KRISTA LEE VERNON (NPI# 1912471731) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1912471731 |
Entity Type | Individual |
Full Name | KRISTA LEE VERNON |
Credential | ARNP |
Practice Address |
1120 15th St # 6518 Augusta GA 30912-0004 |
Mailing Address |
1120 15th St Ste Bi1056 Augusta GA 30912-0004 |
Practice Telephone | 7067213792 |
Mailing Telephone | 7067213813 |
Mailing Fax Number | 7067219286 |
Enumeration Date | 2019-01-15 |
Last Update Date | 2019-01-23 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
RN281875 | GA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
1120 15TH ST # 6518 |
City | AUGUSTA |
State | GA |
Zip Code | 30912-0004 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215399456 | Raymond Mai | Internal Medicine | 1120 15th St # 6518, Augusta, GA 30912-1436 | 2016-03-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548885940 | Hannah Gullickson Folsom | Family Medicine | 1459 Laney Walker Blvd Ae 3042, Augusta, GA 30912 | 2020-06-11 |
1487278909 | Robert Kennedy | Internal Medicine | Augusta University Internal Medicine Residency Program, 1120 15th Street, Bi 5070, Augusta, GA 30912 | 2020-06-01 |
1952968737 | Kayla M. Lasota | Pediatrics | 11230 115th St Ae3042, Augusta, GA 30912 | 2019-05-28 |
1003379280 | Kayla Cox | Internal Medicine | 1120 15th St Bi5070, Augusta, GA 30912 | 2019-04-13 |
1619435740 | Justin Ray Mackert | Student in an Organized Health Care Education/Training Program | Augusta University, 1120 15th Street, Gc 5110, Augusta, GA 30912 | 2019-03-07 |
1417444167 | Victor Celis | Dentist | John Wesley Gilbert Dr, Augusta, GA 30912 | 2018-04-18 |
1487157921 | Julie Ann Matsen | Student in an Organized Health Care Education/Training Program | 997 St. Sebastian Way, Eg-2021-10, Augusta Univ., Dept. of Psychiatry & Health Behavior, Augusta, GA 30912 | 2018-03-12 |
1497287031 | Luke Yuung-jier Chang | Ophthalmology | 1120 15th St # Ba2720, Augusta, GA 30912 | 2017-04-02 |
1821537622 | Lashawn Kay Boone | Nurse Practitioner | 1445 Harper St, Augusta, GA 30912 | 2017-02-14 |
1134675564 | Arnab Saha | Internal Medicine | 1120 15 Th St., Augusta, GA 30912 | 2016-08-26 |
Find all providers in zip 30912 |
Taxonomy Code | 363LA2200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Adult Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811358955 | Theodora Mcleskey | Nurse Practitioner | 1215 George C. Wilson Drive, Augusta, GA 30909 | 2016-03-17 |
1316113913 | Jenny Lee Charles | Nurse Practitioner | 711 4th St, Augusta, GA 30901-2403 | 2008-05-03 |
1649330622 | Laurie Ann Conn | Nurse Practitioner | 3092 Leaflet Way, Augusta, GA 30909-1714 | 2006-12-11 |
1528098225 | Azerlea Bryant | Nurse Practitioner | 1 Togus Circle, 107f, Augusta, ME 04330-9929 | 2006-07-05 |
1811993926 | Mary Jo Goolsby | Nurse Practitioner | 1350 Walton Way, Augusta, GA 30901-2612 | 2005-06-23 |
1669030995 | Vicki Scott | Nurse Practitioner | 1120 15th St, Augusta, GA 30912-0004 | 2019-06-01 |
1346714524 | Daniel Haynia | Nurse Practitioner | 987 Saint Sebastian Way, Augusta, GA 30912-2613 | 2019-01-22 |
1073054813 | Regina Clark Canty | Nurse Practitioner | 1120 15th St, Augusta, GA 30912-5887 | 2017-03-13 |
1508301649 | Ma Victoria Aquino Khera | Nurse Practitioner | 2467 Golden Camp Rd, Augusta, GA 30906-5515 | 2016-12-28 |
1659726917 | Veronica Sampson | Nurse Practitioner | 1120 15th St, Augusta, GA 30912-4035 | 2016-04-24 |
Find all providers in AUGUSTA |
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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.