Katrina Nicole Likes, FNP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

RN238385 Issued in GA

Practice address

2965 Johnson Ferry Rd Ste D
Marietta, GA 30062-8364

Phone

(770) 998-5000

NPI assigned

Aug 2, 2019

Last updated

Oct 1, 2019By 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

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Community Care Health Network LLC

  dba Matrix Medical Network

  • Nurse Practitioner
  • Nashville, TN
  • NPI 1619368842

  GA

  Medicare reassignment NPD

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

{
    "created_epoch": "1564704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569888000000",
    "number": "1356996748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3995 JEFFERSON TOWNSHIP PKWY",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300661703",
            "telephone_number": "815-566-1007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2965 JOHNSON FERRY RD STE D",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300628364",
            "telephone_number": "770-998-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3995 Jefferson Township Pkwy",
            "address_purpose": "LOCATION",
            "city": "Marietta",
            "state": "GA",
            "postal_code": "300661703",
            "country_code": "US",
            "telephone_number": "815-566-1007",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIKES",
        "first_name": "KATRINA",
        "middle_name": "NICOLE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-02",
        "last_updated": "2019-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN238385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Life University, Inc (Center for Health and Optimum Performance - C-HOP)
• Chae Life, MD
• Lifequest East Marietta LLC (Energy Medical Group)
• Lifetime Wellness LLC
• Mark R. Light, DPM
• Laura Thurman Lilly, OT
• Nicholas Joseph Lima
• Donna Marie Liming, WHNP-BC
• Lin Home Care Ventures LLC
• Cliff CHI Wei Lin, M.D.

• Nurse Practitioner in Marietta, GA
• Providers in Marietta, GA by specialty
• Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2019; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.