KATHRYN ROSE CLAYTON (NPI# 1740393115) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740393115 |
| Entity Type | Individual |
| Full Name | KATHRYN ROSE CLAYTON |
| Credential | MD |
| Practice Address |
107 Highland Dr Riverdale GA 30296-1115 |
| Practice Telephone | 7709975714 |
| Practice Fax Number | 7709972844 |
| Mailing Telephone | 7709975714 |
| Mailing Fax Number | 7709972844 |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00753827A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962830885 | Kathryn Clayton | Nurse Practitioner | 1172 Fm 620 N, Austin, TX 78750-1348 | 2013-10-31 |
| 1447599469 | Kathryn Clayton | Counselor | 1190 Jefferson St, Ste 102, Washington, MO 63090-4443 | 2013-02-11 |
| 1952592586 | Kathryn J Clayton | Emergency Medicine | 103 N Oak St, O Fallon, IL 62269-1165 | 2007-08-08 |
| Street Address |
107 HIGHLAND DR |
| City | RIVERDALE |
| State | GA |
| Zip Code | 30296-1115 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417558594 | James D Hickman | Home Health Aide | 2252 Addison Park, Riverdale, GA 30296 | 2020-11-04 |
| 1255973251 | Octavia Bostic | Nurse's Aide | 7670 Creekside Lane, Riverdale, GA 30296 | 2019-10-10 |
| 1548746829 | Verna Stoner-frazier | Physical Therapist | 1542 Bethaven Rd, Riverdale, GA 30296 | 2018-07-19 |
| 1346762705 | Letty Searcy | Case Manager/Care Coordinator | 7125 E. Village Ct, Riverdale, GA 30296 | 2017-07-07 |
| 1225402639 | Optima Physical Therapy Services | Clinic/Center | 808 Commerce Boulevard, Riverdale, GA 30296 | 2015-11-23 |
| 1437409224 | Mobile Nursing Service LLC | Nursing Care | 829 Scott Rd, Riverdale, GA 30296 | 2012-09-19 |
| 1104069517 | Taina S. Holly | Licensed Practical Nurse | 1234 Elgin Way, Riverdale, GA 30296 | 2009-04-15 |
| 1386720118 | Absolute Healthcare & Rehab Center | Chiropractor | 1807 Hwy 138 Sw, Riverdale, GA 30296 | 2006-10-27 |
| 1467558650 | Daniel Tesfa Redie | Dentist | 1849 Hwy 138, Riverdale, GA 30296 | 2006-09-15 |
| 1033214184 | Malcolm Hill | Chiropractor | 1296 Hwy 138, Suite 105, Riverdale, GA 30296 | 2006-09-13 |
| Find all providers in zip 30296 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659780393 | New Beginnings Hair Studio Phasei,llc | Specialist | 1254 Highway 138 Sw, Riverdale, GA 30296-1402 | 2014-08-07 |
| 1447595848 | Joanna Paganotti | Specialist | 39 Newark Pompton Tpke, Riverdale, NJ 07457-1144 | 2012-12-11 |
| 1982877890 | Gwinnett Multi Specialty Group LLC | Specialist | 34 Upper Riverdale Rd., Suite 100a, Riverdale, GA 30274 | 2008-04-11 |
| 1588868798 | Just for Women | Specialist | 823 Highway 138 Sw, Riverdale, GA 30296-3362 | 2007-06-12 |
| 1336352699 | Daniel Robins | Specialist | 6572 River Park Dr. Ste 101, Riverdale, GA 30274-2550 | 2007-05-07 |
| 1619047073 | Associates for Women's Care, LLP | Specialist | The Whitehall, Suite 1c, 3333 Henry Hudson Parkway, Riverdale, NY 10463 | 2006-11-09 |
| 1639109424 | Joseph N. Saba | Specialist | 6285 Garden Walk Blvd, Suite C, Riverdale, GA 30274-2612 | 2006-07-04 |
| 1306881362 | Hina Hussain | Specialist | 223 Medical Center Dr, Riverdale, GA 30274-2640 | 2006-06-16 |
| 1417921552 | Carlette Graham | Specialist | 6572 River Park Dr, Ste 101, Riverdale, GA 30274-2550 | 2006-02-15 |
| 1487628509 | Nathan Lipsett | Specialist | 6572 River Park Dr Ste 101, Riverdale, GA 30274-2615 | 2006-02-15 |
| Find all providers in RIVERDALE | ||||
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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.