TRICIA W THACKSTON (NPI# 1801136593) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801136593 |
| Entity Type | Individual |
| Full Name | TRICIA W THACKSTON |
| Credential | RN, NP-C |
| Practice Address |
720 Westview Dr Sw Atlanta GA 30310-1458 |
| Practice Telephone | 4046163200 |
| Mailing Telephone | 4046163200 |
| Enumeration Date | 2013-02-18 |
| Last Update Date | 2013-02-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LC0200X |
Nurse Practitioner Specialization: Critical Care Medicine |
RN154255 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
RN154255 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
720 WESTVIEW DR SW |
| City | ATLANTA |
| State | GA |
| Zip Code | 30310-1458 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962494237 | Sherry Crump | Preventive Medicine | 720 Westview Dr Sw, Atlanta, GA 30310-1458 | 2005-08-22 |
| 1033732581 | Kevin Andrew Scott Carroll II | Student in an Organized Health Care Education/Training Program | 720 Westview Dr Sw, Atlanta, GA 30310 | 2020-05-19 |
| 1326660002 | Uchechukwu P Ezeigwe | Student in an Organized Health Care Education/Training Program | 720 Westview Dr Sw, Atlanta, GA 30310-1458 | 2020-05-15 |
| 1346862109 | Ogechi J Nwoko | Student in an Organized Health Care Education/Training Program | 720 Westview Dr Sw, Atlanta, GA 30310-1458 | 2020-05-14 |
| 1194347906 | Rukayat Toyin Ajao | Student in an Organized Health Care Education/Training Program | 720 Westview Dr Sw, Atlanta, GA 30310-1458 | 2020-05-14 |
| 1154942894 | Amarachi C. Odu | Student in an Organized Health Care Education/Training Program | 720 Westview Dr Sw, Physician Assistant Studies, Atlanta, GA 30310 | 2020-05-05 |
| 1750902300 | Nicolle Ramsay-de Jesus | Student in an Organized Health Care Education/Training Program | 720 Westview Dr Sw, Physician Assistant Studies, Atlanta, GA 30310 | 2020-05-05 |
| 1689295248 | Tara Martin | Student in an Organized Health Care Education/Training Program | 720 Westview Dr Sw, Physician Assistant Studies Msm, Atlanta, GA 30310-1458 | 2020-05-05 |
| 1477174308 | Krystle L Richmond | Student in an Organized Health Care Education/Training Program | 720 Westview Dr Sw, Atlanta, GA 30310-1458 | 2020-05-01 |
| 1447871389 | Quaadir Jamii Otto-smallwood | Student in an Organized Health Care Education/Training Program | 720 Westview Dr Sw, Atlanta, GA 30310-1458 | 2020-05-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134775208 | Naesm Mens Health and Wellness Center | Clinic/Center | 2140 Martin Luther King Jr Dr Sw Ste 201, Atlanta, GA 30310 | 2019-08-14 |
| 1588219810 | Dayana Regis | Pediatrics | 808 York Ave Sw, Atlanta, GA 30310 | 2019-08-04 |
| 1629636683 | Manan Shah | Student in an Organized Health Care Education/Training Program | 720 Westview Dr, Sw Morehouse School of Medicine/gme, Atlanta, GA 30310 | 2019-06-04 |
| 1780242420 | Fortunate Amarachukwu Ejimone | Student in an Organized Health Care Education/Training Program | 720 Westview Dr. Sw Morehouse School of Medicine/gme, Atlanta, GA 30310 | 2019-05-29 |
| 1922589589 | Bria Campbell | Counselor | 1009 Windsor St Sw, Atlanta, GA 30310 | 2018-08-22 |
| 1821583584 | Onyedikachi Kenneth Michaels | Student in an Organized Health Care Education/Training Program | Morehouse School of Medicine / Gme, 720 Westview Dr, Sw, Atlanta, GA 30310 | 2018-06-26 |
| 1881185387 | Precious Oghenefejiro Odunvbun | Student in an Organized Health Care Education/Training Program | 720 West View Dr Sw Morehouse School of Medicine/gme, Department of Medicine, Atlanta, GA 30310 | 2018-05-21 |
| 1598253908 | Chinonyelum Doris Nwagbara | Student in an Organized Health Care Education/Training Program | Morehouse School of Medicine, Gme 720 Westview Drive Sw, Atlanta, GA 30310 | 2018-05-01 |
| 1679060552 | Danielle Nicole Oliver | Student in an Organized Health Care Education/Training Program | Morehouse School of Medicine/gme 720 Westview Dr Sw, Atlanta, GA 30310 | 2018-04-17 |
| 1376049072 | Ngozi Egondu Okanu | Student in an Organized Health Care Education/Training Program | Gme 720 Westview Dr, Sw, Atlanta, GA 30310 | 2018-04-02 |
| Find all providers in zip 30310 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346861127 | Finan Tedla | Nurse Practitioner | 2626 Peachtree Rd Nw Unit 1802, Atlanta, GA 30305-5633 | 2020-05-03 |
| 1780238048 | Rasa Abital Teytel | Nurse Practitioner | 6105 Peachtree Dunwoody Rd Ste 125, Atlanta, GA 30328-5909 | 2019-07-25 |
| 1336646223 | Amy Ruth Williams | Nurse Practitioner | 383 Ralph Mcgill Blvd Ne Apt D, Atlanta, GA 30312 | 2018-04-09 |
| 1780184366 | Anne E Taylor | Nurse Practitioner | 550 Peachtree St Ne Ste 1700, Atlanta, GA 30308-2262 | 2018-02-20 |
| 1487169173 | Terri Marie Clack | Nurse Practitioner | 2550 Akers Mill Rd Se Apt C26, Atlanta, GA 30339-3211 | 2017-12-05 |
| 1346759974 | Neva R Allison | Nurse Practitioner | 2611 Dayview Ln, Atlanta, GA 30331 | 2017-09-26 |
| 1093068397 | Lauren Eichel Nourparvar | Nurse Practitioner | 2580 Oglethorpe Cir Ne, Atlanta, GA 30319-6602 | 2012-10-24 |
| 1346800257 | Regine G Vincent | Nurse Practitioner | 3750 Peachtree Rd Ne, Atlanta, GA 30319-1385 | 2019-06-13 |
| 1629582135 | Mary Rabon Murfee | Nurse Practitioner | 3280 Howell Mill Rd Nw Ste 150, Atlanta, GA 30327 | 2017-11-20 |
| 1124555180 | Obianauju Okoroafor | Nurse Practitioner | 477 Windsor St Sw, Atlanta, GA 30312-2530 | 2017-05-20 |
| Find all providers in ATLANTA | ||||
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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.