Kathleen W Walker-Amadasun, RN MSN

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

License

RN131297 Issued in GA

Practice address

10990 Galen Place
Johnscreek, GA 30097-3009

Phone

(770) 637-1323

NPI assigned

Mar 31, 2019

Last updated

Mar 31, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Credentials

Master of Science - Nursing, Registered Nurse

State licenses

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

{
    "created_epoch": "1553990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553990400000",
    "number": "1376004390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10990 GALEN PL",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300971743",
            "telephone_number": "770-623-3713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10990 GALEN PLACE",
            "city": "JOHNSCREEK",
            "state": "GA",
            "postal_code": "300973009",
            "telephone_number": "770-637-1323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER-AMADASUN",
        "first_name": "KATHLEEN",
        "middle_name": "W",
        "name_prefix": "Mrs.",
        "credential": "RN MSN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-31",
        "last_updated": "2019-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "GA",
            "license": "RN131297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Vu, DMD, MS
• Karen Lien Vu, OT
• Hemali Vyas, BCBA
• Robert Carl Waldrop, M.D.
• Walgreen Co (Walgreens #05903)
• Jazmine Walker
• Tequila Walker, CNA
• Shawn Alan Walls, D.D.S.
• Stephen Walters, APC, NCC
• Yanzhen Wang, MASSAGE THERAPIST

• Student in an Organized Health Care Education/Training Program in Johns Creek, GA
• Providers in Johns Creek, GA by specialty
• Student in an Organized Health Care Education/Training Program in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2019; 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.