MARIA GABRIELLA PRUDHOMME (NPI# 1710396718) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710396718 |
| Entity Type | Individual |
| Full Name | MARIA GABRIELLA PRUDHOMME |
| Credential | NP |
| Practice Address |
5126 Hospital Drive Covington GA 30014-2566 |
| Mailing Address |
Po Box 7096 Stockton CA 95267-0096 |
| Practice Telephone | 7703854426 |
| Mailing Telephone | 2099567725 |
| Mailing Fax Number | 2099567733 |
| Enumeration Date | 2014-08-05 |
| Last Update Date | 2015-01-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | RN213432 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN213432 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
5126 HOSPITAL DRIVE |
| City | COVINGTON |
| State | GA |
| Zip Code | 30014-2566 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063508653 | Karen E Sullivan | Pathology | 5126 Hospital Drive, Covington, GA 30014 | 2006-10-04 |
| 1780861260 | Alison Sakiko Hanowell | Anesthesiology | 5126 Hospital Drive, Covington, GA 30014-2566 | 2008-01-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801495635 | Cathy Cassandra Collins | Pharmacist | 3639 Hwy 278, Covington, GA 30014 | 2020-10-22 |
| 1154933877 | Atl Optical LLC | Optometrist | 3135 Highway 278 Ne, Covington, GA 30014 | 2020-08-24 |
| 1932737046 | Samagas House Org | Adult Companion | 1500 Mountain View Cirlcle, Conyers, GA 30014 | 2020-04-01 |
| 1356834360 | Covington Dental Care | Dentist | 4139 Baker Street, Suite 15, Covington, GA 30014 | 2018-06-13 |
| 1487190005 | New Avenues Assessment and Counseling Center LLC | Counselor | 3192 Spring Street, Covington, NEWTON 30014 | 2017-01-07 |
| 1275903973 | Jennifer Carol Bridges | Registered Nurse | 320 Malcom Lane, Covington, GA 30014 | 2015-10-07 |
| 1134598501 | Shelby Boggus King | Physician Assistant | 4181 Hospital Drive Ne, Suite 204, Covington, GA 30014 | 2015-09-16 |
| 1366829814 | Wendy Pazdur | Counselor | 5109 Hwy 278 East, Suite D, Covington, GA 30014 | 2015-05-05 |
| 1306235445 | Covington Center for Family Dentistry | Dentist | 10373 Industrial Blvd, Covington, GA 30014 | 2015-01-13 |
| 1992103428 | Modern Cosmetic Dental Care, LLC | Clinic/Center | 1750 Highway 11, Suite B, Covington, GA 30014 | 2014-12-16 |
| Find all providers in zip 30014 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528693033 | Elizabeth Steele Forjet | Nurse Practitioner | 49 Bleu Lake Dr, Covington, LA 70435-8409 | 2020-03-04 |
| 1073143533 | Nicole Francis-freckleton | Nurse Practitioner | 13110 Greywolf Ln, Covington, GA 30014-9017 | 2020-01-23 |
| 1821637331 | Benitra Tripp | Nurse Practitioner | 75 Camerons Way, Covington, GA 30016-1163 | 2019-12-31 |
| 1730689191 | Valerie Elaine Fanning | Nurse Practitioner | 30 Rosemoore Dr, Covington, GA 30014-7065 | 2018-02-12 |
| 1508235201 | Jessica Bright Scruggs | Nurse Practitioner | 919 S Craig Ave, Suite A, Covington, VA 24426-1954 | 2015-09-23 |
| 1740678507 | Isabelle Scott | Nurse Practitioner | 45 Vilote Fern Ln, Covington, GA 30016-3800 | 2015-01-02 |
| 1407104946 | Tammy B Billings | Nurse Practitioner | 4049 Mt Carmel Rd, Covington, TN 38019-7237 | 2012-08-15 |
| 1134410871 | Billie Atwood | Nurse Practitioner | 16850 Se 272nd St Ste 100, Covington, WA 98042-4931 | 2011-04-28 |
| 1013156595 | Dionne M Stein | Nurse Practitioner | 1970 N. Hwy 190, Covington, LA 70433-5158 | 2009-02-06 |
| 1386891372 | Atnena Leann Luster | Nurse Practitioner | 201 Greenbrier Blvd, Covington, LA 70433-7236 | 2008-08-21 |
| Find all providers in COVINGTON | ||||
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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.