Individual provider Active NPI

Chidinma Anuliekette, AGACNP

  • Acute Care Nurse Practitioner
  • Grayson, GA
National Provider Identifier
1144799305
Registry record updated Nov 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
RN136584 Issued in GA
Practice address
1098 Winding Down Way
Grayson, GA 30017-1599
Phone
(404) 200-3670
NPI assigned
Nov 17, 2018
Last updated
Nov 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X RN136584 GA Primary

Addresses

Primary practice location

1098 Winding Down Way
Grayson, GA 30017-1599

Mailing address

1098 Winding Down Way
Grayson, GA 30017-1599
Phone (404) 200-3670

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1542412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542412800000",
    "number": "1144799305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1098 WINDING DOWN WAY",
            "city": "GRAYSON",
            "state": "GA",
            "postal_code": "300171599",
            "telephone_number": "404-200-3670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1098 WINDING DOWN WAY",
            "city": "GRAYSON",
            "state": "GA",
            "postal_code": "300171599",
            "telephone_number": "404-200-3670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANULIEKETTE",
        "first_name": "CHIDINMA",
        "credential": "AGACNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-17",
        "last_updated": "2018-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "GA",
            "license": "RN136584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grayson, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 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.