TAYLOR RENEE FLEWELLEN (NPI# 1942839659) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942839659 |
| Entity Type | Individual |
| Full Name | TAYLOR RENEE FLEWELLEN |
| Practice Address |
8132 Autumn Forest Dr Jonesboro GA 30236-3971 |
| Practice Telephone | 6787041334 |
| Mailing Telephone | 6787041334 |
| Enumeration Date | 2020-04-04 |
| Last Update Date | 2020-04-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 133NN1002X |
Nutritionist Specialization: Nutrition, Education |
GA | Dietary & Nutritional Service Providers | |
| Y | 133NN1002X |
Nutritionist Specialization: Nutrition, Education |
Dietary & Nutritional Service Providers |
| Street Address |
8132 AUTUMN FOREST DR |
| City | JONESBORO |
| State | GA |
| Zip Code | 30236-3971 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972123362 | Life Source Counseling & Consulting, LLC | Clinic/Center | 118 North Avenue, Suite A, Jonesboro, GA 30236 | 2020-04-25 |
| 1639609555 | New Beginnings Behavioral Counseling,llc | Social Worker | 9456 S Main St Ste E2, Jonesboro, GA 30236 | 2017-06-13 |
| 1437696762 | Clarissa Alexandra Poole | Counselor | 2106 Fair Ridge Ct, Jonesboro, GA 30236 | 2017-01-25 |
| 1588012892 | Sundance Healthcare Service Inc | In Home Supportive Care | 7861 Collinswood Court, Jonesboro, GA 30236 | 2016-05-26 |
| 1942669205 | Adrianne Smiley Gurley | Occupational Therapist | 1299 Battlecreek Rd Ste 210, Jonesboro, GA 30236 | 2016-02-15 |
| 1336505809 | Integrated Health Center | Dentist | 8600 Tara Blvd, Suite D, Jonesboro, GA 30236 | 2016-01-13 |
| 1467827402 | Surrell Porter | Nurse Practitioner | 1287 Georgia Highway 138 Spur, Suite 8, Jonesboro, GA 30236 | 2015-12-02 |
| 1740688910 | Jacqueline Carolyn Edwards | Registered Nurse | 8081 Tara Blvd, 265, Jonesboro, GA 30236 | 2014-12-19 |
| 1770991861 | Lower Extremity Diagnostics, LLC | Podiatrist | 6911 Tara Boulevard, Jonesboro, GA 30236 | 2014-08-01 |
| 1760899710 | Fresenius Medical Care Jonesboro, LLC | Clinic/Center | 8060 Summitt Business Parkway, Jonesboro, GA 30236 | 2014-07-22 |
| Find all providers in zip 30236 | ||||
| Taxonomy Code | 133NN1002X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Nutritionist |
| Specialization | Nutrition, Education |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417557638 | Brenda L Nelson-porter | Nutritionist | 105 Wilson Cir, Newnan, GA 30263-5594 | 2020-10-27 |
| 1265047674 | Tracey Lashae Copeland | Nutritionist | 139 Ralph Mcgill Blvd Ne # 5, Atlanta, GA 30308-3339 | 2020-09-11 |
| 1417570904 | Asase Ye Duru Holistic,llc | Nutritionist | 1201 W Peachtree St Nw, Atlanta, GA 30309-3449 | 2020-05-19 |
| 1548896731 | Veronica Oriako Okwoche | Nutritionist | 11130 State Bridge Rd Ste E101, Johns Creek, GA 30022-2641 | 2020-03-19 |
| 1326511940 | Olivia Haeberle | Nutritionist | 4113 Daniel Green Trl Se, Smyrna, GA 30080-6310 | 2019-01-07 |
| 1033622956 | Dhw Enterprises | Nutritionist | 5300 Brickleberry Way Ste 104, Douglasville, GA 30134-4065 | 2017-11-14 |
| 1609312487 | Alamo Health Group, LLC | Nutritionist | 4816 Ashford Ln, Atlanta, GA 30338-2650 | 2017-01-17 |
| 1093261034 | Amy Lambert | Nutritionist | 1575 Mclendon Ave Ne, Atlanta, GA 30307-2167 | 2016-08-30 |
| 1114311990 | Keena Stephens | Nutritionist | 211 Cove Pl, Atlanta, GA 30339-5207 | 2015-03-19 |
| 1306244983 | Dorothy Ni-rivera | Nutritionist | 204 Bender St, Hinesville, GA 31313-8081 | 2014-12-12 |
| 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.