AMELIA ST JOHN (NPI# 1841651254) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1841651254 |
Entity Type | Individual |
Full Name | AMELIA ST JOHN |
Credential | PNP |
Practice Address |
3644 Mason Ridge Dr Winston GA 30187-1578 |
Practice Telephone | 4047219290 |
Mailing Telephone | 4047219290 |
Enumeration Date | 2016-03-11 |
Last Update Date | 2016-03-11 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 163W00000X | Registered Nurse | RN 207751 | GA | Nursing Service Providers |
Y | 363LP0222X |
Nurse Practitioner Specialization: Pediatrics, Critical Care |
RN207751 | GA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
3644 MASON RIDGE DR |
City | WINSTON |
State | GA |
Zip Code | 30187-1578 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982836581 | United Medical Response LLC | Ambulance | 2425 Jason Industrial Pkwy, Winston, GA 30187 | 2009-08-14 |
1598275745 | Maple Clinic for Speech and Language LLC | Speech-Language Pathologist | 7824 Tyree Rd, Winston, GA 30187-1230 | 2017-10-02 |
1477063600 | Kelly Gawel | Speech-Language Pathologist | 7824 Tyree Rd, Winston, GA 30187-1230 | 2017-10-02 |
1114430097 | Richard Anthony Bell II | Registered Nurse | 7940 Hannah Rd, Winston, GA 30187-1237 | 2017-11-14 |
1356509376 | Foroogh Elguindi | Counselor | 5123 Daniell Mill Road, Winston, GA 30187-1362 | 2008-05-27 |
1912147539 | Reginald Gary Woodell | Dentist | 7571 Highway 78, Winston, GA 30187-1449 | 2009-02-22 |
1588214100 | Patricia Wynn | Contractor | 6822 Cowan Mill Rd, Winston, GA 30187-1533 | 2019-09-16 |
1336534924 | Leondria Taty | Nurse Practitioner | 2929 Post Rd, Winston, GA 30187-1537 | 2015-04-01 |
1952879017 | Deborah Jones | Social Worker | 3599 Falls Trl, Winston, GA 30187-1595 | 2018-11-07 |
1255737508 | Wendy Flory | Physical Therapy Assistant | 7235 Hummingbird Ln, Winston, GA 30187-1717 | 2014-11-14 |
Find all providers in zip 30187 |
Taxonomy Code | 363LP0222X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Pediatrics, Critical Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790250363 | Kailea Jane Zelinka | Nurse Practitioner | 844 Bryan Cir, Grovetown, GA 30813-8202 | 2018-10-09 |
1093237604 | Lindsey Marie Prozzillo | Nurse Practitioner | 1405 Clifton Rd Se, Atlanta, GA 30322-0001 | 2017-07-14 |
1144693896 | Sherri Toney Moody | Nurse Practitioner | 2774 Superior Dr, Dacula, GA 30019-3429 | 2015-11-03 |
1831456441 | Preeti Noronha | Nurse Practitioner | 1095 N Jamestown Rd Apt B, Decatur, GA 30033-3614 | 2012-04-19 |
1851683080 | Kara Wochele Hogan | Nurse Practitioner | 101 W Ponce De Leon Ave # 242, Decatur, GA 30030-2528 | 2011-05-05 |
1285271429 | Anah Bhatia | Nurse Practitioner | 1446 Harper St, Augusta, GA 30912-0012 | 2019-12-06 |
1255832754 | Tiffany Scott | Nurse Practitioner | 1001 Johnson Ferry Rd, Atlanta, GA 30342-1605 | 2018-02-21 |
1710404967 | Sarah Becher | Nurse Practitioner | 1405 Clifton Rd Ne, Atlanta, GA 30322-1060 | 2017-08-28 |
1194249789 | Daniel Danilczyk | Nurse Practitioner | 1405 Clifton Rd Ne, Atlanta, GA 30322-1060 | 2017-07-26 |
1275063174 | Kimberly Lynn Kolleda | Nurse Practitioner | 1405 Clifton Rd Ne, Atlanta, GA 30322-1060 | 2017-06-14 |
Find all providers with the same taxonomy |
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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.