Individual provider Active NPI

Teresia Kimuhu, LPN

  • Licensed Practical Nurse
  • Alpharetta, GA
National Provider Identifier
1093214207
Registry record updated Feb 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
LPN080153 Issued in GA
Practice address
1071 Cambridge SQ Ste C
Alpharetta, GA 30009-1843
Phone
(770) 609-6781
NPI assigned
Feb 3, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 3, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical NurseGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 164W00000X LPN080153 GA Primary

Addresses

Primary practice location

1071 Cambridge SQ Ste C
Alpharetta, GA 30009-1843

Mailing address

1071 Cambridge SQ Ste C
Alpharetta, GA 30009-1843

Other identifiers 1

IdentifierTypeStateIssuer
LPN080153OtherGALPN LICENSE

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
LPN080153GAMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Caring Angels Homecare Inc Past Accepting new patients

Organizations & group practices 1

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": "1517616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517616000000",
    "number": "1093214207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1071 CAMBRIDGE SQ STE C",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300091843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1071 CAMBRIDGE SQ STE C",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300091843",
            "telephone_number": "770-609-6781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMUHU",
        "first_name": "TERESIA",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-03",
        "last_updated": "2018-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Licensed Practical Nurse",
            "state": "GA",
            "license": "LPN080153",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LPN LICENSE",
            "identifier": "LPN080153",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpharetta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2018; 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.