Active NPI
Lynn S. Vanliew, APRN,BC
- Adult Psychiatric/Mental Health Clinical Nurse Specialist
- Decatur, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Psychiatric/Mental Health Clinical Nurse Specialist
- License
- RN087348
- Practice address
- 450 Winn Way
Decatur, GA 30030-1715 - Phone
- (404) 294-0449
- Fax
- (404) 294-0793
- NPI assigned
- Mar 5, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Psychiatric/Mental Health Clinical Nurse Specialist | 364SP0809X | RN087348 | GA | Primary |
Addresses
Primary practice location
450 Winn Way
Decatur, GA 30030-1715
Mailing address
2289 Brengare Dr
Decatur, GA 30033-4711
Phone (404) 329-8573
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Clinical Nurse Specialist (CNS)
- Education
- Other, 1983
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
523 Church St
Decatur, GA 30030-2515
Phone (404) 589-9040
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Specialist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN | GA | MD | Hospice Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grady Memorial Hospital Corporation | Current | Accepting new patients | |
| Positive Impact Health Centers, Inc. | Current | Accepting new patients | |
| Positive Impact Health Centers Inc | Current | Accepting new patients | |
| Grady Memorial Hospital Corporation | Current | Accepting new patients | |
| Grady Memorial Hospital Corporation | Past | Accepting new patients |
Locations
80 Jesse Hill Jr Dr SE
Atlanta, GA 30303
Phone (404) 616-4370
523 Church St
Decatur, GA 30030
Phone (404) 589-9040
3350 Breckinridge Blvd
Ste 200
Duluth, GA 30096
Phone (770) 962-8396
3075 Breckinridge Blvd
Ste 415
Duluth, GA 30096
Phone (770) 962-8396
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/6123adb2-d0d2-485a-9dcf-5fba87efb2ef/
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Primary Care Clinic/Center
- Duluth, GA
- NPI 1790861995
-
- Family Medicine Physician
- Atlanta, GA
- NPI 1114243813
-
- Rehabilitation Hospital
- Atlanta, GA
- NPI 1336961119
-
- Community/Retail Pharmacy
- Decatur, GA
- NPI 1912476466
-
- General Acute Care Hospital
- Atlanta, GA
- NPI 1992799050
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1003945098",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2289 BRENGARE DR",
"city": "DECATUR",
"state": "GA",
"postal_code": "300334711",
"telephone_number": "404-329-8573"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "450 WINN WAY",
"city": "DECATUR",
"state": "GA",
"postal_code": "300301715",
"telephone_number": "404-294-0449",
"fax_number": "404-294-0793"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANLIEW",
"first_name": "LYNN",
"middle_name": "S.",
"name_prefix": "Mrs.",
"credential": "APRN,BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "364SP0809X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
"state": "GA",
"license": "RN087348",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Decatur, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.