Active NPI
Khanetha Stokes
- Nurse's Aide
- Lithia Springs, GA
National Provider Identifier
1144964792
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse's Aide
- License
- CN0014220140
- Practice address
- 2424 Waterford Club Dr
Lithia Springs, GA 30122-4411 - Phone
- (470) 258-5926
- NPI assigned
- Apr 20, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | CN0014220140 | IL | Primary |
Addresses
Primary practice location
2424 Waterford Club Dr
Lithia Springs, GA 30122-4411
Mailing address
2424 Waterford Club Dr
Lithia Springs, GA 30122-4411
Phone (470) 258-5926
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
| License | State | Type | Specialty |
|---|---|---|---|
| CN0014220140 | IL | MD | Nurse's Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1650412800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650412800000",
"number": "1144964792",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2424 WATERFORD CLUB DR",
"city": "LITHIA SPRINGS",
"state": "GA",
"postal_code": "301224411",
"telephone_number": "470-258-5926"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2424 WATERFORD CLUB DR",
"city": "LITHIA SPRINGS",
"state": "GA",
"postal_code": "301224411",
"telephone_number": "470-258-5926"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STOKES",
"first_name": "KHANETHA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-04-20",
"last_updated": "2022-04-20",
"certification_date": "2022-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "IL",
"license": "CN0014220140",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lithia Springs, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.