Nsp1Re

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

NSP1RE

Practice address

5317 Peachtree Blvd
Guardian Business Center S306
Chamblee, GA 30341

Phone

(678) 671-0078

Fax

(888) 948-2083

NPI assigned

May 15, 2023

Organization subpart

No

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

Authorized official

Name

Latoria Jackaon

Title

Ceo

Phone

(678) 671-0078

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Latoria Nicole Jackson

  • Non-emergency Medical Transport (VAN)
  • Loganville, GA
  • NPI 1922500289

  Case Management

  NPD

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

{
    "created_epoch": "1684108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684108800000",
    "number": "1063103778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5317 PEACHTREE BLVD",
            "address_2": "S306",
            "city": "CHAMBLEE",
            "state": "GA",
            "postal_code": "30341",
            "telephone_number": "678-671-0078",
            "fax_number": "888-948-2083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5317 PEACHTREE BLVD",
            "address_2": "GUARDIAN BUSINESS CENTER S306",
            "city": "CHAMBLEE",
            "state": "GA",
            "postal_code": "30341",
            "telephone_number": "678-671-0078",
            "fax_number": "888-948-2083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NSP1RE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-15",
        "last_updated": "2023-05-15",
        "certification_date": "2023-05-15",
        "status": "A",
        "authorized_official_last_name": "JACKAON",
        "authorized_official_first_name": "LATORIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "678-671-0078"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pat Nguyen, DDS
• Thang Quoc Nguyen, DDS
• Vincent CHI Nguyen, DNP
• Xavier Anh Nguyen, D.O.
• North Atlanta Surgical Associates
• Jennifer Nicole Nuetzel, FNP-C
• Nurturecare Doula Services
• Kayla O'Connor, DPT
• Kelsey O'Regan, DPT
• Amlia Ocloo

• Case Management Agency in Chamblee, GA
• Providers in Chamblee, GA by specialty
• Case Management Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 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.

Verify at the official NPI Registry.