Individual provider Active NPI

Kayla Miriam Rogers Crumbley, RN, CPNP

  • Pediatric Nurse Practitioner
  • Marietta, GA
National Provider Identifier
1376349605
Registry record updated Feb 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
RN303304 Issued in GA
Practice address
3911 Mary Eliza Trce NW Ste 500
Marietta, GA 30064-1089
Phone
(678) 384-3480
NPI assigned
Feb 19, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X RN303304 GA Primary

Addresses

Primary practice location

3911 Mary Eliza Trce NW Ste 500
Marietta, GA 30064-1089

Mailing address

1826 Harmony Rd
Powder Springs, GA 30127-1220
Phone (501) 517-5386

Other names 1

  • Kayla Rogers Former name

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
Credentials
Certified Pediatric Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN303304GAMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Healthy Steps Pediatrics, LLC PastSince Feb 23, 2025 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1739923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739923200000",
    "number": "1376349605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1826 HARMONY RD",
            "city": "POWDER SPRINGS",
            "state": "GA",
            "postal_code": "301271220",
            "telephone_number": "501-517-5386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3911 MARY ELIZA TRCE NW STE 500",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300641089",
            "telephone_number": "678-384-3480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUMBLEY",
        "first_name": "KAYLA",
        "middle_name": "MIRIAM ROGERS",
        "credential": "RN, CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-19",
        "last_updated": "2025-02-19",
        "certification_date": "2025-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "GA",
            "license": "RN303304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAYLA",
            "last_name": "ROGERS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2025; 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.