MS. LILLIE BURNETT (NPI# 1821070020) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1821070020 |
Entity Type | Individual |
Full Name | MS. LILLIE BURNETT |
Credential | APRN, BC |
Practice Address |
450 Northside Cherokee Blvd Canton GA 30115-8015 |
Mailing Address |
2540 Windy Hill Rd Se Marietta GA 30067-8605 |
Practice Telephone | 7702241000 |
Practice Fax Number | 7702242451 |
Mailing Telephone | 7706441570 |
Mailing Fax Number | 7706441576 |
Enumeration Date | 2005-11-15 |
Last Update Date | 2018-03-05 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 364SP0809X |
Clinical Nurse Specialist Specialization: Psych/Mental Health, Adult |
RN063097 | GA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
450 NORTHSIDE CHEROKEE BLVD |
City | CANTON |
State | GA |
Zip Code | 30115-8015 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295732600 | Paul J Hyler | Internal Medicine | 450 Northside Cherokee Blvd, Canton, GA 30115-8015 | 2005-06-30 |
1790390706 | Bradley Louis Mccoul | Pharmacist | 450 Northside Cherokee Blvd, Canton, GA 30115-8015 | 2020-09-15 |
1164035747 | Candice Caroline Bramlett | Pharmacist | 450 Northside Cherokee Blvd, Canton, GA 30115-8015 | 2020-08-25 |
1336751494 | Kalum Leiba | Anesthesiologist Assistant | 450 Northside Cherokee Blvd, Canton, GA 30115-8015 | 2020-08-20 |
1093339533 | Tara Talbott Oberman | Pharmacist | 450 Northside Cherokee Blvd, Canton, GA 30115-8015 | 2020-06-01 |
1568085157 | Ross W Devantier | Specialist/Technologist, Other | 450 Northside Cherokee Blvd, Canton, GA 30115-8015 | 2020-05-19 |
1427679034 | Joseph Liverman | Specialist/Technologist, Other | 450 Northside Cherokee Blvd, Canton, GA 30115-8015 | 2020-05-05 |
1518595503 | Erica D Burns | Pharmacist | 450 Northside Cherokee Blvd, Canton, GA 30115-8015 | 2020-03-27 |
1093346066 | Emily Beecher | Pharmacist | 450 Northside Cherokee Blvd, Canton, GA 30115-8015 | 2020-01-29 |
1497393268 | Stephanie Knight Ellis | Pharmacist | 450 Northside Cherokee Blvd, Canton, GA 30115-8015 | 2019-12-12 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497364806 | Amanda Arbogast | Speech-Language Pathologist | 610 Royal Crest Court, Canton, GA 30115 | 2020-07-31 |
1033754163 | Kelly Marie Shirley | Nurse Practitioner | 450 Northside Cherokee Blvd., Radiology Dept., Canton, GA 30115 | 2019-11-13 |
1700394319 | Jennifer Lynn Davenport | Nurse Practitioner | 684 Sixes Rd Ste 125, Holly Springs, GA 30115 | 2018-01-17 |
1851717961 | Wal-mart Stores East, Lp | Technician/Technologist | 2200 Holly Springs Pkey, Holly Springs, GA 30115 | 2014-03-13 |
1194148502 | Julia Bedingfield Reid | Pharmacist | 450 Northside Cherokee Blvd Ste T20, Canton, GA 30115 | 2014-01-22 |
1447597992 | America's Best Contacts & Eyeglasses | Technician/Technologist | 2030 Cumming Highway, Suite 106, Canton, GA 30115 | 2013-01-03 |
1679821193 | Jill M Decorso | Speech-Language Pathologist | 4280 Hickory Flat Hwy, Ste 108, Canton, GA 30115 | 2012-08-15 |
1306113378 | Sidney Boyd Collier IIi | Pharmacist | 6111 Hickory Flat Highway, Canton, GA 30115 | 2011-11-18 |
1174804702 | Rayllensons Itacy | Physician Assistant | 2020 Cumming Highway, Suite 102, Canton, GA 30115 | 2011-09-09 |
1245534346 | Kim M. Mcmillan | Counselor | 154 Lakeside Drive, Canton, GA 30115 | 2011-01-04 |
Find all providers in zip 30115 |
Taxonomy Code | 364SP0809X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Clinical Nurse Specialist |
Specialization | Psych/Mental Health, Adult |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528408788 | Teri Ann Lieser | Clinical Nurse Specialist | 4974 Higbee Ave Nw Ste 209, Canton, OH 44718-2562 | 2013-07-02 |
1497842934 | Michele M. Valentino | Clinical Nurse Specialist | 733 Market Ave S, Canton, OH 44702-2165 | 2006-10-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346638285 | Robin Raiken Bledsoe | Clinical Nurse Specialist | 458 Ponce De Leon Ave Ne, Atlanta, GA 30308-1836 | 2014-12-30 |
1932529021 | Dorothy Rainey | Clinical Nurse Specialist | 2553 Fieldstone Dr Se, Conyers, GA 30013-1945 | 2014-04-16 |
1245571082 | Deborah A. Becker | Clinical Nurse Specialist | 205 Dental Dr Ste 3, Warner Robins, GA 31088-8210 | 2013-03-04 |
1295062289 | Jane A. Frederick | Clinical Nurse Specialist | 1100 S Marietta Pkwy Se # Md9004, Marietta, GA 30060 | 2009-11-11 |
1548445091 | Jan T Nodine | Clinical Nurse Specialist | 1561 Tappan Spur Rd, Watkinsville, GA 30677-3845 | 2008-01-03 |
1770791337 | Jane Ellen Welch | Clinical Nurse Specialist | 1501 Kalamazoo Dr # A, Griffin, GA 30224-3919 | 2007-05-18 |
1720104102 | Kelly West Gilfillan | Clinical Nurse Specialist | 700 Highway 341 S, Barnesville, GA 30204-3470 | 2007-03-21 |
1457822348 | Cathy Mcelveen Billiter | Clinical Nurse Specialist | 1 Freedom Way # 26, Augusta, GA 30904-6258 | 2018-12-17 |
1366797391 | Julie Inez Burke | Clinical Nurse Specialist | 690 Dallas Hwy, Suite 201, Villa Rica, GA 30180-1264 | 2012-07-16 |
1497035380 | Dene Ruth Bellamy | Clinical Nurse Specialist | 3073 Panthersville Road, Decatur, GA 30034 | 2011-08-23 |
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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.