1457486425 NPI number — MS. NAIOMI MICHELLE SHOCKLEY CPNP

Table of content: MS. NAIOMI MICHELLE SHOCKLEY CPNP (NPI 1457486425)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1457486425 NPI number — MS. NAIOMI MICHELLE SHOCKLEY CPNP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SHOCKLEY
Provider First Name:
NAIOMI
Provider Middle Name:
MICHELLE
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
CPNP
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1457486425
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
05/15/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1115 MOUNT ZION RD
Provider Second Line Business Mailing Address:
SUITE E
Provider Business Mailing Address City Name:
MORROW
Provider Business Mailing Address State Name:
GA
Provider Business Mailing Address Postal Code:
30260-2266
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
770-960-9999
Provider Business Mailing Address Fax Number:
770-960-0931

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1115 MOUNT ZION RD STE E
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MORROW
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
30260-2266
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
770-960-9999
Provider Business Practice Location Address Fax Number:
770-960-0931
Provider Enumeration Date:
02/22/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363LP0200X , with the licence number:  RN159492 , registered in the state of GA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 20060526 . This is a "PEDS NURSING CERTIFICATIO" identifier , issued by the state of ( GA ) . This identifiers is of the category "OTHER".
  • Identifier: 472261189 . This is a "TAX ID" identifier , issued by the state of ( GA ) . This identifiers is of the category "OTHER".
  • Identifier: 581238651 . This is a "TAX ID #" identifier , issued by the state of ( GA ) . This identifiers is of the category "OTHER".
  • Identifier: NCO000006 . This is a "NATIONAL BD OF PED NURSE" identifier , issued by the state of ( GA ) . This identifiers is of the category "OTHER".
  • Identifier: RN159492 . This is a "LICENSE #" identifier , issued by the state of ( GA ) . This identifiers is of the category "OTHER".
  • Identifier: 003134388B , issued by the state of ( GA ) . This identifiers is of the category "MEDICAID".




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