KIMBERLY ATHAVALE (NPI# 1760921605) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1760921605 |
Entity Type | Individual |
Full Name | KIMBERLY ATHAVALE |
Credential | CSFA |
Practice Address |
6935 Colfax Ave Cumming GA 30040-0377 |
Practice Telephone | 6782302905 |
Mailing Telephone | 6782302905 |
Enumeration Date | 2017-02-13 |
Last Update Date | 2017-02-13 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 246ZC0007X |
Specialist/Technologist, Other Specialization: Surgical Assistant |
172378 | GA | Technologists, Technicians & Other Technical Service Providers |
Street Address |
6935 COLFAX AVE |
City | CUMMING |
State | GA |
Zip Code | 30040-0377 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427684729 | Am Nollenberger Counseling | Counselor | 327 Dahlonega Street Ste 901 A, Cumming, GA 30040 | 2020-03-18 |
1497388904 | Ben Allen Sanders | Pharmacist | Kroger Pharmacy 627, 5550 Bethelview Road, Cumming, GA 30040 | 2020-02-13 |
1407415615 | Jacqueline Small | Nurse Practitioner | 407 W Maple St # 101, Cumming, GA 30040 | 2019-06-11 |
1336706316 | Mary Kathleen Hesidence | Nurse Practitioner | 81 Northside Dr, #100, Dawsonville, GA 30040 | 2019-05-24 |
1851958334 | North Georgia Pathology | Pathology | 4150 Deputy Bill Cantrell Memorial Rd Suite 200, Cumming, GA 30040 | 2019-05-21 |
1598320087 | Emily Rebecca Downs | Physician Assistant | 3970 Deputy Bill Cantrell Memorial Road Ste 150, Cumming, GA 30040 | 2019-05-09 |
1215490057 | Shine Speech Language Therapy LLC | Speech-Language Pathologist | 107 Pilgrim Village Dr Suite 400, Cumming, GA 30040 | 2019-04-09 |
1417430075 | Ashley Michelle Nollenberger | Counselor | 327 Dahlonega Street, Ste 901 A, Cumming, GA 30040 | 2018-09-10 |
1518445410 | Village Pediatrics At Vickery | Pediatrics | 7185 Colfax Aveune, Suite 200, Cumming, GA 30040 | 2018-08-02 |
1306339841 | Fukuzato Eyecare, Inc | Optometrist | 3670 Hutchinson Rd Ste A&b, Cumming, GA 30040 | 2018-06-09 |
Find all providers in zip 30040 |
Taxonomy Code | 246ZC0007X |
Grouping | Technologists, Technicians & Other Technical Service Providers |
Classification | Specialist/Technologist, Other |
Specialization | Surgical Assistant |
A surgical assistant is a skilled practitioner who has undergone formalized education and training as a surgical assistant. The surgical assistant performs surgical functions that include, but are not limited to: retracting, manipulating, suturing, clamping, cauterizing, litigating, and tying tissue; suctioning, irrigating and sponging; positioning the patient; closure of body planes and skin; and participating in hemostasis and volume replacement. Surgical assistants are certified and registered or licensed by the state, or, in states without licensure, certified as surgical assistants by completing appropriate education and training. |
Notes: Source: Association of Surgical Assistants, 2014. [7/1/2014: title modified, definition modified] http://www.surgicalassistant.org/index.php/surgical-assisting Additional Resources: National Surgical Assistant Association, www.nsaa.net. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891044160 | Tabitha Anne Kephart | Specialist/Technologist, Other | 4485 Hubert Martin Rd, Cumming, GA 30028-3269 | 2012-09-02 |
1831374818 | Candice Kastanos | Specialist/Technologist, Other | 505 Lakeland Plz Ste 401, Cumming, GA 30040 | 2008-01-08 |
1104321413 | Atlanta Surgical Assisting Providers, LLC | Specialist/Technologist, Other | 505 Lakeland Plz Ste 401, Cumming, GA 30040 | 2018-03-28 |
1942678610 | Tri-county Surgical Assistants, LLC | Specialist/Technologist, Other | 7360 Serenity Pl, Cumming, GA 30041-2261 | 2015-09-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942818422 | Lisa M Arey | Specialist/Technologist, Other | 2429 Salem Ct Sw, Marietta, GA 30064-4259 | 2020-07-21 |
1457972309 | Shanon Marie Roderick | Specialist/Technologist, Other | 115 Bradford Ct, Savannah, GA 31406-4122 | 2020-05-01 |
1659990869 | Katrina A Toler | Specialist/Technologist, Other | Optim Medical Center - Tattnall, 247 S Main Street, Reidsville, GA 30453 | 2020-04-09 |
1295360311 | Taryn Shumaker | Specialist/Technologist, Other | 715 Cedar Valley Trce, Lawrenceville, GA 30043-2424 | 2020-03-09 |
1003448911 | Kirstin Gabler | Specialist/Technologist, Other | 2119 Wilshire Dr Sw, Marietta, GA 30064-4197 | 2020-02-08 |
1982244257 | Chad Seawright | Specialist/Technologist, Other | 1765 Old West Broad St Bldg 2-200, Athens, GA 30606-2887 | 2020-01-14 |
1952948945 | Haley Johnson | Specialist/Technologist, Other | 619 Minter Rd, Griffin, GA 30223-5635 | 2019-12-09 |
1215579982 | Anfernee Jerome Walker | Specialist/Technologist, Other | 990 Thousand Oaks Dr, Lawrenceville, GA 30043-3123 | 2019-10-14 |
1043852197 | James Hoffman | Specialist/Technologist, Other | 1415 Highway 85 N Ste 310-147, Fayetteville, GA 30214-7738 | 2019-10-10 |
1851933170 | Andres Eduardo Gomez Vargas | Specialist/Technologist, Other | 965 Dogwood Park Dr, Lawrenceville, GA 30046-9335 | 2019-10-09 |
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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.