Active NPI
Kristin M McCarver, CNP
- Family Nurse Practitioner
- Jonesboro, GA
National Provider Identifier
1245470442
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN142303
- Practice address
- 2400 Mt. Zion Parkway
Kaiser Permanente Southwood Medical Center
Jonesboro, GA 30236 - Phone
- (404) 686-8862
- Fax
- (404) 686-4696
- NPI assigned
- Feb 27, 2009
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN142303 | GA | Primary |
Addresses
Primary practice location
2400 Mt. Zion Parkway
Kaiser Permanente Southwood Medical Center
Jonesboro, GA 30236
Mailing address
3495 Piedmont Center
Nine Piedmont Center
Atlanta, GA 30305
Phone (404) 364-7070
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RN142303 | Other | GA | STATE OF GEORGIA NURSING LICENSE |
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
- Credentials
- Certified Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1235692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1300752000000",
"number": "1245470442",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3495 PIEDMONT CENTER",
"address_2": "NINE PIEDMONT CENTER",
"city": "ATLANTA",
"state": "GA",
"postal_code": "30305",
"telephone_number": "404-364-7070",
"fax_number": "404-686-4696"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2400 MT. ZION PARKWAY",
"address_2": "KAISER PERMANENTE SOUTHWOOD MEDICAL CENTER",
"city": "JONESBORO",
"state": "GA",
"postal_code": "30236",
"telephone_number": "404-686-8862",
"fax_number": "404-686-4696"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCARVER",
"first_name": "KRISTIN",
"middle_name": "M",
"credential": "CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-02-27",
"last_updated": "2011-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN142303",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF GEORGIA NURSING LICENSE",
"identifier": "RN142303",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jonesboro, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.