Deadre Nolton

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

300089 Issued in GA

Practice address

940 Ga Highway 96
Warner Robins, GA 31088-2584

Phone

(478) 988-1222

NPI assigned

Dec 14, 2021

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1639440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639440000000",
    "number": "1780343137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 HIGHWAY 96 APT 301",
            "city": "BONAIRE",
            "state": "GA",
            "postal_code": "310053367",
            "telephone_number": "478-235-8345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 GA HIGHWAY 96",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310882584",
            "telephone_number": "478-988-1222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOLTON",
        "first_name": "DEADRE",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-14",
        "last_updated": "2021-12-14",
        "certification_date": "2021-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "300089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "deadren@mfbhc.org",
            "affiliation": "N",
            "address_1": "940 Ga Highway 96",
            "city": "Warner Robins",
            "state": "GA",
            "country_code": "US",
            "postal_code": "310882584",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Tan-Loc P Nguyen, MD
• Arthandreale Nicholas, FNP
• Andrew Nicoletti, D.C.
• Brittni Nobles
• Joanne Murray Nobles
• Casey Annette Nordstrom
• North Houston Medical Clinic
• Conswalis L. Northcutt, NP
• Danielle Northern
• Northside Imaging LLC

• Registered Nurse in Warner Robins, GA
• Providers in Warner Robins, GA by specialty
• Registered Nurse in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.