Active NPI
Jennifer Vega
- Other Technician
- Sugar Hill, GA
National Provider Identifier
1073289385
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Other Technician
- License
- RBT-21-175507
- Practice address
- 1969 Briarcliff Way
Sugar Hill, GA 30518-2981 - Phone
- (781) 469-6919
- NPI assigned
- Aug 17, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Other Technician | 247200000X | RBT-21-175507 | GA | Primary |
Addresses
Primary practice location
1969 Briarcliff Way
Sugar Hill, GA 30518-2981
Mailing address
2710 Wyndham Place Dr
Lawrenceville, GA 30044-3682
Phone (770) 773-0141
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-21-175507 | GA | MD | Other Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629158400000",
"number": "1073289385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2710 WYNDHAM PLACE DR",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300443682",
"telephone_number": "770-773-0141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1969 BRIARCLIFF WAY",
"city": "SUGAR HILL",
"state": "GA",
"postal_code": "305182981",
"telephone_number": "781-469-6919"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VEGA",
"first_name": "JENNIFER",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-08-17",
"last_updated": "2021-08-17",
"certification_date": "2021-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "247200000X",
"taxonomy_group": "",
"desc": "Technician, Other",
"state": "GA",
"license": "RBT-21-175507",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sugar Hill, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.