, Lawreneville, GA 30043 | 2020-09-30 |
| 1629614037 | Terrea Gina Bridges | Behavior Technician | 2387 Huntcrest Rd, Lawrenceville, GA 30043 | 2019-11-20 |
| 1215581756 | Elegant Lm Management, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1020 Meadowsong Circle, Lawrenceville, GA 30043 | 2019-08-01 |
| 1093299778 | Shareef Nahas | Clinical Medical Laboratory | 1130 Hurricane Shoals Rd, Suite 1800, Lawrenceville, GA 30043 | 2018-09-19 |
| 1649766874 | Nutritionecw LLC | Dietitian, Registered | 1755 North Brown Rd, Ste.200, Lawrenceville, GA 30043 | 2018-07-11 |
| 1962997965 | David Le Nguyen | Dentist | 2000 Riverside Pkwy Ste 200, Lawrenceville, GA 30043 | 2018-06-22 |
| 1932611688 | Asfc Outreach Therapeutic Counseling Services, LLC | Counselor | 1755 North Brown Road, Suite 200, Lawrenceville, GA 30043 | 2017-11-02 |
| 1518486810 | Shira Brey Williams | Specialist/Technologist | 1030 Collins Hill Rd, Lawrenceville, GA 30043 | 2017-09-18 |
| 1700300795 | Nympha J. Mathurin Meadows | Behavioral Analyst | 650 Oxford Crest Ct, Lawrenceville, GA 30043 | 2017-08-01 |
| 1992245591 | Jagruti Chaudhari | Nurse Practitioner | 855 Buford Drive, Lawrenceville, GA 30043 | 2017-03-01 |
| Find all providers in zip 30043 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811531767 | Kaceyanne Lynn Cerankowski | Physician Assistant | 3131 Princeton Pike Bldg 4a, Lawrenceville, NJ 08648-2201 | 2019-11-04 |
| 1528579950 | Julia Vlada Shumkov | Physician Assistant | 3100 Princeton Pike Ste D, Lawrenceville, NJ 08648-2300 | 2017-10-12 |
| 1851631337 | Dave George | Physician Assistant | 1960 Riverside Parkway Ste#106, Lawrenceville, GA 30043 | 2013-02-21 |
| 1528375946 | Gillian Robinson | Physician Assistant | 900 Legacy Park Dr, Apt 2333, Lawrenceville, GA 30043-8715 | 2010-09-07 |
| 1376705996 | Jacqueline Anne Ritter | Physician Assistant | 123 Franklin Corner Rd Ste 216, Lawrenceville, NJ 08648 | 2008-06-25 |
| 1457439747 | Michelle R Shoultz | Physician Assistant | 545 Old Norcross Rd Ste 300, Lawrenceville, GA 30045-3390 | 2006-11-02 |
| 1326132408 | Michael Johnson | Physician Assistant | 289 Grayson Hwy Ste 2a, Lawrenceville, GA 30046-5726 | 2006-10-03 |
| 1073576716 | Jennifer T. Herbstritt | Physician Assistant | 2500 Brunswick Pike, Suite 101a, Professional Healthcare Services of Lawrenceville, Lawrenceville, NJ 08648-4134 | 2006-04-11 |
| 1285260745 | Elizabeth Joy Elder Sandy | Physician Assistant | 595 Hurricane Shoals Rd Nw Ste 100, Lawrenceville, GA 30046-8762 | 2020-03-17 |
| 1972085223 | Amber Nicole Matthews | Physician Assistant | 2775 Cruse Rd, Lawrenceville, GA 30044-7140 | 2018-09-04 |
| Find all providers in LAWRENCEVILLE | ||||
| City | LAWRENCEVILLE |
| Zip Code | 30043 |
Please comment or provide details below to improve the information on MS. NOCOLLEGE A PUPUMA.
| 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.