Active NPI
Kimberly Massey, FNP-C
- Nurse Practitioner
- Dahlonega, GA
National Provider Identifier
1447574983
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- RN164613
- Practice address
- 134 Ansley Dr
Suite 400
Dahlonega, GA 30533-1639 - Phone
- (706) 864-8608
- Fax
- (706) 864-8610
- NPI assigned
- Mar 25, 2010
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | RN164613 | GA | Primary |
Addresses
Primary practice location
134 Ansley Dr
Suite 400
Dahlonega, GA 30533-1639
Mailing address
134 Ansley Dr
Suite 400
Dahlonega, GA 30533-1639
Phone (706) 864-8608
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 |
|---|---|---|---|
| RN164613 | GA | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1269475200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1269475200000",
"number": "1447574983",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "134 ANSLEY DR",
"address_2": "SUITE 400",
"city": "DAHLONEGA",
"state": "GA",
"postal_code": "305331639",
"telephone_number": "706-864-8608",
"fax_number": "706-864-8610"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "134 ANSLEY DR",
"address_2": "SUITE 400",
"city": "DAHLONEGA",
"state": "GA",
"postal_code": "305331639",
"telephone_number": "706-864-8608",
"fax_number": "706-864-8610"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASSEY",
"first_name": "KIMBERLY",
"credential": "FNP-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-03-25",
"last_updated": "2010-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "GA",
"license": "RN164613",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dahlonega, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.