Individual provider Active NPI

Christie Cheeyoung Oh Lo, GNP

  • Nurse Practitioner
  • Mableton, GA
National Provider Identifier
1033431093
Registry record updated Feb 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN188876 NP Issued in GA
Practice address
5579 Mableton Pkwy SW
Mableton, GA 30126-3301
Phone
(770) 948-1049
Fax
(770) 944-7861
NPI assigned
Feb 18, 2010
Last updated
Feb 18, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN188876 NP GA Primary

Addresses

Primary practice location

5579 Mableton Pkwy SW
Mableton, GA 30126-3301

Mailing address

5579 Mableton Pkwy SW
Mableton, GA 30126-3301
Phone (770) 948-1049

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN188876 NPGAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Physicians Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1266451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266451200000",
    "number": "1033431093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5579 MABLETON PKWY SW",
            "city": "MABLETON",
            "state": "GA",
            "postal_code": "301263301",
            "telephone_number": "770-948-1049",
            "fax_number": "770-944-7861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5579 MABLETON PKWY SW",
            "city": "MABLETON",
            "state": "GA",
            "postal_code": "301263301",
            "telephone_number": "770-948-1049",
            "fax_number": "770-944-7861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LO",
        "first_name": "CHRISTIE",
        "middle_name": "CHEEYOUNG OH",
        "name_prefix": "Mrs.",
        "credential": "GNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-18",
        "last_updated": "2010-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN188876  NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mableton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2010; 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.