Active NPI
Fostering Resilience LLC
- Psychiatric/Mental Health Nurse Practitioner
- Dacula, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- FOSTERING RESILIENCE LLC
- Practice address
- 3617 Braselton Hwy Ste 104
Dacula, GA 30019-4667 - Phone
- (205) 475-6868
- NPI assigned
- Apr 6, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Shakera Kathleen Snelling, FNP-C/PMHNP-BC
- Title
- Nurse Practitioner
- Phone
- (205) 475-6868
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | |||
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
3617 Braselton Hwy Ste 104
Dacula, GA 30019-4667
Mailing address
4850 Golden Pkwy Ste B443
Buford, GA 30518-5842
Phone (205) 475-6868
Other practice location 1
5731 Bridgeport Ct
Flowery Branch, GA 30542-6312
Phone (205) 475-6868
Other practice location 2
1030 N Center Pkwy Ste 112
Kennewick, WA 99336-7160
Phone (509) 910-4559
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
4850 Golden Pkwy
Ste B443
Buford, GA 30518
11310 E 21st St N
Ste G
Wichita, KS 67206
1030 N Center Pkwy
Ste 112
Kennewick, WA 99336
Phone (509) 309-8403
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- New York, NY
- NPI 1619464484
Family, GA
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1680739200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1737676800000",
"number": "1295420289",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4850 GOLDEN PKWY STE B443",
"city": "BUFORD",
"state": "GA",
"postal_code": "305185842",
"telephone_number": "205-475-6868"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3617 BRASELTON HWY STE 104",
"city": "DACULA",
"state": "GA",
"postal_code": "300194667",
"telephone_number": "205-475-6868"
}
],
"practiceLocations": [
{
"address_1": "5731 Bridgeport Ct",
"address_purpose": "LOCATION",
"city": "Flowery Branch",
"state": "GA",
"postal_code": "305426312",
"country_code": "US",
"telephone_number": "205-475-6868",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1030 N Center Pkwy Ste 112",
"address_purpose": "LOCATION",
"city": "Kennewick",
"state": "WA",
"postal_code": "993367160",
"country_code": "US",
"telephone_number": "509-910-4559",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "FOSTERING RESILIENCE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-04-06",
"last_updated": "2025-01-24",
"certification_date": "2025-01-24",
"status": "A",
"authorized_official_last_name": "SNELLING",
"authorized_official_first_name": "SHAKERA",
"authorized_official_middle_name": "KATHLEEN",
"authorized_official_title_or_position": "NURSE PRACTITIONER",
"authorized_official_telephone_number": "205-475-6868",
"authorized_official_credential": "FNP-C/PMHNP-BC"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dacula, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.