Dalfa Pich Core, CPNP-AC

Primary specialty

Critical Care Pediatric Nurse PractitionerTaxonomy code 363LP0222X

License

RN279975 Issued in GA

Practice address

625 Big Shanty Rd NW
Kennesaw, GA 30144-3646

Phone

(404) 785-5437

NPI assigned

Feb 24, 2022

Last updated

Sep 16, 2022By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1645660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663286400000",
    "number": "1366198772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 BIG SHANTY RD NW",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301443646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 BIG SHANTY RD NW",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301443646",
            "telephone_number": "404-785-5437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORE",
        "first_name": "DALFA",
        "middle_name": "PICH",
        "credential": "CPNP-AC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-24",
        "last_updated": "2022-09-16",
        "certification_date": "2022-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0222X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics, Critical Care",
            "state": "GA",
            "license": "RN279975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bailey Michael Cooper
• Chynel Cooper
• Jasmine Copeland
• Seana Corbett, OD
• Core Independence LLC
• Cornerstone Caregiving East LLC
• Corporate Health Partners, LLC (Corporate Health Partners)
• Portia A. Cosby, ATC
• Serena Cosmo, MA
• Costco Wholesale Corporation (Costco Optical #189)

• Critical Care Pediatric Nurse Practitioner in Kennesaw, GA
• Providers in Kennesaw, GA by specialty
• Critical Care Pediatric Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2022; 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.