Gnimbin Albert Ouattara

Primary specialty

Home Health AideTaxonomy code 374U00000X

License

PHCP01651 Issued in GA

Practice address

847 Conners CV
Lawrenceville, GA 30044-6934

Phone

(404) 543-3151

NPI assigned

Aug 5, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 8

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• American Healthcare & Family Services, LLC

  • Home Health Agency
  • Lawrenceville, GA
  • NPI 1790453389

  Nursing Care

  NPD Authorized official

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

{
    "created_epoch": "1628121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628121600000",
    "number": "1083388748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "847 CONNERS CV",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300446934",
            "telephone_number": "404-543-3151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "847 CONNERS CV",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300446934",
            "telephone_number": "404-543-3151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OUATTARA",
        "first_name": "GNIMBIN",
        "middle_name": "ALBERT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-08-05",
        "last_updated": "2021-08-05",
        "certification_date": "2021-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WW0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Wound Care",
            "state": "GA",
            "license": "PHCP010651",
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "GA",
            "license": "PHCP010651",
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "GA",
            "license": "PHCP010651",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "GA",
            "license": "PHCP010651",
            "primary": false
        },
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": "GA",
            "license": "PHCP010651",
            "primary": false
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "GA",
            "license": "PHCP010651",
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "GA",
            "license": "PHCP010651",
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "GA",
            "license": "PHCP01651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carmen G Osorio
• Betty Otieno, RN
• Ifeyinwa Doris Otiji
• Sidney Otiwu, PT, DPT
• Otlife and Cams Therapy LLC
• Outreach Psychiatric Associates, LLC
• Jill J Overcash, M.D.
• Amanda Marie Overton, ACNP-BC
• Shaliyah Ovid
• Lawanda Owens, APC

• Home Health Aide in Lawrenceville, GA
• Providers in Lawrenceville, GA by specialty
• Home Health Aide in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.

Verify at the official NPI Registry.