THERESA MONCUS RN NPI 1023147063

Registered Nurse (Case Management) in Albany, GA

About THERESA MONCUS

Theresa Moncus is a provider in Albany, GA. The NPI number assigned to this provider is 1023147063. The practitioner's primary taxonomy code is Registered Nurse (163WC0400X). The provider is registered as an individual and their NPI record was last updated 11 years ago.

NPI

1023147063

Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider Name THERESA MONCUS RN
Provider Location Address2202 E OGLETHORPE BLVD ALBANY, GA 31705 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address204 N WESTOVER BLVD ALBANY, GA 31707 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
GenderFemale
NPI Entity TypeIndividual Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Is Sole Proprietor?No
Is Organization Subpart?N/A Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Enumeration Date03-05-2007 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date07-08-2007 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Primary Taxonomy

Taxonomy Code163WC0400X Additional informationCallout TooltipPrimary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
ClassificationRegistered Nurse
TypeNursing Service Providers
SpecializationCase Management
License No.RN060683
License StateGA

Business Address

THERESA MONCUS RN
2202 E OGLETHORPE BLVD
ALBANY, GA
ZIP 31705
Phone: (229) 431-1423
Fax: (229) 438-0738

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Mailing Address

THERESA MONCUS RN
204 N WESTOVER BLVD
ALBANY, GA
ZIP 31707
Phone: (229) 888-6559
Fax: (229) 436-4107

Other Providers at the same location


The following 9 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1013117175 RACHEL M THOMAS
Individual
Social Worker2202 E OGLETHORPE BLVD
ALBANY, GA 31705
(229) 431-1423
1053422675 PHILLIP POULOS M.D.
Individual
Internal Medicine2202 E OGLETHORPE BLVD
ALBANY, GA 31705
(229) 431-1423
1124463047MS. DAWN R ROBINSON B.S.W., M.S.ED.
Individual
Social Worker (Clinical)2202 E OGLETHORPE BLVD
ALBANY, GA 31705
(229) 431-1423
1508246182 KASHEIKA NACOLE WILLIAMS FNP
Individual
Nurse Practitioner (Family)2202 E OGLETHORPE BLVD
ALBANY, GA 31705
(229) 431-1423
1598950701 MARTHA P WESTON LICENSED DIETICIAN
Individual
Dietitian, Registered2202 E OGLETHORPE BLVD
ALBANY, GA 31705
(229) 431-1423
1760790794 DANA GRAY BS
Individual
Social Worker (Clinical)2202 E OGLETHORPE BLVD
ALBANY, GA 31705
(229) 431-1423
1841225315ALBANY AREA PRIMARY HEALTH CARE, INC.
Organization
Clinic/Center (Federally Qualified Health Center (FQHC))2202 E OGLETHORPE BLVD
ALBANY, GA 31705
(229) 431-1423
1871871244MS. ADRIAN M. JOHNSON M.S.
Individual
Social Worker (Clinical)2202 E OGLETHORPE BLVD
ALBANY, GA 31705
(229) 431-1423
1932210424 STEPHANIE STEVENSON PA-C
Individual
Physician Assistant2202 E OGLETHORPE BLVD
ALBANY, GA 31705
(229) 431-1423
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1023147055
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