Active NPI
Kerica Hutchinson Pollard
- Registered Nurse
- Villa Rica, GA
National Provider Identifier
1407562895
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN293414
- Practice address
- 41 Templeton LN
Villa Rica, GA 30180-3622 - Phone
- (404) 649-4294
- Fax
- (470) 243-7328
- NPI assigned
- Jan 27, 2023
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN293414 | GA | Primary |
Addresses
Primary practice location
41 Templeton LN
Villa Rica, GA 30180-3622
Mailing address
41 Templeton LN
Villa Rica, GA 30180-3622
Phone (404) 649-4294
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 |
|---|---|---|---|
| RN293414 | GA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1674777600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674777600000",
"number": "1407562895",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "41 TEMPLETON LN",
"city": "VILLA RICA",
"state": "GA",
"postal_code": "301803622",
"telephone_number": "404-649-4294",
"fax_number": "470-243-7328"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "41 TEMPLETON LN",
"city": "VILLA RICA",
"state": "GA",
"postal_code": "301803622",
"telephone_number": "404-649-4294",
"fax_number": "470-243-7328"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POLLARD",
"first_name": "KERICA",
"middle_name": "HUTCHINSON",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-01-27",
"last_updated": "2023-01-27",
"certification_date": "2023-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Registered Nurse",
"state": "GA",
"license": "RN293414",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Villa Rica, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.