Active NPI
Jennifer Lynn Chicoine, N.P.
- Nurse Practitioner
- Sandy Springs, GA
National Provider Identifier
1326092826
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- RN161771NP
- Practice address
- 1100 Johnson Ferry Rd NE
Suite 600
Sandy Springs, GA 30342-1709 - Phone
- (404) 256-4777
- Fax
- (404) 256-5515
- NPI assigned
- May 19, 2006
- Last updated
- Jul 2, 2012
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | RN161771NP | GA | Primary |
Addresses
Primary practice location
1100 Johnson Ferry Rd NE
Suite 600
Sandy Springs, GA 30342-1709
Mailing address
1835 Savoy Dr
Suite 300
Atlanta, GA 30341-1072
Phone (770) 495-3396
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN161771NP | GA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northside Hospital, Inc. | Past | Accepting new patients | |
| Georgia Cancer Specialists I, PC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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- Community/Retail Pharmacy
- Atlanta, GA
- NPI 1073572723
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1341187200000",
"number": "1326092826",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1835 SAVOY DR",
"address_2": "SUITE 300",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303411072",
"telephone_number": "770-495-3396",
"fax_number": "770-495-2307"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 JOHNSON FERRY RD NE",
"address_2": "SUITE 600",
"city": "SANDY SPRINGS",
"state": "GA",
"postal_code": "303421709",
"telephone_number": "404-256-4777",
"fax_number": "404-256-5515"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHICOINE",
"first_name": "JENNIFER",
"middle_name": "LYNN",
"credential": "N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-19",
"last_updated": "2012-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "GA",
"license": "RN161771NP",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sandy Springs, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.