MS. JUDITH ANN KUNKEL (NPI# 1750365979) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750365979 |
| Entity Type | Individual |
| Full Name | MS. JUDITH ANN KUNKEL |
| Credential | ARNP |
| Practice Address |
101 Riverstone Vis Suite 111 Blue Ridge GA 30513-6648 |
| Mailing Address |
4799 Blue Ridge Dr Suite 104 Blue Ridge GA 30513-3240 |
| Practice Telephone | 7069464200 |
| Mailing Telephone | 7064923200 |
| Enumeration Date | 2005-12-01 |
| Last Update Date | 2013-10-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | RN206803 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN206803 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
RN206803 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 003123928B | 05 | |
| NC | 7004688 | 05 |
| Street Address |
101 RIVERSTONE VIS SUITE 111 |
| City | BLUE RIDGE |
| State | GA |
| Zip Code | 30513-6648 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174522262 | Frank Stanson Trigg | Internal Medicine | 101 Riverstone Vis, Suite 203, Blue Ridge, GA 30513-6648 | 2005-07-20 |
| 1194272542 | Lindsey Panter Niknezhad | Physician Assistant | 101 Riverstone Vis, Blue Ridge, GA 30513-6648 | 2016-09-01 |
| 1255796082 | T and P Pharmacy | Pharmacy | 101 Riverstone Vis, Suite 107, Blue Ridge, GA 30513-6648 | 2015-12-21 |
| 1972978401 | Blue Ridge Dermatology | Physician Assistant | 101 Riverstone Vis, Ste 215, Blue Ridge, GA 30513-6648 | 2015-12-09 |
| 1629329792 | Nsh Cancer Institute Professional Services G LLC | Durable Medical Equipment & Medical Supplies | 101 Riverstone Vis, Suite 102, Blue Ridge, GA 30513-6648 | 2012-09-28 |
| 1639433022 | Jammie Adams Savugot | Nurse Practitioner | 101 Riverstone Vis, Suite 215, Blue Ridge, GA 30513-6648 | 2012-06-29 |
| 1336410059 | Brittany Marie Newberry | Nurse Practitioner | 101 Riverstone Vis, Suite 111, Blue Ridge, GA 30513-6648 | 2012-01-26 |
| 1386929222 | Marc S Berger Md PC | Family Medicine | 101 Riverstone Vis, Ste 217, Blue Ridge, GA 30513-6648 | 2011-10-11 |
| 1689954372 | Blue Ridge Dermatology | Dermatology | 101 Riverstone Vis, Ste 215, Blue Ridge, GA 30513-6648 | 2011-08-25 |
| 1043500457 | Quality Respi-care Inc | Durable Medical Equipment & Medical Supplies | 101 Riverstone Vis, Suite 103, Blue Ridge, GA 30513 | 2011-04-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356804561 | Christine Gangwisch | Registered Nurse | 3855 Old Highway 5 Ste 110, Blue Ridge, GA 30513 | 2019-04-13 |
| 1013474659 | Ten Dental LLC | Dentist | 330 Progress Circle Ste C, Blue Ridge, GA 30513 | 2019-03-01 |
| 1932646262 | David Lee Durham | Pharmacist | 5679 Appalachian Highway, Blue Ridge, GA 30513 | 2017-01-25 |
| 1659754398 | Jordan Patton | Ophthalmology | 266 Orvin Lance Dr Ste 5, Blue Ridge, GA 30513 | 2015-06-30 |
| 1063824977 | Christy Russell | Pharmacist | 97 Commerce Drive, Blue Ridge, GA 30513 | 2014-05-27 |
| 1588008429 | Nathan William Kincaid | Surgery | 2855 Old Highway 5 Ste 108, Blue Ridge, GA 30513 | 2013-04-22 |
| 1972800175 | W. Max Couch, Jr., Dds, Mds, LLC | Dentist | 2714 East First Street, Blue Ridge, GA 30513 | 2011-02-24 |
