Carolyn Denise Redmon, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN074038 Issued in GA

Practice address

3330 Cumberland Blvd SE
Suite 500
Atlanta, GA 30339-5995

Phone

(678) 638-6610

NPI assigned

Dec 16, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1481846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481846400000",
    "number": "1295279826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1609 BROLINGTON CT",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300137411",
            "telephone_number": "678-570-5569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3330 CUMBERLAND BLVD SE",
            "address_2": "SUITE 500",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303395995",
            "telephone_number": "678-638-6610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDMON",
        "first_name": "CAROLYN",
        "middle_name": "DENISE",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-16",
        "last_updated": "2016-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN074038",
            "primary": true
        },
        {
            "code": "372500000X",
            "taxonomy_group": "",
            "desc": "Chore Provider",
            "state": "GA",
            "license": "RN074038",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rediclinic LLC
• Redirect Life Counseling Inc
• Redirecting Life Services Counseling Center
• Cerinena Redman-McLean
• Andrea Redman, RPH
• Courtney T Redmond III
• Destiny Redmond, LPC
• Elizabeth Holly Redmond, PHD, RDN
• Travis Redmond
• Raidel Redondo, PHARMD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2016; 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.