Active NPI
Celestina Ifeoma Aniekwe
- Family Nurse Practitioner
- Norcross, GA
National Provider Identifier
1376017558
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN190460
- Practice address
- 2595 Woodbine Hill Way
Norcross, GA 30071-2852 - Phone
- (678) 768-5696
- NPI assigned
- Jan 22, 2019
- Last updated
- Jan 22, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN190460 | GA | Primary |
Addresses
Primary practice location
2595 Woodbine Hill Way
Norcross, GA 30071-2852
Mailing address
2595 Woodbine Hill Way
Norcross, GA 30071-2852
Phone (678) 768-5696
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN190460 | GA | MD | Family Nurse Practitioner |
Organizations & group practices 1
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.
-
- Home Health Agency
- Duluth, GA
- NPI 1942587720
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548115200000",
"number": "1376017558",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2595 WOODBINE HILL WAY",
"city": "NORCROSS",
"state": "GA",
"postal_code": "300712852",
"telephone_number": "678-768-5696"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2595 WOODBINE HILL WAY",
"city": "NORCROSS",
"state": "GA",
"postal_code": "300712852",
"telephone_number": "678-768-5696"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANIEKWE",
"first_name": "CELESTINA",
"middle_name": "IFEOMA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-01-22",
"last_updated": "2019-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN190460",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Norcross, GA
- Angel Family Home Care
- Angelcare Centers, Inc. (AngelCare Medical Center)
- Angelic Arms Home Hospice, LLC (Atlanta Family Hospice and Palliative Care II, LLC)
- Kari Lynn Angerhofer, MA
- Mayerlin Angulo, CBHT
- Ansitz Inc
- Donyell Anthony
- Apex Medical Equipment
- Applied Behavioral Consutling, LLC
- Yuriy Alex Aranbayev, RT(R)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 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.