Kimberly Cesario

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LPN100318 Issued in GA

Practice address

2855 Lawrenceville Suwanee Rd
Suwanee, GA 30024-3563

Phone

(770) 904-3955

NPI assigned

Feb 10, 2022

Sex

Female

Sole proprietor

No

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": "1644451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644451200000",
    "number": "1013661735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2005 SWEETGUM TRL",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300415988",
            "telephone_number": "404-944-0143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2855 LAWRENCEVILLE SUWANEE RD",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300243563",
            "telephone_number": "770-904-3955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CESARIO",
        "first_name": "KIMBERLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-10",
        "last_updated": "2022-02-10",
        "certification_date": "2022-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "GA",
            "license": "LPN100318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "suwanee",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2855 Lawrenceville Suwanee Rd",
            "city": "Suwanee",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300243563",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Makenna Presley Causey, OTR/L
• Ce Turkett Consultants, LLC
• Julio Cesar Cebanos Galvan
• Centerwell Senior Primary Care Ga PC
• Ramiro Cepero, PHARM D
• Amela Cesko, RBT
• Ae Seon Seon Cha, MD
• Annie Cha, NP
• Bede Soon Tae Cha, D.O.
• Colleen Johnson Chambers, MS CCC-SLP

• Licensed Practical Nurse in Suwanee, GA
• Providers in Suwanee, GA by specialty
• Licensed Practical Nurse in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2022; 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.