STEPHANIE KUTCHBACK (NPI# 1710358502) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710358502 |
| Entity Type | Individual |
| Full Name | STEPHANIE KUTCHBACK |
| Credential | NP |
| Practice Address |
30 Satellite Dr Winder GA 30680-6211 |
| Mailing Address |
2727 Paces Ferry Road Suite 1-1100 (attention Denise) Atlanta GA 30339 |
| Practice Telephone | 7705860300 |
| Mailing Telephone | 4702713421 |
| Enumeration Date | 2015-10-19 |
| Last Update Date | 2018-06-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
192174 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
30 SATELLITE DR |
| City | WINDER |
| State | GA |
| Zip Code | 30680-6211 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740480193 | Rasha Al Samara | Internal Medicine | 30 Satellite Dr, Ste 100, Winder, GA 30680-6211 | 2007-07-24 |
| 1447573845 | Winder Internal Medicine and Geriatrics Center PC | Internal Medicine | 30 Satellite Dr, Suite 100, Winder, GA 30680-6211 | 2010-03-12 |
| 1194048561 | Pulmonary and Sleep Specialists of Northeast Georgia, PC | Internal Medicine | 30 Satellite Dr, Suite 200, Winder, GA 30680-6211 | 2010-03-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326520776 | Alexandrea Hosch | Specialist/Technologist | 474 Lisa Circle, Winder, GA 30680 | 2018-09-02 |
| 1427574185 | Kristen Layfield Harbin | Dietitian, Registered | 827 Jefferson Hwy, Winder, GA 30680 | 2017-08-15 |
| 1417485715 | Staci Harwell Tebbetts | Optometrist | 279 N Broad St Ste C, Winder, GA 30680 | 2017-05-31 |
| 1609234947 | Carmichaels Home Medical Equipment Inc | Durable Medical Equipment & Medical Supplies | 289 N Broad St, Winder, GA 30680 | 2016-02-02 |
| 1699140434 | Chee Vang | Physical Therapy Assistant | 1012 Bowman Way, Winder, GA 30680 | 2015-12-04 |
| 1518361989 | Usrc Winder, LLC | Clinic/Center | 429 Loganville Hwy Ste 105-109, Winder, GA 30680 | 2014-10-14 |
| 1871901090 | Carol Lumpkin | Nurse Practitioner | 15 Porter St East, Winder, GA 30680 | 2014-07-31 |
| 1548501851 | Jennifer Won | Dentist | 444 Atlanta Hwy Nw Ste 500, Winder, GA 30680 | 2013-03-12 |
| 1801041595 | Joan Theresa James | Obstetrics & Gynecology | 137 W Athens St Ste 103, Winder, GA 30680 | 2008-11-21 |
| 1669636767 | Lee Lindsey Bleshoy | Nurse Practitioner | 133 W Athens St Ste A, Winder, GA 30680 | 2008-07-17 |
| Find all providers in zip 30680 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699278705 | Olga Kukharchuk | Nurse Practitioner | 682 Massey St, Winder, GA 30680-5642 | 2018-03-14 |
| 1710255997 | Seth Lee | Nurse Practitioner | 289 Woodland Dr, Winder, GA 30680-2426 | 2011-12-02 |
| 1669636767 | Lee Lindsey Bleshoy | Nurse Practitioner | 133 W Athens St Ste A, Winder, GA 30680 | 2008-07-17 |
| 1770678567 | Kathleen Ann Lloyd | Nurse Practitioner | 122 W Athens St, Winder, GA 30680-1707 | 2006-10-04 |
| 1053925107 | Brendalyne Facia Tamba | Nurse Practitioner | 361 Resource Pkwy, Winder, GA 30680-8364 | 2020-09-06 |
| 1902423841 | Nicole Reinecke Powell | Nurse Practitioner | 133 W Athens St, Winder, GA 30680-1786 | 2020-06-26 |
| 1942763636 | Courtney M Henson Corbett | Nurse Practitioner | 24 Amherst Dr, Winder, GA 30680-7463 | 2019-04-09 |
| 1023599404 | Ronald James Mirenda | Nurse Practitioner | 299 N Broad St, Winder, GA 30680 | 2018-08-24 |
| 1750734323 | Nelda Darlene Holley | Nurse Practitioner | 316 N Broad St, Winder, GA 30680-2150 | 2016-07-19 |
| 1386024636 | Bryan Stephens | Nurse Practitioner | 133 W Athens St, Winder, GA 30680-1786 | 2015-06-02 |
| Find all providers in WINDER | ||||
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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.