Karlystra Nicome, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN211278 Issued in GA

Practice address

1800 Howell Mill Rd NW
Ste 450
Atlanta, GA 30318-2508

Phone

(404) 788-5237

Fax

(770) 258-5103

NPI assigned

Aug 10, 2016

Last updated

Apr 19, 2017By 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

Locations

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.

• Atlanta Diabetes Associates

  • Endocrinology, Diabetes & Metabolism Physician
  • Atlanta, GA
  • NPI 1366492282
  Medicare reassignment NPD
• Van Meter Pediatric Endocrinology

  dba Atlanta Diabetes Associates

  • Pediatric Endocrinology Physician
  • Atlanta, GA
  • NPI 1487967360
  NPD

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

{
    "created_epoch": "1470787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492560000000",
    "number": "1356895106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 HOWELL MILL RD NW",
            "address_2": "STE 450",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303182508",
            "telephone_number": "917-951-7589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 HOWELL MILL RD NW",
            "address_2": "STE 450",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303182508",
            "telephone_number": "404-788-5237",
            "fax_number": "770-258-5103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICOME",
        "first_name": "KARLYSTRA",
        "name_prefix": "Ms.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-10",
        "last_updated": "2017-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN211278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benoit Niclou
• Carla Nicole
• Nicole's House of Hope
• Kristen Leigh Nicolini-Lehmkuhle
• Meghan K Nicolini, PH.D.
• Chasey Niebrugge, BCBA
• Kristin Nieh, MD
• Peter T Nieh, M.D.
• Carley Schroering Niehaus, MD
• Paola Andrea Nieves Acosta, LMSW

• Family Nurse Practitioner in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2017; 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.