Valerie Nash, NURSE PRACTITIONER

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

AG03210123 Issued in GA

Practice address

2890 Highway 212 SW
Conyers, GA 30094-3363

Phone

(770) 929-9150

NPI assigned

May 2, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1619913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619913600000",
    "number": "1255914867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2870 BRIDLE CREEK DR SW",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300945677",
            "telephone_number": "781-353-8664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2890 HIGHWAY 212 SW",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300943363",
            "telephone_number": "770-929-9150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NASH",
        "first_name": "VALERIE",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-02",
        "last_updated": "2021-05-02",
        "certification_date": "2021-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "GA",
            "license": "AG03210123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "REST",
            "endpointTypeDescription": "RESTful URL",
            "endpoint": "tkjefferson@att.net",
            "affiliation": "N",
            "endpointDescription": "clinic's email address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "clinic's email address",
            "address_1": "2890 Highway 212 SW",
            "city": "Conyers",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300943363",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "REST",
            "endpointTypeDescription": "RESTful URL",
            "endpoint": "tkjefferson@att.net",
            "affiliation": "N",
            "endpointDescription": "clinic's email address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "clinic's email address",
            "address_1": "2890 Highway 212 SW",
            "city": "Conyers",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300943363",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "REST",
            "endpointTypeDescription": "RESTful URL",
            "endpoint": "tkjefferson@att.net",
            "affiliation": "N",
            "endpointDescription": "clinic's email address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "clinic's email address",
            "address_1": "2890 Highway 212 SW",
            "city": "Conyers",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300943363",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "REST",
            "endpointTypeDescription": "RESTful URL",
            "endpoint": "tkjefferson@att.net",
            "affiliation": "N",
            "endpointDescription": "clinic's email address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "clinic's email address",
            "address_1": "2890 Highway 212 SW",
            "city": "Conyers",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300943363",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Rajeev Nagaraj Mysorekar, M.D.
• Sepedeh Nabavi, M.D.
• Sarveswar I Naidu, MD
• Kelsey Ann Nance-Judge, PTA
• Sitharam Chowdary Nandigam, MD
• National Vision, Inc. (America's Best Contacts & Eyeglasses)
• Candice Michele Neal, LPN
• David Wade Neckman
• Tisharie Sydar Needham, NP
• Erica Nicole Neely, FNP-C

• Gerontology Nurse Practitioner in Conyers, GA
• Providers in Conyers, 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 May 2, 2021; 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.