Organization Active NPI

Dynamic Nursing LLC

  • In Home Supportive Care Agency
  • Lawrenceville, GA
National Provider Identifier
1184248015
Registry record updated Jun 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
DYNAMIC NURSING LLC
Practice address
405 Philip Blvd Apt 910
Lawrenceville, GA 30046-8758
Phone
(404) 268-5155
NPI assigned
Jun 6, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2020

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

Authorized official

Name
Rachel Kyerewaah
Title
Owner/President
Phone
(404) 268-5155

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

405 Philip Blvd Apt 910
Lawrenceville, GA 30046-8758

Mailing address

405 Philip Blvd Apt 910
Lawrenceville, GA 30046-8758

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1591401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591401600000",
    "number": "1184248015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 PHILIP BLVD APT 910",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300468758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 PHILIP BLVD APT 910",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300468758",
            "telephone_number": "404-268-5155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC NURSING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-06",
        "last_updated": "2020-06-06",
        "certification_date": "2020-06-06",
        "status": "A",
        "authorized_official_last_name": "KYEREWAAH",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "404-268-5155"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2020; 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.