MRS. TARYN MARIE PRESTIDGE (NPI# 1790032910) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790032910 |
| Entity Type | Individual |
| Full Name | MRS. TARYN MARIE PRESTIDGE |
| Credential | NP-C |
| Practice Address |
1133 Eagles Landing Pkwy Stockbridge GA 30281-5085 |
| Practice Telephone | 4043673014 |
| Practice Fax Number | 4043673558 |
| Mailing Telephone | 4043673014 |
| Mailing Fax Number | 4043673558 |
| Enumeration Date | 2012-08-07 |
| Last Update Date | 2016-04-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
RN183505 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1133 EAGLES LANDING PKWY |
| City | STOCKBRIDGE |
| State | GA |
| Zip Code | 30281-5085 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407842545 | Rhonda Carolyn Bloschock | Nurse Anesthetist, Certified Registered | 1133 Eagles Landing Pkwy, Stockbridge, GA 30281-5085 | 2005-09-23 |
| 1588279772 | Diagnostic Pathology Associates PC | Pathology | 1133 Eagles Landing Pkwy, Stockbridge, GA 30281-5085 | 2020-09-14 |
| 1619594843 | Rowena Zheng | Physical Therapist | 1133 Eagles Landing Pkwy, Stockbridge, GA 30281-5085 | 2020-07-03 |
| 1497380539 | Tomoyo Kuriyama | Nurse Practitioner | 1133 Eagles Landing Pkwy, Stockbridge, GA 30281-5085 | 2020-03-09 |
| 1740827971 | Echiline Francois | Nurse Practitioner | 1133 Eagles Landing Pkwy, Stockbridge, GA 30281-5085 | 2019-12-06 |
| 1639726441 | Jessica Ramey | Anesthesiologist Assistant | 1133 Eagles Landing Pkwy, Stockbridge, GA 30281-5085 | 2019-08-26 |
| 1295382802 | Briana Nicole Tate-york | Anesthesiologist Assistant | 1133 Eagles Landing Pkwy, Stockbridge, GA 30281-5085 | 2019-08-20 |
| 1619520293 | Wendy March Greenway | Nurse Practitioner | 1133 Eagles Landing Pkwy, Stockbridge, GA 30281-5085 | 2019-07-22 |
| 1528526548 | Kisha Meshun Smith | Registered Nurse | 1133 Eagles Landing Pkwy, Stockbridge, GA 30281-5085 | 2019-03-08 |
| 1356807895 | Shellie Nicole Welch | Registered Nurse | 1133 Eagles Landing Pkwy, Stockbridge, GA 30281-5085 | 2019-02-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164039095 | Colette Alls | Social Worker | 447 Lakeshore Dr, Stockbridge, GA 30281 | 2020-09-24 |
| 1982216800 | Pediatric and Family Behavioral Health of Georgia | Counselor | 1004 Ulster Court, Stockbridge, GA 30281 | 2020-08-21 |
| 1518577659 | Qunique Taveka Toxey | Behavior Technician | 115 N Park Trail, Suite 123, Stockbridge, GA 30281 | 2020-08-04 |
| 1497377675 | Melanie Harvey | Pharmacist | 4467 North Henry Boulevard, Stockbridge, GA 30281 | 2020-05-11 |
| 1114550571 | Cecile Maria Dunkley Layne | Counselor | 255 Corporte Drive, Stockbridge, GA 30281 | 2020-02-13 |
| 1306407143 | Palliative Care of Georgia. LLC | Home Health | 275 Corporate Center Court Ste C, Stockbridge, GA 30281 | 2019-06-24 |
| 1154883791 | Aaliyah Nura Fardan-alexander | Nurse's Aide | 105 Singletree, Stockbridge, GA 30281 | 2019-04-02 |
| 1306306261 | Prosthetic Care, Inc. | Prosthetic/Orthotic Supplier | 150 County Club Drive, Suite 200, Stockbridge, GA 30281 | 2019-03-25 |
| 1356814172 | Kristina Louissaint | Nurse Practitioner | 650 Country Club Dr, Stockbridge, GA 30281 | 2019-01-03 |
| 1942789284 | Cameren Barnes | Physical Therapist | 5473 N Henry Blvd, Stockbridge, GA 30281 | 2018-08-08 |
| Find all providers in zip 30281 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568984839 | Nisha Thomas | Nurse Practitioner | 4778 N Henry Blvd Ste 202, Stockbridge, GA 30281 | 2017-07-08 |
| 1952837932 | Chelsea Elliott Collins | Nurse Practitioner | 1240 Eagles Landing Pkwy Ste 260, Stockbridge, GA 30281-5173 | 2017-05-11 |
| 1447793344 | Katrina M Mansmann | Nurse Practitioner | 1050 Eagles Landing Pkwy, Stockbridge, GA 30281-9018 | 2016-11-23 |
| 1689048290 | Talitha Brooks-andino | Nurse Practitioner | 4778 N Henry Blvd, Suite 202, Stockbridge, GA 30281-3566 | 2015-11-19 |
| 1447621693 | Karima N Sohani | Nurse Practitioner | 100 Corporate Center Dr, Stockbridge, GA 30281-7244 | 2015-10-14 |
| 1831535541 | Lawrence Earl Bryant Jr. | Nurse Practitioner | 3580 Cameron Pkwy, Stockbridge, GA 30281-7816 | 2013-05-21 |
| 1982988028 | Herretta Lachell Pickens | Nurse Practitioner | 1240 Eagles Landing Pkwy, Suite 300, Stockbridge, GA 30281-5170 | 2011-10-07 |
| 1710116769 | Nicole Tamara Johnson | Nurse Practitioner | 3580 Cameron Pkwy, Stockbridge, GA 30281-7816 | 2009-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477154110 | Christina Danielle Palau Vaccari | Nurse Practitioner | 712 Pasley Ave Se, Atlanta, GA 30316-2158 | 2020-11-07 |
| 1427657113 | Cynthia Diane Prather | Nurse Practitioner | 3264 Lower Boston Rd, Thomasville, GA 31757-1311 | 2020-10-22 |
| 1932706728 | Alecia Ann Czarnecki | Nurse Practitioner | 6240 Crooked Creek Dr, Rex, GA 30273-5006 | 2020-10-05 |
| 1801401112 | Cotenna D. Clark | Nurse Practitioner | 1857 Cameo Ct, Tucker, GA 30084-7002 | 2020-09-14 |
| 1487264370 | Helen Young Yates | Nurse Practitioner | 40 Red Rock Ct Ne, Ludowici, GA 31316-6280 | 2020-08-05 |
| 1982214334 | Jasmine Alecia Henderson | Nurse Practitioner | 52 Roseberry Cir, Port Wentworth, GA 31407-5612 | 2020-07-31 |
| 1275142994 | Theresia Richardson | Nurse Practitioner | 2033 Buford Hwy Ste 109, Buford, GA 30518-8802 | 2020-07-28 |
| 1063021277 | Elsa Duncan Duncan | Nurse Practitioner | 1822 E Gwinnett St, Savannah, GA 31404-1853 | 2020-07-24 |
| 1154941946 | Joy P Wharton | Nurse Practitioner | 182 Silver Arrow Cir, Austell, GA 30168-7490 | 2020-04-21 |
| 1235769985 | Michelle Brack | Nurse Practitioner | 502 Hall Rd, Thomasville, GA 31757-8105 | 2020-01-22 |
| Find all providers with the same taxonomy | ||||
| City | STOCKBRIDGE |
| Zip Code | 30281 |
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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.