DERICKA WEBSTER (NPI# 1720570849) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720570849 |
| Entity Type | Individual |
| Full Name | DERICKA WEBSTER |
| Credential | LPN |
| Practice Address |
4690 Greenleaf Cir Sw Atlanta GA 30331-7142 |
| Practice Telephone | 1678437061 |
| Mailing Telephone | 1678437061 |
| Enumeration Date | 2018-06-04 |
| Last Update Date | 2018-06-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251J00000X | Nursing Care | LPN080024 | GA | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | LPN | LPN080024 | 01 |
| Street Address |
4690 GREENLEAF CIR SW |
| City | ATLANTA |
| State | GA |
| Zip Code | 30331-7142 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861001174 | Whitney Flemister | Social Worker | 3961 Princeton Lakes Way Sw, Atlanta, GA 30331 | 2020-07-23 |
| 1982237400 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 5829 Campbellton Road, S.w, Suite 110, Atlanta, GA 30331 | 2020-02-13 |
| 1295375558 | Drusilla Precious Cudjoe | Behavior Technician | 3800 Camp Creek Parkway Sw, Building 1400, Atlanta, GA 30331 | 2020-01-14 |
| 1497262778 | Champions Pharmacy | Pharmacy | 3886 Princeton Lakes Way Suite 180, Atlanta, GA 30331 | 2018-01-08 |
| 1033629779 | Carmen Ardoin | Counselor | 2636 Martin Luther King Jr. Drive, Suite 12, Atlanta, GA 30331 | 2017-10-09 |
| 1346759974 | Neva R Allison | Nurse Practitioner | 2611 Dayview Ln, Atlanta, GA 30331 | 2017-09-26 |
| 1538678255 | Natalie Mckay | Technician/Technologist | 3915 Cascade Rd, 220, Atlanta, GA 30331 | 2017-09-26 |
| 1700304268 | Tyrone Pipkin | Contractor | 415 Kendrick Terrace Sw, Atlanta, GA 30331 | 2017-09-05 |
| 1073031688 | Kristen Wooldridge | Pharmacist | 3695 Cascade Road, Atlanta, GA 30331 | 2017-09-04 |
| 1548704687 | Advance Pain Management | Health Maintenance Organization | 2950 Stone Hogan Road Connector, Atlanta, GA 30331 | 2016-12-08 |
| Find all providers in zip 30331 | ||||
| Taxonomy Code | 251J00000X |
| Grouping | Agencies |
| Classification | Nursing Care |
| A Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033724638 | Jennifer Melton | Nursing Care | 1888 Hollywood Rd Nw Unit 7401, Atlanta, GA 30318-3206 | 2020-09-10 |
| 1710591425 | Sharon Mckenzie | Nursing Care | 2203 Cumberland Pkwy Se Unit 401, Atlanta, GA 30339-4513 | 2020-09-01 |
| 1831703636 | Uniqueangleshomecareservices | Nursing Care | 257 Maner Ter Se, Atlanta, GA 30339-1930 | 2020-08-31 |
| 1538791413 | League of Private Homecare | Nursing Care | 5310 Arbor Gates Dr Ne, Atlanta, GA 30324-5619 | 2020-02-07 |
| 1255961157 | Benedict Asaka | Nursing Care | 1006 Windy Ridge Ln Se, Atlanta, GA 30339-2404 | 2020-01-20 |
| 1235774563 | Global Private Home Care Solutions, LLC | Nursing Care | 400 Galleria Pkwy Se Ste 1500, Atlanta, GA 30339-5953 | 2019-11-11 |
| 1578114898 | Dunn-harris Healthcare Services LLC | Nursing Care | 1185 Hightower Trl # 500321, Atlanta, GA 30350-2997 | 2019-09-27 |
| 1396395802 | Angel's Touch Caregivers, LLC | Nursing Care | 205 12th St Ne Apt 1304, Atlanta, GA 30309-4759 | 2019-09-17 |
| 1659920940 | Sweet Mothers Home Care | Nursing Care | 1423 Adams Lake Blvd Se, Atlanta, GA 30339-3389 | 2019-09-09 |
| 1184130148 | Melissa Tirado | Nursing Care | 2 Cedar Run Apt T, Atlanta, GA 30350-2480 | 2017-12-28 |
| 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.