Individual provider Active NPI

Erika Charise Stubbs, RN

  • Continuing Education/Staff Development Registered Nurse
  • Decatur, GA
National Provider Identifier
1346539335
Registry record updated Mar 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Continuing Education/Staff Development Registered NurseTaxonomy code 163WC1600X
License
RN 137244 Issued in GA
Practice address
4798 Flat Shoals Pkwy
Decatur, GA 30034-5205
Phone
(770) 808-7788
NPI assigned
Mar 31, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2011

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN 137244 GA
Continuing Education/Staff Development Registered Nurse 163WC1600X RN 137244 GA Primary
Enterostomal Therapy Registered Nurse 163WE0900X RN 137244 GA
School Registered Nurse 163WS0200X RN 137244 GA
Wound Care Registered Nurse 163WW0000X RN 137244 GA
Ostomy Care Registered Nurse 163WX1500X RN 137244 GA

Addresses

Primary practice location

4798 Flat Shoals Pkwy
Decatur, GA 30034-5205

Mailing address

4258 Linecrest LN
Ellenwood, GA 30294-6901
Phone (678) 887-0645

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)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN 137244GAMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1301529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301529600000",
    "number": "1346539335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4258 LINECREST LN",
            "city": "ELLENWOOD",
            "state": "GA",
            "postal_code": "302946901",
            "telephone_number": "678-887-0645",
            "fax_number": "404-244-3603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4798 FLAT SHOALS PKWY",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300345205",
            "telephone_number": "770-808-7788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUBBS",
        "first_name": "ERIKA",
        "middle_name": "CHARISE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-31",
        "last_updated": "2011-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN 137244",
            "primary": false
        },
        {
            "code": "163WC1600X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Continuing Education/Staff Development",
            "state": "GA",
            "license": "RN 137244",
            "primary": true
        },
        {
            "code": "163WE0900X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Enterostomal Therapy",
            "state": "GA",
            "license": "RN 137244",
            "primary": false
        },
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "GA",
            "license": "RN 137244",
            "primary": false
        },
        {
            "code": "163WW0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Wound Care",
            "state": "GA",
            "license": "RN 137244",
            "primary": false
        },
        {
            "code": "163WX1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Ostomy Care",
            "state": "GA",
            "license": "RN 137244",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2011; 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.