Josephine I Iyabor

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

1191 Flamingo Dr
Austell, GA 30168-6109

Phone

(770) 732-6366

Fax

(770) 732-6399

NPI assigned

Oct 8, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1286496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286496000000",
    "number": "1265742290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1191 FLAMINGO DR",
            "city": "AUSTELL",
            "state": "GA",
            "postal_code": "301686109",
            "telephone_number": "770-778-2067",
            "fax_number": "770-732-6399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1191 FLAMINGO DR",
            "city": "AUSTELL",
            "state": "GA",
            "postal_code": "301686109",
            "telephone_number": "770-732-6366",
            "fax_number": "770-732-6399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IYABOR",
        "first_name": "JOSEPHINE",
        "middle_name": "I",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-08",
        "last_updated": "2010-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "GA",
            "license": null,
            "primary": true
        },
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": "GA",
            "license": null,
            "primary": false
        },
        {
            "code": "3747A0650X",
            "taxonomy_group": "",
            "desc": "Technician, Attendant Care Provider",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "033012271",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "263470342",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Invision
• Julian T Isakow, M.D.
• Isd Renal Inc
• Frank T Italiano, MD
• Karen Belinda Ivey, FNP-C
• Arlita D Jackson, D.M.D.
• Malia R. Jackson, OTD, OTR/L
• Manekia K Jackson
• Lakanya Dawnielle Jacobs
• Stephanie Ann Jaipaul, DMD

• Community Health Worker in Austell, GA
• Providers in Austell, GA by specialty
• Community Health Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2010; 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.