MS. TRACEY LYNN SCISSUM (NPI# 1932372539) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1932372539 |
Entity Type | Individual |
Full Name | MS. TRACEY LYNN SCISSUM |
Credential | R.N. |
Practice Address |
424 Decatur St Se Atlanta GA 30312-1848 |
Mailing Address |
Po Box 72756 Marietta GA 30007-2756 |
Practice Telephone | 4048803567 |
Mailing Telephone | 7708616577 |
Enumeration Date | 2008-04-04 |
Last Update Date | 2008-04-04 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WA2000X |
Registered Nurse Specialization: Administrator |
RN158406 | GA | Nursing Service Providers |
Street Address |
424 DECATUR ST SE |
City | ATLANTA |
State | GA |
Zip Code | 30312-1848 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801860986 | Cindy Denise Unongo | Nurse Practitioner | 424 Decatur St Se, Atlanta, GA 30312-1848 | 2006-02-15 |
1649741299 | Kristen Michelle Deltoro | Social Worker | 424 Decatur St Se, Atlanta, GA 30312-1848 | 2018-12-07 |
1447761150 | Krystal D Toland | Case Manager/Care Coordinator | 424 Decatur St Se, Atlanta, GA 30312-1848 | 2017-10-20 |
1518486000 | Sherry Renee Baldwin | Social Worker | 424 Decatur St Se, Atlanta, GA 30312-1848 | 2017-09-15 |
1366965477 | Emily Bakshi | Social Worker | 424 Decatur St Se, Atlanta, GA 30312-1848 | 2017-07-20 |
1437525029 | Saint Joseph's Mercy Care Services, Inc. | Clinic/Center | 424 Decatur St Se, Atlanta, GA 30312-1848 | 2015-08-18 |
1053723676 | Andrea Haynes | Nurse Practitioner | 424 Decatur St Se, Atlanta, GA 30312-1848 | 2014-06-02 |
1427484302 | Jaime Bettina King | Nurse Practitioner | 424 Decatur St Se, Atlanta, GA 30312-1848 | 2013-09-23 |
1265874796 | Joy Fernandez De Narayan | Nurse Practitioner | 424 Decatur St Se, Atlanta, GA 30312-1848 | 2013-07-25 |
1497090211 | Cathryn Marchman | Social Worker | 424 Decatur St Se, Atlanta, GA 30312-1848 | 2012-12-05 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770108516 | Bita Ranjbari | Physician Assistant | 659 Auburn Ave Se, Suite 505, Atlanta, GA 30312 | 2020-06-08 |
1609439629 | Adeyinka Edward Adeniyi | Student in an Organized Health Care Education/Training Program | Wellstar Atlanta Medical Center, 303 Parkway Drive Ne, 4th Floor, Internal Medicine Department, Atlanta, GA 30312 | 2019-04-16 |
1003378670 | James Spratt IIi | Student in an Organized Health Care Education/Training Program | 303 Parkway Drive, Ne, 4th Floor, Wellstar Atlanta Medical Center Department of Orthopaed, Atlanta, GA 30312 | 2019-04-03 |
1659833440 | Derrick Edward Wendler | Student in an Organized Health Care Education/Training Program | Wellstar Atlanta Medical Center Dpt of Orthopaedics, 303 Parkway Drive Ne, 4th Floor, Atlanta, GA 30312 | 2019-04-02 |
1336631266 | The Atlanta Small Business Training Consortium, Inc. | Local Education Agency (LEA) | 250 Georgia Ave Se Ste 207a, Atlanta, GA 30312 | 2018-06-06 |
1669960134 | Derek Mccranie | Student in an Organized Health Care Education/Training Program | 303 Parkway Drive, Atlanta, FL 30312 | 2018-04-30 |
1336646223 | Amy Ruth Williams | Nurse Practitioner | 383 Ralph Mcgill Blvd Ne Apt D, Atlanta, GA 30312 | 2018-04-09 |
1730689183 | Lisa Marie Margavage | Chiropractor | 720 Ralph Mcgill Blvd Ne Unit 210, Atlanta, GA 30312 | 2018-02-12 |
1922518836 | Rodney Aldridge | Registered Nurse | 250 Georgia Avenue, Suite 206, Atlanta, GA 30312 | 2017-10-05 |
1629599279 | Huda Hashim Elsamani Elsheikh | Student in an Organized Health Care Education/Training Program | 303 Parkway Dr Ne, Wellstar Atlanta Medical Center, Dept of Graduate Medical Education, Internal Medicine, Atlanta, GA 30312 | 2017-07-05 |
Find all providers in zip 30312 |
Taxonomy Code | 163WA2000X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Administrator |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336678317 | Lisa Dove Blakely | Registered Nurse | 1659 Woodbridge Ln Ne, Atlanta, GA 30329-3536 | 2017-06-05 |
1891126561 | Constance English | Registered Nurse | 1332 Donald Lee Hollowell Pkwy Nw, Atlanta, GA 30318-5143 | 2013-12-06 |
1750633251 | Karen D Stack | Registered Nurse | 2793 Clairmont Rd Ne, Suite 213, Atlanta, GA 30329-2700 | 2012-10-08 |
1285933622 | Valencia L. Beckley | Registered Nurse | 265 Boulevard N.e., Atlanta, GA 30312 | 2011-03-24 |
1396162459 | Brittney Williams | Registered Nurse | 460 Auburn Ave Ne, Atlanta, GA 30312-1504 | 2014-03-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699381327 | Jamaria A Bryant | Registered Nurse | 2050 Roswell Rd Ste 312, Marietta, GA 30062-3811 | 2020-09-17 |
1063052470 | Kimberly Michel Davis | Registered Nurse | 4560 Atwater Ct Ste 105-2, Buford, GA 30518-3497 | 2020-01-14 |
1043879075 | Latavia Howard | Registered Nurse | 495 Lory Ln, Grovetown, GA 30813-6104 | 2019-06-12 |
1194257931 | Cheryl Davis | Registered Nurse | 118 S Madison St, Suite 4, Thomasville, GA 31792-5495 | 2017-03-31 |
1366815383 | Mary Azuh | Registered Nurse | 1069 Lakefield Walk, Marietta, GA 30064-5758 | 2015-11-12 |
1720462575 | Kimily Singleton | Registered Nurse | 821 Pavilion Ct Ste G, Mcdonough, GA 30253-5223 | 2015-07-10 |
1447523139 | Donna B Walden | Registered Nurse | 161 Finncannon Dr, Ellijay, GA 30536-4773 | 2012-02-11 |
1962796680 | Donna Lynn Ross | Registered Nurse | 684 Pathwood Ln, Stockbridge, GA 30281-7787 | 2011-05-31 |
1194042036 | Alice Jacqueline Haskins | Registered Nurse | 100 Piedmont Rd Ne, Marietta, GA 30066-3636 | 2010-05-03 |
1588828024 | Raquel Valdivieso | Registered Nurse | 1525 Laurel Crossing Pkwy, 1026, Buford, GA 30516-6586 | 2008-07-14 |
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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.