KRISTEN MCDERMOTT (NPI# 1790210045) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790210045 |
| Entity Type | Individual |
| Full Name | KRISTEN MCDERMOTT |
| Credential | D.O. |
| Practice Address |
665 Duluth Hwy Suite 501 Lawrenceville GA 30046-3328 |
| Mailing Address |
Po Box 1190 Lawrenceville GA 30046-1190 |
| Practice Telephone | 6783120400 |
| Practice Fax Number | 6783120423 |
| Enumeration Date | 2017-04-25 |
| Last Update Date | 2017-04-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003253832 | Kristen Elaine Mcdermott | Counselor | 6666 Green Valley Cir, Culver City, CA 90230-7068 | 2013-06-03 |
| 1316170855 | Kristen Elizabeth Mcdermott | Counselor | 8258 Veterans Hwy, Suite 13, Millersville, MD 21108-1457 | 2009-09-01 |
| Street Address |
665 DULUTH HWY SUITE 501 |
| City | LAWRENCEVILLE |
| State | GA |
| Zip Code | 30046-3328 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336138809 | Kevin Earl Johnson | Family Medicine | 665 Duluth Hwy, Suite 501, Lawrenceville, GA 30046-3328 | 2005-10-18 |
| 1396372728 | Naureen Mullani | Student in an Organized Health Care Education/Training Program | 665 Duluth Hwy, Lawrenceville, GA 30046-3328 | 2020-03-25 |
| 1346877867 | Eric Lee Whitton Jr. | Student in an Organized Health Care Education/Training Program | 665 Duluth Hwy, Lawrenceville, GA 30046-3328 | 2020-03-25 |
| 1952967929 | Varatharajah Thurairajah | Student in an Organized Health Care Education/Training Program | 665 Duluth Hwy, Lawrenceville, GA 30046-3328 | 2019-05-15 |
| 1750842332 | Hunter Troy Crane | Student in an Organized Health Care Education/Training Program | 665 Duluth Hwy, Lawrenceville, GA 30046-3328 | 2019-03-27 |
| 1942733894 | William Nixon | Student in an Organized Health Care Education/Training Program | 665 Duluth Hwy, Suite 401, Lawrenceville, GA 30046-3328 | 2017-04-07 |
| 1467984054 | Brian Arun Xavier | Radiology | 665 Duluth Hwy, Suite 401, Lawrenceville, GA 30046-3328 | 2017-04-01 |
| 1831621051 | Brandon Alyas | Family Medicine | 665 Duluth Hwy, Suite 501, Lawrenceville, GA 30046-3328 | 2017-03-28 |
| 1760913511 | Adel Haque | Student in an Organized Health Care Education/Training Program | 665 Duluth Hwy, Lawrenceville, GA 30046-3328 | 2017-03-23 |
| 1083145775 | Taylor Phelps | Student in an Organized Health Care Education/Training Program | 665 Duluth Hwy, Suite 401, Lawrenceville, GA 30046-3328 | 2017-03-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063023174 | Alpha & Omega Hearing Centers | Hearing Instrument Specialist | Alpha & Omega Hearing Centers, 250 Langley Drive, Suite 1106, Lawrenceville, GA 30046 | 2020-08-12 |
| 1285259846 | Mesun Health Services, Inc | Clinical Nurse Specialist | 88 Johnson Rd Building # 1-b, Lawrenceville, GA 30046 | 2020-06-10 |
| 1215550264 | Mesun Health Services, Inc | Skilled Nursing Facility | 88 Johnson Rd. Building #2, Lawrenceville, GA 30046 | 2020-05-26 |
| 1306499785 | Bryan Acosta | Chiropractor | 471 Scenic Hwy South, Lawrenceville, GA 30046 | 2019-07-24 |
| 1205308616 | Belle Lumiere Cosmetics LLC | Dermatology | 753 Old Norcross Road, Lawrenceville, GA 30046 | 2018-12-24 |
| 1548730179 | Alexis Nicole Robinson | Nurse Anesthetist, Certified Registered | 1000 Medical Center Boulevard, Lawrenceville, GA 30046 | 2018-11-27 |
| 1679060388 | Christopher Puckett | Student in an Organized Health Care Education/Training Program | 665 Duluth Hwy Suite 501, Lawrenceville, GA 30046 | 2018-04-18 |
| 1457851255 | Advanced Urology Institute of Georgia | Urology | 501 Crown Point Way, Lawrenceville, GA 30046 | 2018-02-19 |
| 1013447044 | Pharmacy Investments of Lawrenceville, LLC | Pharmacy | 738 Old Norcross Road, Ste A, Lawrenceville, GA 30046 | 2017-06-13 |
| 1225577000 | Priority Housecalls LLC | Clinic/Center | 225 Scenic Hwy, Ste 200, Lawrenceville, GA 30046 | 2017-02-14 |
| Find all providers in zip 30046 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790395796 | Stanley Nwachukwu | Student in an Organized Health Care Education/Training Program | 260 Sarah Ln, Lawrenceville, GA 30046-7455 | 2020-08-04 |
| 1417575796 | John Robert Thomas | Student in an Organized Health Care Education/Training Program | 2476 Planters Rd, Lawrenceville, VA 23868-3229 | 2020-07-13 |
| 1750904462 | Heather Ann Holmes | Student in an Organized Health Care Education/Training Program | 1901 Lexington Ave, Lawrenceville, IL 62439-2062 | 2020-05-28 |
| 1417578485 | Antjuan Hampton | Student in an Organized Health Care Education/Training Program | 1014 Natural Brook Trl, Lawrenceville, GA 30045-2615 | 2020-05-01 |
| 1821626409 | Prarthi Patel | Student in an Organized Health Care Education/Training Program | 1745 Lawrenceville Rd, Lawrenceville, NJ 08648-2948 | 2020-03-30 |
| 1467089219 | Mariam Baig | Student in an Organized Health Care Education/Training Program | 655 Duluth Hwy Ste 401, Lawrenceville, GA 30046-7672 | 2020-03-23 |
| 1760047138 | Yasmine Alkhalid | Student in an Organized Health Care Education/Training Program | 1220 Chadwick Point Dr, Lawrenceville, GA 30043-6289 | 2019-05-01 |
| 1750945069 | Stephanie Yui Duff | Student in an Organized Health Care Education/Training Program | 386 Gail Pond Dr, Lawrenceville, GA 30045-8715 | 2019-04-23 |
| 1588124523 | Umair Syed | Student in an Organized Health Care Education/Training Program | 665 Duluth Highway Suite 401, Lawrenceville, GA 30046-2017 | 2019-03-25 |
| 1679060388 | Christopher Puckett | Student in an Organized Health Care Education/Training Program | 665 Duluth Hwy Suite 501, Lawrenceville, GA 30046 | 2018-04-18 |
| Find all providers in LAWRENCEVILLE | ||||
| City | LAWRENCEVILLE |
| Zip Code | 30046 |
Please comment or provide details below to improve the information on KRISTEN MCDERMOTT.
| 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.