Cristiane Lemos Fukuda, NP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

158316 Issued in GA

Practice address

5212 Pine Branch Cir
Sugar Hill, GA 30518-7616

Phone

(678) 978-4801

NPI assigned

Mar 26, 2010

Last updated

Jun 24, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

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.

• North Atlanta Professional Services LLC

  • Psychologist
  • Atlanta, GA
  • NPI 1316959869
  Medicare reassignment
• Concierge Medicine LLC

  • Internal Medicine Physician
  • Buford, GA
  • NPI 1407293905
  NPD (past)

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

{
    "created_epoch": "1269561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277337600000",
    "number": "1356665889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4720 NELSON BROGDON BLVD",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305183480",
            "telephone_number": "678-978-4801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5212 PINE BRANCH CIR",
            "city": "SUGAR HILL",
            "state": "GA",
            "postal_code": "305187616",
            "telephone_number": "678-978-4801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUKUDA",
        "first_name": "CRISTIANE",
        "middle_name": "LEMOS",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-26",
        "last_updated": "2010-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "GA",
            "license": "158316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lori G Fiore, RPH
• Flowstate Revenue
• Angana Fofandi, FNP
• Dana Spinda Foley, M.S., ED.
• Frontier Home Care LLC
• Aariona Gates
• Georgia Complete Care Centers LLC
• Georgia Oncologists Assistance
• Good Mood Health, LLC (Good Mood Health)
• Giulliana Guevara

• Adult Health Nurse Practitioner in Sugar Hill, GA
• Providers in Sugar Hill, GA by specialty
• Adult Health Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2010; 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.

Verify at the official NPI Registry.