GWEN HATLEY WHITING


Address: 1000 Chastain Rd Nw, #5200 House #52, Kennesaw, GA 30144-5588
Phone: 7704236644

GWEN HATLEY WHITING (NPI# 1750579876) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1750579876
Entity Type Individual
Full Name GWEN HATLEY WHITING
Credential APRN MS BC
Practice Address 1000 Chastain Rd Nw
#5200 House #52
Kennesaw
GA 30144-5588
Mailing Address 1481 Bailey Farm Dr Sw
Marietta
GA 30064-5219
Practice Telephone 7704236644
Practice Fax Number 7704993655
Enumeration Date 2007-10-15
Last Update Date 2007-10-15
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 390200000X Student in an Organized Health Care Education/Training Program RN 167681 CNS/PM GA Student, Health Care

Office Location

Street Address 1000 CHASTAIN RD NW
#5200 HOUSE #52
City KENNESAW
State GA
Zip Code 30144-5588

Providers in the same location

NPI Name Taxonomy Address Enumeration
1619180676 Anne Nichols Nurse Practitioner 1000 Chastain Rd Nw, Mailstop 5200, Kennesaw, GA 30144-5588 2007-05-07
1518207612 Kennesaw State University Clinic/Center 1000 Chastain Rd Nw, Md5200 House 52, Kennesaw, GA 30144-5588 2013-02-26
1346512357 Lisa Marie Schulte Internal Medicine 1000 Chastain Rd Nw, Mailbox 0201, Kennesaw, GA 30144-5588 2012-02-07
1396057808 Hiroki Kariya Specialist/Technologist 1000 Chastain Rd Nw, Kennesaw, GA 30144-5588 2010-07-13
1831426931 Kennesaw State University Health Clinic Clinic/Center 1000 Chastain Rd Nw, House 52, Kennesaw, GA 30144-5588 2009-11-10
1003050576 Lisa Vivienne Poling Nurse Practitioner 1000 Chastain Rd Nw, Kennesaw, GA 30144-5588 2009-04-28
1881853026 Susan Alice Ristau Counselor 1000 Chastain Rd Nw, Kennesaw Hall, Suite 2419, Kennesaw, GA 30144-5588 2008-06-03
1104019801 Lisa Schlageter Stadalius Nurse Practitioner 1000 Chastain Rd Nw, 52, Kennesaw, GA 30144-5588 2007-08-26
1932312899 Emma M. Guice Nurse Practitioner 1000 Chastain Rd Nw, House 52, Student Health Clinic, Kennesaw, GA 30144-5588 2007-05-08

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NPI Name Taxonomy Address Enumeration
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1033632203 Octavio Andres Tobar Specialist/Technologist 1950 Barrett Lakes Blvd Nw Apt 1213, Kennesaw, GA 30144 2017-07-19
1851829220 Sharon Mcmillan Counselor 1301 Shiloh Rd Nw Ste 1840, Kennesaw, GA 30144 2017-05-31
1073054680 Metropolitan Health Care Plus Inc Home Health 445 Laurian Way, Kennesaw, GA 30144 2017-03-15
1649627969 Caresouth Hha Holdings of Gainesville, LLC Hospice Care, Community Based 1000 Cobb Place Blvd Nw Ste 310, Kennesaw, GA 30144 2016-05-17
1851745988 Joseph Mulligan Social Worker 1301 Shiloh Rd., Ste. 849, Kennesaw, GA 30144 2016-04-14
1629438601 Youfit Health Clubs Clinic/Center 3895 Cherokee St Suite 100, Kennesaw, GA 30144 2016-03-03
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Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1942824990 Jacob Schoeff Student in an Organized Health Care Education/Training Program 1219 Settlebench Ln Nw, Kennesaw, GA 30144-3039 2020-06-05
1508499203 Farihah Azam Student in an Organized Health Care Education/Training Program 1977 Westover Ln Nw, Kennesaw, GA 30152-4255 2020-02-20
1275177081 Paige O'reilly Brennan Student in an Organized Health Care Education/Training Program 2758 Fullers Aly, Kennesaw, GA 30144-0004 2019-11-05
1700076031 Cody S Mccreary Student in an Organized Health Care Education/Training Program 1200 Ernest W Barrett Pkwy Nw, #12, Kennesaw, GA 30144-7557 2007-08-01
1972762136 Suleka Neelagaru Student in an Organized Health Care Education/Training Program 750 Town Park Lane, Kaiser Permenente Town Park Medical Office, Kennesaw, GA 30144 2008-06-03

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1912508540 Robert Owen Calvert IIi Student in an Organized Health Care Education/Training Program 10734 Bossier Dr, Johns Creek, GA 30022-7977 2020-11-02
1194323469 Kathlynn Barber Student in an Organized Health Care Education/Training Program 248 Sunset Ridge Dr, Newnan, GA 30263-7704 2020-10-09
1063019917 Shayla Robinson Student in an Organized Health Care Education/Training Program 1887 Hudson Xing Apt 9, Tucker, GA 30084-5661 2020-10-05
1639786460 Clarissa Chamorro Student in an Organized Health Care Education/Training Program 840 Old Alabama Rd Sw, Mableton, GA 30126-4108 2020-09-25
1417563909 Josephine Almanzar Student in an Organized Health Care Education/Training Program 199 Armour Dr Ne Ste E, Atlanta, GA 30324-3973 2020-09-20
1942816962 Kofi Darkwa Seffah Student in an Organized Health Care Education/Training Program 1199 Prince Ave #70, 1270 Prince Ave Suite 201, Athens, GA 30606 2020-09-16
1487269338 Nhu Ai Thi Vo Student in an Organized Health Care Education/Training Program 5295 Locomotive Ln, Norcross, GA 30071-2751 2020-09-08
1669087516 Nurin Ghazzawi Student in an Organized Health Care Education/Training Program 1953 Valley Ridge Ln, Duluth, GA 30096-6024 2020-09-08
1871107029 Ashlie Simmons Student in an Organized Health Care Education/Training Program 40 Hardwood Forest Cir, Brunswick, GA 31525-4738 2020-09-04
1427660166 Kassie Howard Student in an Organized Health Care Education/Training Program 2601 Northlake Dr # 1722, Suwanee, GA 30024-2942 2020-08-22
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Competitor

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City KENNESAW
Zip Code 30144

Improve Information

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Dataset Information

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.

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