Janet Annikki Dits-Rinta-Koski, RN, MSN, AGNP-C

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

169381 Issued in GA

Practice address

1395 S Marietta Pkwy SE Ste 730
Marietta, GA 30067-7886

Phone

(770) 688-1090

NPI assigned

Jul 16, 2018

Last updated

Jul 16, 2018By 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 3

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

May accept Medicare assignment

Group practices

Pruitthealth Hospice IncGroup PAC ID 2264344217, 42 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Registered Nurse

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pruitthealth Hospice, Inc

  dba PruittHealth Hospice - Swainsboro

  • Community Based Hospice Care Agency
  • Swainsboro, GA
  • NPI 1013955749
  Medicare reassignment Care Compare group NPD
• Pruitthealth Hospice, Inc.

  dba PruittHealth Hospice - Gainesville

  • Community Based Hospice Care Agency
  • Gainesville, GA
  • NPI 1154369171
  NPD
• Pruitthealth Hospice, Inc.

  dba PruittHealth Hospice - Eastern Carolina

  • Community Based Hospice Care Agency
  • Greenville, NC
  • NPI 1992744361
  NPD
• Physicians at Home PC

  • Internal Medicine Physician
  • Myrtle Beach, SC
  • NPI 1487073193
  NPD (past)

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

{
    "created_epoch": "1531699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531699200000",
    "number": "1225514995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1670 SAINT JULIAN ST",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300242898",
            "telephone_number": "678-347-3039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1395 S MARIETTA PKWY SE STE 730",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300677886",
            "telephone_number": "770-688-1090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DITS-RINTA-KOSKI",
        "first_name": "JANET",
        "middle_name": "ANNIKKI",
        "name_prefix": "Mrs.",
        "credential": "RN, MSN, AGNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-16",
        "last_updated": "2018-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "GA",
            "license": "169381",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "GA",
            "license": "169381",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "GA",
            "license": "169381",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dale Wesley Disbro Jr., DC
• Melanie Diane Disco
• Andrew G Dishman, LPC
• Olivia Dison
• Joseph Distefano, DPM
• Manasi Divan, MSW, RD LD
• Diversified Diagnostics, Inc
• Divine Psychology, LLC
• Divine Realign Chiropractic
• Divine Team Behavioral Health Care Inc

• Gerontology Nurse Practitioner in Marietta, GA
• Providers in Marietta, GA by specialty
• Gerontology Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.