Selassie Fynn, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN180721 Issued in GA

Practice address

2121 Fountain Dr Ste G
Snellville, GA 30078-2900

Phone

(678) 691-6378

NPI assigned

Nov 12, 2019

Last updated

Nov 12, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Interoperability endpoints

• Direct secure messaging: sfynn@gadhealthcare.com

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

{
    "created_epoch": "1573516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573516800000",
    "number": "1215572482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 FOUNTAIN DR STE G",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300782900",
            "telephone_number": "678-691-6378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 FOUNTAIN DR STE G",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300782900",
            "telephone_number": "678-691-6378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FYNN",
        "first_name": "SELASSIE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-12",
        "last_updated": "2019-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN180721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sfynn@gadhealthcare.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2121 Fountain Dr Ste G",
            "city": "Snellville",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300782900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Nicaler Pashanna Fuller
• Michael D Funderburk, MD
• Dariasz Raphviale Furlow, CERTIFIED NURSE AIDE
• Jenna Corinne Coon Fussell, MD
• David Charles Futral, D.C.
• G.L. Farrow O.D. , P.C.
• Ga Doctors of Optometry LLC
• Ga-I Medical Services PC
• Shelby Gaccetta
• Carol Lacdawn Gaines, MASSAGE THERAPIST

• Registered Nurse in Snellville, GA
• Providers in Snellville, GA by specialty
• Registered Nurse in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2019; 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.