MR. HENRY SANTO INTILI (NPI# 1851460265) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851460265 |
| Entity Type | Individual |
| Full Name | MR. HENRY SANTO INTILI |
| Credential | FNP |
| Practice Address |
268 Mock Cemetery Rd Bainbridge GA 39817-6904 |
| Mailing Address |
Po Box 125 Bainbridge GA 39818-0125 |
| Practice Telephone | 8008410858 |
| Practice Fax Number | 8008410858 |
| Mailing Telephone | 2292461428 |
| Mailing Fax Number | 2292461428 |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | RN123672NP | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
268 MOCK CEMETERY RD |
| City | BAINBRIDGE |
| State | GA |
| Zip Code | 39817-6904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457774457 | Lori Phillips Temples | Speech-Language Pathologist | 100 S. West St., Bainbridge, GA 39817 | 2014-01-27 |
| 1629491626 | Diane W. Welch | Speech-Language Pathologist | 100 S. West Street, Bainbridge, GA 39817 | 2014-01-27 |
| 1104074699 | Charles Tanner Stafford | Obstetrics & Gynecology | 119 N. Donalson St., Suite B, Bainbridge, GA 39817 | 2008-09-09 |
| 1396966685 | Peggy Brennan Fordham | Pharmacist | 1500 Shutwell Street, Bainbridge Memorial Hospital, Bainbridge, GA 39817 | 2007-05-02 |
| 1518022425 | Tanya Williams Clark | Speech-Language Pathologist | 100 South West St., Bainbridge, GA 39817 | 2006-12-22 |
| 1558321125 | Sylena Mosely Wiggins | Speech-Language Pathologist | 100 South West Street, Bainbridge, GA 39817 | 2006-03-27 |
| 1194785469 | Winde Barber Farrington | Speech-Language Pathologist | 100 S. West St, Bainbridge, GA 39817 | 2006-03-23 |
| 1962825968 | Anna Reynolds Payne | Speech-Language Pathologist | 100 S. West Street, Bainbridge, GA 39817 | 2014-01-27 |
| 1093085524 | Dena Cutts Donalson | Pharmacist | 215 River Oaks Dr, Bainbridge, GA 39817-1030 | 2011-12-30 |
| 1386117448 | Bernadine D Collier | Registered Nurse | 107 Lance Ct, Bainbridge, GA 39817-1724 | 2019-01-10 |
| Find all providers in zip 39817 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427521517 | Tiffany Nicole Phillips | Nurse Practitioner | 188 River Oaks Rd, Bainbridge, GA 39817-6878 | 2019-01-10 |
| 1669032983 | Lori Kaye Armold | Nurse Practitioner | 209 E Pat Rady Way, Bainbridge, IN 46105 | 2019-06-18 |
| 1275012015 | Lisa J Sellers | Nurse Practitioner | 509 Wheat Ave, Bainbridge, GA 39819 | 2018-08-13 |
| 1053855767 | Christy Curry | Nurse Practitioner | 603 Wheat Ave Ste 450, Bainbridge, GA 39819-4365 | 2016-12-14 |
| 1174851745 | Angela Frances Tyus | Nurse Practitioner | 603 Wheat Ave, Suite 700, Bainbridge, GA 39819-4360 | 2009-11-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346841186 | Cynthia Marie Benjamin Bates | Nurse Practitioner | 2746 Willis Foreman Rd, Hephzibah, GA 30815-6935 | 2020-11-06 |
| 1841891199 | Gloria Oduro | Nurse Practitioner | 983 Bentley Estates Dr, Dacula, GA 30019-7795 | 2020-11-03 |
| 1689274094 | Shundria Brown | Nurse Practitioner | 2122 Ellwyn Dr, Chamblee, GA 30341-1520 | 2020-10-27 |
| 1629677455 | Amy Lynn Patterson | Nurse Practitioner | 254 Senna St, Marietta, GA 30064-4417 | 2020-10-22 |
| 1538768965 | Tabitha Ford | Nurse Practitioner | 110 Shorter St Lot 9, Ty Ty, GA 31795-3179 | 2020-10-16 |
| 1902404320 | Shanelle Lynette Raiford | Nurse Practitioner | 2028 Hidden Meadow Ln, Stone Mountain, GA 30088-4448 | 2020-10-16 |
| 1760089072 | Diana Maresi Bulimu | Nurse Practitioner | 6050 Peachtree Pkwy # 240-178, Norcross, GA 30092-3336 | 2020-10-08 |
| 1760089692 | Natalie Xiomara Leak | Nurse Practitioner | 4855 Chesterfield Ct, Suwanee, GA 30024-1350 | 2020-10-05 |
| 1548877723 | Camille Watson-clarke | Nurse Practitioner | 3650 Steve Reynolds Blvd Ste 316, Duluth, GA 30096-4506 | 2020-09-30 |
| 1801403654 | Jacqueline Richart | Nurse Practitioner | 6300 Hospital Pkwy Ste 260, Johns Creek, GA 30097-1829 | 2020-09-25 |
| Find all providers with the same taxonomy | ||||
| City | BAINBRIDGE |
| Zip Code | 39817 |
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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.