Individual provider Active NPI

Amariy Shemiyah Halahawi, ND, CCMA, CNA, NPA.P

  • Nurse's Aide
  • Atlanta, GA
National Provider Identifier
1356636518
Registry record updated Jun 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse's AideTaxonomy code 376K00000X
License
CNA162739 Issued in FL
Practice address
3695 Cascade Rd SW Ste F
#117
Atlanta, GA 30331-2146
Phone
(678) 909-4422
NPI assigned
Jun 16, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2011

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Naturopath 175F00000X LIC NO.08251986LPMT GA
Phlebotomy Technician 246RP1900X NO. 1011-2793
Other Technician 247200000X CCMA NO. 1022-2793
Religious Nonmedical Nursing Personnel 374T00000X
Nurse's Aide 376K00000X CNA162739 FL Primary

Addresses

Primary practice location

3695 Cascade Rd SW Ste F
#117
Atlanta, GA 30331-2146

Mailing address

3695 Cascade Rd SW Ste F
#117
Atlanta, GA 30331-2146
Phone (678) 909-4422

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

State licenses

LicenseStateTypeSpecialty
CNA162739FLMDNurse's Aide

NPI Registry JSON

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

{
    "created_epoch": "1308182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308182400000",
    "number": "1356636518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3695 CASCADE RD SW STE F",
            "address_2": "#117",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303312146",
            "telephone_number": "678-909-4422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3695 CASCADE RD SW STE F",
            "address_2": "#117",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303312146",
            "telephone_number": "678-909-4422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALAHAWI",
        "first_name": "AMARIY",
        "middle_name": "SHEMIYAH",
        "credential": "ND, CCMA, CNA, NPA.P",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-16",
        "last_updated": "2011-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "GA",
            "license": "LIC NO.08251986LPMT",
            "primary": false
        },
        {
            "code": "246RP1900X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": null,
            "license": "NO. 1011-2793",
            "primary": false
        },
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": null,
            "license": "CCMA NO. 1022-2793",
            "primary": false
        },
        {
            "code": "374T00000X",
            "taxonomy_group": "",
            "desc": "Religious Nonmedical Nursing Personnel",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "FL",
            "license": "CNA162739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

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