CASEY SALCEDO (NPI# 1699324707) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699324707 |
| Entity Type | Individual |
| Full Name | CASEY SALCEDO |
| Practice Address |
2900 Chamblee Tucker Rd Bldg 16 Atlanta GA 30341-4148 |
| Practice Telephone | 7709391288 |
| Practice Fax Number | 7702122203 |
| Mailing Telephone | 7709391288 |
| Mailing Fax Number | 7702122203 |
| Enumeration Date | 2019-09-11 |
| Last Update Date | 2019-09-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN184724 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | PROFESSIONAL LICENSE | RN184724 | 01 |
| Street Address |
2900 CHAMBLEE TUCKER RD BLDG 16 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30341-4148 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659468668 | Douglas K Laipple | Psychiatry & Neurology | 2900 Chamblee Tucker Rd Bldg 16, Atlanta, GA 30341-4148 | 2006-10-10 |
| 1861032922 | Gaynor L Butler | Social Worker | 2900 Chamblee Tucker Rd Bldg 16, Atlanta, GA 30341-4148 | 2020-01-07 |
| 1609429844 | Vanessa Innocent | Nurse Practitioner | 2900 Chamblee Tucker Rd Bldg 16, Atlanta, GA 30341-4148 | 2019-07-17 |
| 1902465727 | Monica Gibson Rich | Social Worker | 2900 Chamblee Tucker Rd Bldg 16, Atlanta, GA 30341-4148 | 2019-06-06 |
| 1962972208 | Sydney Fagan | Licensed Practical Nurse | 2900 Chamblee Tucker Rd Bldg 16, Atlanta, GA 30341-4148 | 2018-11-29 |
| 1790271500 | Lori Hobbs Mashburn | Nurse Practitioner | 2900 Chamblee Tucker Rd Bldg 16, Atlanta, GA 30341-4148 | 2018-07-04 |
| 1609383967 | Vandeler Davis | Nurse Practitioner | 2900 Chamblee Tucker Rd Bldg 16, Atlanta, GA 30341-4148 | 2018-01-08 |
| 1598276925 | Amber Renee Mize | Social Worker | 2900 Chamblee Tucker Rd Bldg 16, Atlanta, GA 30341-4148 | 2017-10-12 |
| 1457871089 | Quality Connections Counseling and Consulting | Clinic/Center | 2900 Chamblee Tucker Rd Bldg 16, Atlanta, GA 30341-4148 | 2017-06-25 |
| 1689057218 | Jamie Elizabeth Edmunds | Nurse Practitioner | 2900 Chamblee Tucker Rd Bldg 16, Atlanta, GA 30341-4148 | 2015-07-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992207344 | Rabun Marie Robertson | Occupational Therapist | 2320 Perimeter Park Drive, Atlanta, GA 30341 | 2018-03-01 |
| 1568986313 | Charles Edge IIi | Nurse Practitioner | 4770 Buford Highway, Atlanta, GA 30341 | 2017-08-02 |
| 1366971277 | Park Ridge Healthcare and Physical Medicine LLC | Nurse Practitioner | 2896 Chamblee Tucker Road, Suite 4, Atlanta, GA 30341 | 2017-06-06 |
| 1437502937 | Chara Mcgill | Counselor | 13207 Jefferson Circle N, Chamblee, GA 30341 | 2016-07-20 |
| 1982063913 | Stepping Stone of Atlanta | Community/Behavioral Health | 3705 Chamblee Dunwoody Rd, Chamblee, GA 30341 | 2016-02-18 |
| 1013317577 | Marne Day | Counselor | 3720 Chamblee Dunwoody Rd, Chamblee, GA 30341 | 2014-09-02 |
| 1013343680 | Keelan Walker | Speech-Language Pathologist | 4961 Buford Highway Suite 201, Suite 201, Chamblee, GA 30341 | 2013-09-16 |
| 1578901955 | Promonitor LLC | Electrodiagnostic Medicine | 3300 Northwest Expy Bldg 7, Atlanta, GA 30341 | 2013-06-07 |
| 1639415359 | Lawanda B Cooke | Health Educator | 5280 Peachtree Ind Blvd, Chamblee, GA 30341 | 2012-12-28 |
| 1457602773 | Arthur Macrae Wendel | Family Medicine | 4770 Buford Hwy Ms F60, Atlanta, GA 30341 | 2012-09-26 |
| Find all providers in zip 30341 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144820614 | Nia Charnice Griffin | Nurse Practitioner | 5670 Peachtree Dunwoodyroad, Suite 900, Atlanta, GA 30342 | 2020-10-26 |
| 1790398790 | Starr Patrice Dickerson | Nurse Practitioner | 655 Dot Dr, Atlanta, GA 30349-2730 | 2020-08-28 |
| 1265042162 | Habida Elachola | Nurse Practitioner | 2533 Henderson Mill Rd Ne, Atlanta, GA 30345-2135 | 2020-08-05 |
| 1184249815 | Nichelle Osborne | Nurse Practitioner | 5785 Roswell Rd, Atlanta, GA 30328-4903 | 2020-06-09 |
| 1902427149 | Oasis Health Services, LLC | Nurse Practitioner | 6595 Roswell Rd Ste G1255, Atlanta, GA 30328-3152 | 2020-04-28 |
| 1063042927 | Mary Gillon Hall | Nurse Practitioner | 90 La Rue Pl Nw, Atlanta, GA 30327-4075 | 2020-01-20 |
| 1396382321 | Stacey Brinkley | Nurse Practitioner | 3725 Princeton Lakes Pkwy Sw Apt 7304, Atlanta, GA 30331-5564 | 2019-12-10 |
| 1801439401 | Debadrita Mondal | Nurse Practitioner | 180 Jackson St Ne Apt 2506, Atlanta, GA 30312-1373 | 2019-10-26 |
| 1265075170 | Cecile Veronica Maner | Nurse Practitioner | 105 Collier Rd Nw Ste 3040, Atlanta, GA 30309-1733 | 2019-10-23 |
| 1194366567 | Tondalaya K Sanford | Nurse Practitioner | 3119 Fonseca Pass, Atlanta, GA 30349-8140 | 2019-10-07 |
| Find all providers in ATLANTA | ||||
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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.