LAUREN SILLERY OBERG (NPI# 1790203487) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790203487 |
| Entity Type | Individual |
| Full Name | LAUREN SILLERY OBERG |
| Other Name | LAUREN ELIZABETH SILLERY |
| Credential | FNP-C |
| Practice Address |
1942 Beaver Ruin Rd Norcross GA 30071-3828 |
| Mailing Address |
810 Lake Forest Pass Roswell GA 30076-2582 |
| Practice Telephone | 7706740501 |
| Mailing Telephone | 4783201929 |
| Enumeration Date | 2017-09-01 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
205546 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3182 Shallowford Rd Ne, Chamblee, GA 303413640 | 7704575758 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619574407 | Lauren Oberg | Social Worker | 300 Bailey St Ste 2, East Lansing, MI 48823-4444 | 2020-10-05 |
| 1134426927 | Lauren Oberg | Registered Nurse | 3 Albert Cree Dr, Rutland, VT 05701-4601 | 2011-02-15 |
| Street Address |
1942 BEAVER RUIN RD |
| City | NORCROSS |
| State | GA |
| Zip Code | 30071-3828 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477199867 | 1st Senior Cares, LLC | Home Health | 7116 Peachtree Industrial Blvd. Bldg. 4, Ste. B, Peachtree Corners, GA 30071 | 2019-11-21 |
| 1124660048 | Phil Scafidi | Massage Therapist | 50 Skin Alley, Norcross, GA 30071 | 2019-10-11 |
| 1063071454 | Kenanesha Owens | Counselor | 3040 Holcolmb Bridge Rd Suite J2, Norcross, GA 30071 | 2019-06-10 |
| 1407318389 | 1st Senior Homecare, LLC | Home Health | 7116 Peachtree Industrial Blvd., Bldg 4 Suite A, Peachtree Corners, GA 30071 | 2019-04-01 |
| 1982163689 | Jk Acupuncture LLC | Acupuncturist | 5390 Peachtree Industrial Bl #101, Norcross, GA 30071 | 2019-03-13 |
| 1063990778 | First Senior Center | Clinic/Center | 7116 Peachtree Industrial Blvd, Bldg 4, Peachtree Corners, GA 30071 | 2018-08-03 |
| 1952896904 | Sonal P Patel | Physical Therapy Assistant | 4709 Peachtree Ind Blvd, Suite 106, Norcross, GA 30071 | 2018-06-22 |
| 1700392354 | Medlink Ems Inc | Ambulance | 6825 Jimmy Carter Blvd Ste 1303, Norcross, GA 30071 | 2017-12-19 |
| 1205377975 | David Kalisz II | Specialist/Technologist, Other | 1880 Beaver Ridge Circle Suite D, Norcross, GA 30071 | 2017-03-15 |
| 1356792519 | Tiffany Pope | Counselor | 6045 Atlantic Blvd Ste 108, Norcross, GA 30071 | 2016-06-28 |
| Find all providers in zip 30071 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821610536 | Kimberly Fischer | Nurse Practitioner | 5054 Beverly Glen Village Ln Apt F, Norcross, GA 30092-3035 | 2020-05-15 |
| 1932749470 | Heidi Joung | Nurse Practitioner | 5585 Trace Views Dr, Norcross, GA 30071-1493 | 2020-01-13 |
| 1376017558 | Celestina Ifeoma Aniekwe | Nurse Practitioner | 2595 Woodbine Hill Way, Norcross, GA 30071-2852 | 2019-01-22 |
| 1275073397 | Quyen Phan | Nurse Practitioner | 6107 Oakbrook Pkwy, Norcross, GA 30093-1771 | 2017-03-08 |
| 1194107631 | Audra Elizabeth Moore | Nurse Practitioner | 6131 S Norcross Tucker Rd Ste 6, Norcross, GA 30093-5536 | 2015-06-21 |
| 1013304997 | Clinica Nueva LLC | Nurse Practitioner | 5944 Buford Hwy, Norcross, GA 30071-2444 | 2015-04-19 |
| 1982011359 | Rika Medical Clinic, LLC | Nurse Practitioner | 6131 S Norcross Tucker Rd Ste 700, Norcross, GA 30093-5535 | 2014-07-17 |
| 1740612985 | Amy Carmichael Maresca | Nurse Practitioner | 4356 Communications Dr, Norcross, GA 30093-2901 | 2013-07-30 |
| 1902165954 | Catherine Elizabeth Schempp | Nurse Practitioner | 5985 Peachtree Parkway, Norcross, GA 30092 | 2012-05-11 |
| 1417061078 | Marie Ange Mompoint | Nurse Practitioner | 5804 Park Central Ave, Norcross, GA 30092-6210 | 2006-08-19 |
| Find all providers in NORCROSS | ||||
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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.