CHANDA AGEE (NPI# 1992257398) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992257398 |
| Entity Type | Individual |
| Full Name | CHANDA AGEE |
| Other Name | CHANDA MACDOWALL |
| Credential | LPN |
| Practice Address |
160 W Lake Dr Fayetteville GA 30214-3239 |
| Practice Telephone | 4044320519 |
| Enumeration Date | 2016-11-01 |
| Last Update Date | 2016-11-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | LPN091514 | GA | Nursing Service Providers |
| Street Address |
160 W LAKE DR |
| City | FAYETTEVILLE |
| State | GA |
| Zip Code | 30214-3239 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548872468 | Phyllis Kelly Wood | Nurse Practitioner | 217 Banks Rd, Suite 31, Fayetteville, GA 30214 | 2020-08-21 |
| 1073139317 | Tyisha Salter Scott | Counselor | 110 Habersham Drive, Suite 142, Fayetteville, GA 30214 | 2020-06-23 |
| 1194341412 | Camille Franncine Bolton | Physical Therapist | 500 Floy Farr Parkway, Suite 303, Fayetteville, GA 30214 | 2020-06-23 |
| 1205465895 | Gillian Vaughan Heard | Physician Assistant | 1275 Ga-54 #201, Fayetteville, GA 30214 | 2020-04-06 |
| 1881234557 | Peach Fits,inc | Mastectomy Fitter | 285 Glynn Street South, Suites 102 and 104, Fayetteville, GA 30214 | 2020-01-10 |
| 1255981072 | Delta Healthcare Providers | Clinic/Center | 1275 W Lanier Ave, #200, Fayetteville, GA 30214 | 2019-09-13 |
| 1861965592 | Hierarchy for Wellness | Specialist | 805 S Glynn St Bldg 127 142, Fayetteville, GA 30214 | 2019-01-04 |
| 1356810634 | Fayette Dental Group PC | Clinic/Center | 720 W Lanier Ave, Fayetteville, GA 30214 | 2018-11-16 |
| 1891263299 | Mattie Mae Farmer Clark | Specialist/Technologist, Other | Piedmont Fayette Hospital, 1255 Highway 54 West, Fayetteville, GA 30214 | 2018-11-05 |
| 1093293607 | Allyson Holland | Pharmacist | 880 Highway 85 South, Fayetteville, GA 30214 | 2018-08-06 |
| Find all providers in zip 30214 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629629993 | Sheena Epps | Licensed Practical Nurse | 637 John B Carter Rd, Fayetteville, NC 28312-7154 | 2019-09-26 |
| 1972158442 | Christina Lynn Evans | Licensed Practical Nurse | 388 Berlin Dr, Fayetteville, OH 45118-9429 | 2019-08-01 |
| 1346804036 | Toosdhi Marquette Mcdaniel-simmons | Licensed Practical Nurse | 3015 Amberjack Rd, Fayetteville, NC 28306-7989 | 2019-04-28 |
| 1417416017 | Sonja Nicole Leflore | Licensed Practical Nurse | 12335 Molly Sue Ln, Fayetteville, GA 30215-6630 | 2019-03-14 |
| 1114497393 | Leslie Annette Simmons | Licensed Practical Nurse | 500 Grouper Dr, Fayetteville, NC 28306-8453 | 2018-11-29 |
| 1154891679 | Faith Ursula Cowart | Licensed Practical Nurse | 415 Tradewinds Dr Apt G, Fayetteville, NC 28314-2454 | 2018-11-27 |
| 1689176307 | Isis Andrea Goodson | Licensed Practical Nurse | 1233 Mingary Ave, Fayetteville, NC 28306-3558 | 2018-03-08 |
| 1528410487 | Sharon Byrd | Licensed Practical Nurse | 17836 Harmon Rd, Fayetteville, AR 72704 | 2016-07-05 |
| 1073918025 | Valerie Davis Hunt | Licensed Practical Nurse | 195 Stillbrook Way, Fayetteville, GA 30214-5358 | 2014-11-01 |
| 1255683967 | Ebony M. Smith | Licensed Practical Nurse | 328 Interchange Dr, Fayetteville, NC 28311-7417 | 2012-10-04 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 30214 |
Please comment or provide details below to improve the information on CHANDA AGEE.
| 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.