Kelli Marie Kushinka, NP
Individual provider Active NPI Pediatric Nurse Practitioner · Warner Robins, GA
NPI 1124687348 · NPPES record last updated Jun 11, 2019
Key facts
- NPI
- 1124687348
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Nurse Practitioner 363LP0200X
- License
- RN250344 (GA)
- Practice address
- 116 S Houston Rd
Warner Robins, GA 31088-3904 - Phone
- (478) 923-0131
- Fax
- (478) 922-6530
- NPI assigned
- Jun 11, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN250344 | GA | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cornerstone Medical Assoc., LLC | Past | Accepting new patients | |
| Pediatric First, PC | Past | Accepting new patients | |
| Pediatric Care After Hours | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | RN250344 | GA | Yes |
Addresses
Primary practice location
116 S Houston Rd
Warner Robins, GA 31088-3904
Mailing address
PO Box 8818
Warner Robins, GA 31095-8818
Phone (478) 923-0131
Other practice location 1
1275 S Houston Lake Rd Ste 1&2
Warner Robins, GA 31088-0746
Phone (478) 987-1100
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RN250344 | Other | GA | RN |
| 201913531 | Other | GA | NP CERTIFICATION |
Other providers in Warner Robins, GA
- Crystal L Knowlton
- Natalie Knowlton
- Koch & Crossley LLC
- Terri Koedam
- Jessica L Krisel
- Deserea Ladelfa
- Mark A Lafferty I
- Lakeview Surgery Center, LLC
- Loc Lam
- Misty Landor
All providers in Warner Robins, GA · Pediatric Nurse Practitioner in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 11, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.