Active NPI
Kathy Dianne Robinson-Waits, FNP-C
- Family Nurse Practitioner
- Norcross, GA
National Provider Identifier
1316075765
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN078438
- Practice address
- 3720 Davinci CT Ste 400
Norcross, GA 30092-7625 - Phone
- (770) 300-3502
- Fax
- (770) 640-6427
- NPI assigned
- Feb 28, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | RN078438 | GA | Primary |
Addresses
Primary practice location
3720 Davinci CT Ste 400
Norcross, GA 30092-7625
Mailing address
4328 Summit Oaks LN NE
Roswell, GA 30075-5277
Phone (404) 384-5637
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20141010000380 | GA | Order and Referring Only - Nurse Practitioner | 1456571611 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Interoperability endpoints
- ms_krobi10@landmarkhealth-direct.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726617600000",
"number": "1316075765",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4328 SUMMIT OAKS LN NE",
"city": "ROSWELL",
"state": "GA",
"postal_code": "300755277",
"telephone_number": "404-384-5637",
"fax_number": "770-640-6427"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3720 DAVINCI CT STE 400",
"city": "NORCROSS",
"state": "GA",
"postal_code": "300927625",
"telephone_number": "770-300-3502",
"fax_number": "770-640-6427"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBINSON-WAITS",
"first_name": "KATHY",
"middle_name": "DIANNE",
"name_prefix": "Mrs.",
"credential": "FNP-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-28",
"last_updated": "2024-09-18",
"certification_date": "2024-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN078438",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Norcross, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.