Active NPI
Alicia V Casucci, APRN/CPNP
- Pediatric Registered Nurse
- Atlanta, GA
National Provider Identifier
1013158732
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Registered Nurse
- License
- 002126
- Practice address
- 1239 Winding Branch Cir
Atlanta, GA 30338-3935 - Phone
- (203) 610-0993
- NPI assigned
- Mar 9, 2009
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatric Registered Nurse | 163WP0200X | 002126 | CT | Primary |
Addresses
Primary practice location
1239 Winding Branch Cir
Atlanta, GA 30338-3935
Mailing address
68 Oxbow Rd
Fairfield, CT 06824-7323
Phone (203) 610-0993
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Certified Pediatric Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002126 | CT | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1236556800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692748800000",
"number": "1013158732",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "68 OXBOW RD",
"city": "FAIRFIELD",
"state": "CT",
"postal_code": "068247323",
"telephone_number": "203-610-0993"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1239 WINDING BRANCH CIR",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303383935",
"telephone_number": "203-610-0993"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASUCCI",
"first_name": "ALICIA",
"middle_name": "V",
"name_prefix": "Mrs.",
"credential": "APRN/CPNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-03-09",
"last_updated": "2023-08-23",
"certification_date": "2023-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Pediatrics",
"state": "CT",
"license": "002126",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.