KRISTINE MARIE RAYNARD (NPI# 1790263978) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790263978 |
| Entity Type | Individual |
| Full Name | KRISTINE MARIE RAYNARD |
| Credential | CNM |
| Practice Address |
6095 Professional Pkwy Ste A210 Douglasville GA 30134-5611 |
| Mailing Address |
3330 Ennfield Ln Duluth GA 30096-7727 |
| Practice Telephone | 7709494188 |
| Mailing Telephone | 7705967193 |
| Enumeration Date | 2018-07-31 |
| Last Update Date | 2018-07-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 176B00000X | Midwife | Other Service Providers |
| Street Address |
6095 PROFESSIONAL PKWY STE A210 |
| City | DOUGLASVILLE |
| State | GA |
| Zip Code | 30134-5611 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811964109 | Natalie Ronnette Brathwaite | Obstetrics & Gynecology | 6095 Professional Pkwy Ste A210, Douglasville, GA 30134-5611 | 2006-03-05 |
| 1700266517 | Marie Nakande | Nurse Practitioner | 6095 Professional Pkwy Ste A210, Douglasville, GA 30134-5611 | 2015-06-05 |
| 1780934760 | Kevin Ward | Obstetrics & Gynecology | 6095 Professional Pkwy Ste A210, Douglasville, GA 30134 | 2012-09-17 |
| 1952696189 | Marie-teresa Christophe Colbert | Obstetrics & Gynecology | 6095 Professional Pkwy Ste A210, Douglasville, GA 30134-5611 | 2011-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851915631 | Lilian Pereira | Nurse Practitioner | Bethesda Medical Group, LLC, 9280 Hwy 5 - Suite D, Douglasville, GA 30134 | 2020-06-08 |
| 1548822901 | Sweet Resolve LLC | Nurse Practitioner | 4318 Ridge Rd, Ste 111 Pmb 1017, Douglasville, GA 30134 | 2019-07-05 |
| 1598328791 | Straight Street Life Center Inc | Case Manager/Care Coordinator | 12461 Veterans Memorial, Douglasville, GA 30134 | 2019-04-15 |
| 1174014930 | Caitlin Waldrip | Chiropractor | 8326a Office Park Dr., Douglasville, GA 30134 | 2018-05-28 |
| 1861901050 | Michelle Denise Winston | Licensed Practical Nurse | 6497 E Strickland, Douglasville, GA 30134 | 2017-09-20 |
| 1518335843 | Willis Anthony Rogers | Durable Medical Equipment & Medical Supplies | 7094 Rose Lake Circle, Douglasville, GA 30134 | 2015-09-03 |
| 1497135131 | Patricia Warren | Social Worker | 8317 Office Park Drive Ste.#e, Douglasville, GA 30134 | 2015-06-08 |
| 1457747321 | Kidz Rock Therapy Services, LLC | Occupational Therapist | 6732 West Spring Street, Douglasville, GA 30134 | 2015-04-08 |
| 1386068476 | Naa Y Oden | Psychologist | 4813 Ridge Rd Ste 111-639, Douglasville, GA 30134 | 2014-02-10 |
| 1467893271 | American Ems | Ambulance | 7240 Bankhead Hwy, Douglasville, GA 30134 | 2013-07-09 |
| Find all providers in zip 30134 | ||||
| Taxonomy Code | 176B00000X |
| Grouping | Other Service Providers |
| Classification | Midwife |
| A Midwife is a trained professional with special expertise in supporting women to maintain a healthy pregnancy birth, offering expert individualized care, education, counseling, and support to a woman and her newborn throughout the childbearing cycle. A Midwife is a skilled and independent practitioner who has undergone formalized training. Midwives are not required to be nurses and may be trained via multiple routes of education (apprenticeship, workshop, formal classes, or programs, etc., usually a combination). The educational background requirements and licensing requirements vary by state. The Midwife may or may not be certified by a state or national organization. |
| Notes: Source: The National Uniform Claim Committee [7/1/2007: title changed, definition changed, source changed] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477164028 | Corrinna Monique Edwards | Midwife | 10375 Worthington Hills Mnr, Roswell, GA 30076-1725 | 2020-08-16 |
| 1942819677 | Haguerenesh Woldeyohannes | Midwife | 1608 Austin Meadows Dr, Decatur, GA 30032-3887 | 2020-07-29 |
| 1063046274 | Kyndall Mccall Proffitt | Midwife | 4442 Slygo Rd, Trenton, GA 30752-4118 | 2020-02-26 |
| 1942845250 | Breona Harlan | Midwife | 1836 Spring Ave Nw, Atlanta, GA 30318-2744 | 2019-11-11 |
| 1790336840 | Angel Leeann Gilreath | Midwife | Meadows Regional Medical Center, One Meadows Parkway, Vidalia, GA 30474-0979 | 2019-09-20 |
| 1104484443 | Elisa R Jenks | Midwife | 1120 15th Street Augusta University, Augusta, GA 30912-0001 | 2019-06-02 |
| 1982162780 | Mary Katherine Ness Murrey | Midwife | 96 Poplar Ct, Toccoa, GA 30577-6099 | 2019-03-11 |
| 1508332156 | Chakeeta L Williams | Midwife | 1458 Church St, Decatur, GA 30030-1671 | 2018-10-22 |
| 1922586346 | Maria Quinones | Midwife | 3740 Creekwood Dr, Loganville, GA 30052-2814 | 2018-07-30 |
| 1851888085 | Lauren Kate Collins | Midwife | 224 Perennial Springs Rd, Summerville, GA 30747-5639 | 2018-04-13 |
| Find all providers with the same taxonomy | ||||
| City | DOUGLASVILLE |
| Zip Code | 30134 |
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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.