FATIMA EDEMBURGO (NPI# 1972949360) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972949360 |
| Entity Type | Individual |
| Full Name | FATIMA EDEMBURGO |
| Practice Address |
114 Constitution Dr Warner Robins GA 31088-8001 |
| Practice Telephone | 4783336363 |
| Mailing Telephone | 4783336363 |
| Enumeration Date | 2013-05-13 |
| Last Update Date | 2013-05-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | PT010917 | GA | Other Service Providers |
| Street Address |
114 CONSTITUTION DR |
| City | WARNER ROBINS |
| State | GA |
| Zip Code | 31088-8001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134471097 | Patti S Carriker | Specialist | 114 Constitution Dr, Warner Robins, GA 31088-8001 | 2012-10-02 |
| 1205259371 | Michele Rosemary Worrell | Occupational Therapist | 114 Constitution Dr, Suite 800, Warner Robins, GA 31088-8001 | 2014-01-27 |
| 1861815938 | Myrtle Jacquelyn Crews | Occupational Therapist | 114 Constitution Dr, Suite 800, Warner Robins, GA 31088-8001 | 2014-01-27 |
| 1801223979 | Jennifer D Wenkel | Speech-Language Pathologist | 114 Constitution Dr, Suite 800, Warner Robins, GA 31088-8001 | 2013-10-03 |
| 1093148942 | Heather H Dorman | Occupational Therapist | 114 Constitution Dr, Warner Robins, GA 31088-8001 | 2013-08-14 |
| 1306287321 | Brenda Cooley | Speech-Language Pathologist | 114 Constitution Dr, Warner Robins, GA 31088-8001 | 2013-07-08 |
| 1669816872 | Deanna Mines | Speech-Language Pathologist | 114 Constitution Dr, Warner Robins, GA 31088-8001 | 2013-04-18 |
| 1386982817 | Jessica Thompson | Occupational Therapist | 114 Constitution Dr, Warner Robins, GA 31088-8001 | 2013-01-17 |
| 1346587920 | Senseabilities, LLC | Speech-Language Pathologist | 114 Constitution Dr, Warner Robins, GA 31088-8001 | 2013-01-15 |
| 1205188166 | Whitney B Sumrall | Speech-Language Pathologist | 114 Constitution Dr, Warner Robins, GA 31088-8001 | 2012-10-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982218921 | Sarah Newman | Pharmacist | 1081 Ga-96, Warner Robins, GA 31088 | 2020-09-08 |
| 1619599115 | Alana Jane Sibley | Registered Nurse | 940 Ga - 96, Warner Robins, GA 31088 | 2020-05-07 |
| 1033779657 | Jodi Lynne Pettygrove | Nurse Practitioner | 115 Havelock Cir, Warner Robins, GA 31088 | 2019-06-17 |
| 1164994901 | Gwendolyn Jordan Taylor | Registered Nurse | 940-c Ga Hwy 96, Same, Warner Robins, GA 31088 | 2018-12-18 |
| 1447721543 | Amy Tanner | Behavioral Analyst | 200 Cresview Church Rd #1806, Warner Robins, GA 31088 | 2018-12-16 |
| 1518435676 | Phoenix Health Center | Case Management | 940 Ga-96, Warner Robins, GA 31088 | 2018-11-07 |
| 1427534320 | Jared Dean Johnson | Social Worker | 146 Lakepointe Drive, Warner Robins, GA 31088 | 2018-07-13 |
| 1285124180 | Cmp Academy & Billing Service | Contractor | 105 S Commercial Circle, Warner Robins, GA 31088 | 2018-05-16 |
| 1730692377 | Benzer Pharmacy | Pharmacy | 150 S Houston Lake Rd Ste 300, Warner Robins, GA 31088 | 2017-11-06 |
| 1821507476 | Timothy Doyle Thomas | Registered Nurse | 940-c Hwy 96, Warner Robins, GA 31088 | 2017-09-27 |
| Find all providers in zip 31088 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629423751 | Santresa Weldon | Specialist | 105 Renoir Ln, Warner Robins, GA 31088-6321 | 2016-04-26 |
| 1134471097 | Patti S Carriker | Specialist | 114 Constitution Dr, Warner Robins, GA 31088-8001 | 2012-10-02 |
| 1649521535 | Leigh Ann Allen | Specialist | 114 Constitution Dr Ste 800, Warner Robins, GA 31088-8001 | 2012-10-02 |
| 1750586301 | North Houston Medical Clinic | Specialist | 707 N Houston Rd, Warner Robins, GA 31093-2101 | 2007-06-15 |
| 1629142781 | Melissa R Scarboro | Specialist | 110 Osigian Blvd, Warner Robins, GA 31088-7880 | 2006-11-20 |
| 1649267667 | William E Freeman | Specialist | 136 S Houston Lake Rd, Warner Robins, GA 31088-6300 | 2005-10-04 |
| 1174528673 | Barry Mcleod-hughes | Specialist | 624 S Houston Lake Rd, Warner Robins, GA 31088-9017 | 2005-06-20 |
| 1578097267 | Warner Robins Ob/gyn 2, LLC | Specialist | 225 Smithville Church Rd, Suite 1100, Warner Robins, GA 31088-9092 | 2017-04-19 |
| 1598185837 | Rebekah Wright | Specialist | 201 Corder Rd, Warner Robins, GA 31088-3603 | 2014-04-25 |
| 1427299361 | Olena Klindukhova | Specialist | 512 S Houston Lake Rd, Warner Robins, GA 31088-6308 | 2009-03-23 |
| Find all providers in WARNER ROBINS | ||||
| City | WARNER ROBINS |
| Zip Code | 31088 |
Please comment or provide details below to improve the information on FATIMA EDEMBURGO.
| 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.