| 1760792246 | Med-trans Corporation | Ambulance | 482 Mccaysville Industrial Dr, Blue Ridge, GA 30513 | 2010-10-18 |
| 1396924791 | Sue Ann Richardson | Chiropractor | 59 Mckinney, Blue Ridge, GA 30513 | 2007-11-01 |
| 1164554432 | Pruitthealth Home First, Inc. | Case Management | 6050 Appalachian Highway, Suite 4, Blue Ridge, GA 30513 | 2007-03-12 |
| Find all providers in zip 30513 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427607456 | Michelle Lynn Arshinkoff | Nurse Practitioner | 105 Lake Ridge Dr, Blue Ridge, GA 30513-5716 | 2019-09-11 |
| 1316475239 | Kate Rebekah Craighead | Nurse Practitioner | 13547 W Lynchburg Salem Tpke, Blue Ridge, VA 24064-3211 | 2017-05-24 |
| 1568700334 | Mona Izadi | Nurse Practitioner | 10152 Blue Ridge Dr, Blue Ridge, GA 30513-5935 | 2013-01-29 |
| 1275141491 | Megan Cole Roper | Nurse Practitioner | 6050 Appalachian Hwy, Blue Ridge, GA 30513-4283 | 2020-07-14 |
| 1508415217 | Joshua David Curtis | Nurse Practitioner | 101 Riverstone Vis Ste 111, Blue Ridge, GA 30513-6665 | 2019-09-05 |
| 1780180927 | Kimberly Dawn Slatton | Nurse Practitioner | 99 Ouida St, Blue Ridge, GA 30513-4627 | 2018-04-05 |
| 1639433022 | Jammie Adams Savugot | Nurse Practitioner | 101 Riverstone Vis, Suite 215, Blue Ridge, GA 30513-6648 | 2012-06-29 |
| 1336410059 | Brittany Marie Newberry | Nurse Practitioner | 101 Riverstone Vis, Suite 111, Blue Ridge, GA 30513-6648 | 2012-01-26 |
| 1609882026 | Deborah Ann Reynolds | Nurse Practitioner | 101 Riverstone Vis, Suite 111, Blue Ridge, GA 30513-6648 | 2006-07-31 |
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|---|---|---|---|---|
| 1780285486 | Aprn Mobile Clinic LLC | Nurse Practitioner | 1361 Highwoods Pass, Grovetown, GA 30813-3994 | 2020-11-08 |
| 1093316820 | Odyne Rose Lacossiere-dorvilus | Nurse Practitioner | 30 Myrtlewood Dr, Savannah, GA 31405-1024 | 2020-11-06 |
| 1104427061 | Tya Wright | Nurse Practitioner | 1450 Newnan Crossing Blvd E Apt 13205, Newnan, GA 30265-0027 | 2020-11-05 |
| 1235730409 | Cheryl Lynn Williams | Nurse Practitioner | 282 Somerset Dr, Dallas, GA 30132-9761 | 2020-11-04 |
| 1033710298 | Karen F Frazier | Nurse Practitioner | 6610 Crest Wood Ln, Douglasville, GA 30135-9046 | 2020-11-04 |
| 1619578986 | Marjorie Sewannyana | Nurse Practitioner | 553 Camano Way, Mcdonough, GA 30253-8377 | 2020-11-03 |
| 1639770027 | Markesha Leshea Groomes | Nurse Practitioner | 209 N. Cuthbert, Colquitt, GA 39837-3515 | 2020-11-03 |
| 1265033625 | Ashley Thomas | Nurse Practitioner | 3750 Venture Dr Ste E4, Duluth, GA 30096-1863 | 2020-11-03 |
| 1558962894 | Anna Marie Kodama | Nurse Practitioner | 462 Furys Ferry Rd # C, Augusta, GA 30907-9506 | 2020-11-03 |
| 1093315848 | Tracy Tarvers | Nurse Practitioner | 129 Wolf Creek Dr N, Macon, GA 31210-9002 | 2020-10-30 |
| Find all providers with the same taxonomy | ||||
| City | BLUE RIDGE |
| Zip Code | 30513 |
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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.