Individual provider Active NPI

Nkechi A Saleh, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Tucker, GA
National Provider Identifier
1053869750
Registry record updated Nov 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
7171 Issued in MN
Practice address
1479 Brockett Rd Ste 101
Tucker, GA 30084-7326
Phone
(404) 625-5427
Fax
(404) 508-8944
NPI assigned
Sep 12, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN261860 GA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 7171 MN Primary

Addresses

Primary practice location

1479 Brockett Rd Ste 101
Tucker, GA 30084-7326

Mailing address

1479 Brockett Rd Ste 101
Tucker, GA 30084-7326
Phone (404) 625-5427

Other practice location 1

8800 Roswell Rd
A135
Atlanta, GA 30350-1826
Phone (404) 719-4233

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, MN2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20161214002187 GA Practitioner - Nurse Practitioner 5991085623 Reassigns benefits to 1 organization
I20210202001019 MN Practitioner - Nurse Practitioner 5991085623 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN261860GAMDPsychiatric/Mental Health Nurse Practitioner
7171MNMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Western Mental Health Center, Inc. CurrentSince Dec 1, 2020 Accepting new patients
Thrive Counseling LLC CurrentSince Sep 30, 2016 Accepting new patients

Locations

8800 Roswell Rd
Ste A135
Sandy Springs, GA 30350
Phone (617) 395-5806

8800 Roswell Rd
Ste 255
Sandy Springs, GA 30350
Phone (617) 395-5806

1212 E College Dr
Marshall, MN 56258
Phone (507) 532-3236

1000 Jefferson St
Ste 2C
Lynchburg, VA 24504
Phone (434) 528-3263

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/wmhcinc/r4/

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1473638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730678400000",
    "number": "1053869750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1479 BROCKETT RD STE 101",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300847326",
            "telephone_number": "404-625-5427",
            "fax_number": "404-508-8944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1479 BROCKETT RD STE 101",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300847326",
            "telephone_number": "404-625-5427",
            "fax_number": "404-508-8944"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8800 Roswell Rd",
            "address_2": "A135",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303501826",
            "country_code": "US",
            "telephone_number": "404-719-4233",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SALEH",
        "first_name": "NKECHI",
        "middle_name": "A",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-12",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "GA",
            "license": "RN261860",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MN",
            "license": "7171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucker, GA

Sources for this page

Verify at the official NPI Registry.