MRS. CAROLYN MONIQUE HUBBARD (NPI# 1699213363) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1699213363 |
Entity Type | Individual |
Full Name | MRS. CAROLYN MONIQUE HUBBARD |
Credential | FNP-BC |
Practice Address |
1269 Wellbrook Cir Ne Conyers GA 30012-3873 |
Practice Telephone | 7709220505 |
Mailing Telephone | 7709220505 |
Enumeration Date | 2017-02-02 |
Last Update Date | 2017-02-02 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN123804 | GA | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811379985 | Carolyn Hubbard | Technician, Other | 1360 Concord Dr, Ypsilanti, MI 48198-8482 | 2015-06-24 |
1477154326 | Carolyn Hubbard | Technician | 652 Main St, Barboursville, WV 25504-1439 | 2020-11-06 |
1033369475 | Carolyn Renee Hubbard II | Social Worker | 190 Beech St, Suite 102, Gate City, VA 24251-3623 | 2008-09-23 |
1205014735 | Carolyn Lacey Hubbard | Case Manager/Care Coordinator | 3727 Marconi Ave, Sacramento, CA 95821-5303 | 2008-02-06 |
1720091754 | Carolyn Hubbard | Counselor | 8350 Meadow Rd, Suite 272, Dallas, TX 75231-3768 | 2006-08-14 |
Street Address |
1269 WELLBROOK CIR NE |
City | CONYERS |
State | GA |
Zip Code | 30012-3873 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164448452 | Abraham Steven Mcintosh | Internal Medicine | 1269 Wellbrook Cir Ne, Conyers, GA 30012-3873 | 2006-07-13 |
1558899682 | East Atlanta Endoscopy Centers, LLC | Clinic/Center | 1269 Wellbrook Cir Ne, Conyers, GA 30012-3873 | 2017-06-02 |
1063782696 | Mak Anesthesia Westside LLC | Anesthesiology | 1269 Wellbrook Cir Ne, Conyers, GA 30012-3873 | 2012-01-12 |
1598052094 | Eric D. Davis | Internal Medicine | 1269 Wellbrook Cir Ne, Conyers, GA 30012-3873 | 2011-07-05 |
1306965934 | Rosirma Corney | Physician Assistant | 1269 Wellbrook Cir Ne, Conyers, GA 30012-3873 | 2007-03-28 |
1518009430 | Wellbrook Endoscopy Center, PC | Clinic/Center | 1269 Wellbrook Cir Ne, Conyers, GA 30012-3873 | 2007-02-14 |
1295824175 | David Neal Socoloff | Internal Medicine | 1269 Wellbrook Cir Ne, Conyers, GA 30012-3873 | 2006-10-11 |
1942229729 | Karen Lynne Weiss-schorr | Internal Medicine | 1269 Wellbrook Cir Ne, Conyers, GA 30012-3873 | 2006-07-19 |
1962420083 | Fred Alan Levin | Internal Medicine | 1269 Wellbrook Cir Ne, Conyers, GA 30012-3873 | 2006-07-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578188306 | The Eye Md | Ophthalmology | 1359 Milstead Road, Suite #103, Conyers, GA 30012 | 2020-06-08 |
1043855836 | Maurvet Minto | Counselor | 1175 Green St, Conyers, Conyers, GA 30012 | 2019-11-15 |
1770054561 | Sarah Elizabeth Brooks | Physical Medicine & Rehabilitation | 1290 Milstead Ave Ne, Conyers, GA 30012 | 2018-12-06 |
1679091276 | Valorie Antoinette Jones | Counselor | 1175 Green St Se, Conyers, GA 30012 | 2017-09-02 |
1558886341 | Synergy Radiology, LLC | Radiology | 1501 Milstead Road, Suite 140, Conyers, GA 30012 | 2017-08-14 |
1558813295 | Salon Lyon, LLC | Specialist | 1112 West Ave, Se, B, Conyers, GA 30012 | 2016-10-28 |
1992252753 | Traci Hunter Bryan | Pharmacist | 1501 Milstead Ave Ne, Suite 110, Conyers, GA 30012 | 2016-09-08 |
1316491830 | Hye Rim Kim | Anesthesiologist Assistant | 1380 Milstead Rd Ne, Suite G, Conyers, GA 30012 | 2016-08-12 |
1235591397 | David Jeffrey Wasserman | Optometrist | 1192 Dogwood Dr Sw, Conyers, GA 30012 | 2016-03-28 |
1174919187 | Anique Archer | Health Educator | 2170 Lester Rd Nw, Conyers, GA 30012 | 2015-04-07 |
Find all providers in zip 30012 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760082283 | Helen King-cox | Nurse Practitioner | 1650 Honey Creek Cmns Se, Conyers, GA 30013-5831 | 2020-10-26 |
1982202644 | Kathy Delaine Reid | Nurse Practitioner | 2324 Wilson Rd Nw, Conyers, GA 30012-2720 | 2020-10-15 |
1720606437 | Natalie Shelton | Nurse Practitioner | 1950 Lancaster Dr Se, Conyers, GA 30013-6442 | 2020-07-09 |
1013561323 | Assumpta Ogbedeagu | Nurse Practitioner | 2920 Highway 138 Ne, Conyers, GA 30013-1110 | 2019-07-25 |
1528611522 | Danyelle M Smith | Nurse Practitioner | 1755 Parker Rd Se Ste A120, Conyers, GA 30094-6665 | 2019-07-18 |
1013475110 | Cecelin E Fields | Nurse Practitioner | 1706 Woodstone Cv Se, Conyers, GA 30013-6303 | 2019-03-07 |
1851858914 | Moun E. Thomas | Nurse Practitioner | 2405 Hyde Park Ct, Conyers, GA 30013-7434 | 2019-02-25 |
1972075919 | Candice Mooyin | Nurse Practitioner | 1506 Klondike Rd Sw Ste 250, Conyers, GA 30094-5173 | 2018-12-31 |
1801362140 | Linda M Leiser | Nurse Practitioner | 1066 Plantation Blvd Se, Conyers, GA 30094-4120 | 2018-10-14 |
1356822126 | Glory Dioh-esona | Nurse Practitioner | 2340 Deeside Se, Conyers, GA 30013-6470 | 2018-08-28 |
Find all providers in CONYERS |
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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.