GRACE PERALTA (NPI# 1841760345) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1841760345 |
Entity Type | Individual |
Full Name | GRACE PERALTA |
Credential | FNP-BC |
Practice Address |
214 Professional Cir Ste A Saint Marys GA 31558-3783 |
Practice Telephone | 9125108224 |
Practice Fax Number | 9125764791 |
Mailing Telephone | 9125108224 |
Mailing Fax Number | 9125764791 |
Enumeration Date | 2018-11-28 |
Last Update Date | 2018-11-28 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN197044 | GA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
214 PROFESSIONAL CIR STE A |
City | SAINT MARYS |
State | GA |
Zip Code | 31558-3783 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396853891 | Jimmy Diaz | Internal Medicine | 214 Professional Cir Ste A, Saint Marys, GA 31558-3783 | 2006-08-26 |
1285260786 | Rachel Mckenna Blansett | Nurse Practitioner | 214 Professional Cir Ste A, Saint Marys, GA 31558-3783 | 2020-03-16 |
1992802342 | Jimmy Arturo Malaver-reyes | General Practice | 214 Professional Cir Ste A, Saint Marys, GA 31558-3783 | 2006-09-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942827332 | Primary Care of Coastal Georgia | Clinic/Center | 214a Professional Cir, St Marys, GA 31558 | 2020-07-01 |
1922659192 | Christian Bianca Booker | Social Worker | 944 Kings Bay Rd. #247, St. Marys, GA 31558 | 2019-09-27 |
1154897296 | Shonta Harper | Counselor | 708 Osborne St Ste 104, Saint Marys, GA 31558 | 2018-10-16 |
1174038095 | Camden Behavioral Wellness, Inc | Counselor | 605 Osborne Street, Saint Mary's, GA 31558 | 2017-12-14 |
1285149427 | Urgent Care of Coastal Georgia | General Practice | 214 A Professional Circle, St. Marys, GA 31558 | 2017-12-11 |
1679975783 | Jeremy Cole | Behavioral Analyst | 921 Charlie Smith Sr. Highway, St. Marys, GA 31558 | 2014-09-19 |
1053660738 | Janice Paulino Ramirez | Nurse Practitioner | 2040 Dan Proctor Drive, Suite 170, St Marys, GA 31558 | 2012-09-10 |
1174899454 | Light Horse Healthcare Inc | Voluntary or Charitable | 2060 Dan Proctor Drive, Suite 3300, St Marys, GA 31558 | 2012-03-30 |
1316215775 | Annette O. Perry | Counselor | 4019 Hwy 40 East, St. Marys, GA 31558 | 2011-12-13 |
1932486271 | Sarah Jo Meyers | Speech-Language Pathologist | 2015 Osborne Rd, Unit A, St Marys, GA 31558 | 2011-11-15 |
Find all providers in zip 31558 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497365803 | Amber Hurd | Nurse Practitioner | 169 Sabinas Way, Saint Marys, GA 31558-3422 | 2020-08-01 |
1972111458 | Ashley Maureen Levy | Nurse Practitioner | 100 Lakeshore Dr Ste B, Saint Marys, GA 31558-3859 | 2020-07-21 |
1518582238 | Jennifer Ann Mcallister | Nurse Practitioner | 255 Saint Alexander Rd, Saint Marys, PA 15857-5911 | 2020-06-09 |
1770946048 | Virginia Anne Knight | Nurse Practitioner | 124 Andrews Way Ste B, Saint Marys, GA 31558-1653 | 2016-04-03 |
1922443266 | Denise Diep Thi Tran | Nurse Practitioner | 290 High School Lane, Saint Marys, AK 99658 | 2013-04-30 |
1285260786 | Rachel Mckenna Blansett | Nurse Practitioner | 214 Professional Cir Ste A, Saint Marys, GA 31558-3783 | 2020-03-16 |
1598303455 | Shannan L Robenalt | Nurse Practitioner | 1004 S Knoxville Ave, Saint Marys, OH 45885-2607 | 2019-12-11 |
1598243297 | Amanda Salzburg | Nurse Practitioner | 51 Lindsey Ln, Saint Marys, GA 31558-1636 | 2018-08-03 |
1235620956 | Kimberly Lynn Sadler | Nurse Practitioner | 1165 S Knoxville Ave Ste 100, Saint Marys, OH 45885 | 2018-05-29 |
1477043552 | Mindfulness, LLC | Nurse Practitioner | 210 2nd St, Saint Marys, WV 26170-1097 | 2018-05-15 |
Find all providers in SAINT MARYS |
City | SAINT MARYS |
Zip Code | 31558 |
Please comment or provide details below to improve the information on GRACE PERALTA.
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.