Individual provider Active NPI

Valerie Davis Hunt, LPN

  • Licensed Practical Nurse
  • Fayetteville, GA
National Provider Identifier
1073918025
Registry record updated Nov 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
LPN072783 Issued in GA
Practice address
195 Stillbrook Way
Fayetteville, GA 30214-5358
Phone
(404) 226-9081
Fax
(770) 719-2796
NPI assigned
Nov 1, 2014
Last updated
Nov 1, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 1, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X LPN072783 GA Primary

Addresses

Primary practice location

195 Stillbrook Way
Fayetteville, GA 30214-5358

Mailing address

195 Stillbrook Way
Fayetteville, GA 30214-5358
Phone (404) 226-9081

Other names 1

  • Valerie Davis Moore Former name

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

LicenseStateTypeSpecialty
LPN072783GAMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1414800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414800000000",
    "number": "1073918025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 STILLBROOK WAY",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302145358",
            "telephone_number": "404-226-9081",
            "fax_number": "770-719-2796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 STILLBROOK WAY",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302145358",
            "telephone_number": "404-226-9081",
            "fax_number": "770-719-2796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUNT",
        "first_name": "VALERIE",
        "middle_name": "DAVIS",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-01",
        "last_updated": "2014-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "GA",
            "license": "LPN072783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VALERIE",
            "last_name": "MOORE",
            "middle_name": "DAVIS",
            "credential": "LPN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fayetteville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2014; 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.