Active NPI
Kristin K Deeb, PHD
- Hematology Specialist/Technologist
- Atlanta, GA
National Provider Identifier
1447767504
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology Specialist/Technologist
- License
- 17029RE
- Practice address
- 1364 Clifton Rd NE
Atlanta, GA 30322-1059 - Phone
- (404) 778-8501
- Fax
- (404) 712-8876
- NPI assigned
- Jan 10, 2018
- 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 |
|---|---|---|---|---|
| Hematology Specialist/Technologist | 246QH0000X | 17029RE | GA | Primary |
Addresses
Primary practice location
1364 Clifton Rd NE
Atlanta, GA 30322-1059
Mailing address
Emory University Hospital Suite N251
1364 Clifton Rd NE
Atlanta, GA 30322-1059
Phone (404) 778-8501
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
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17029RE | GA | MD | Hematology Specialist/Technologist |
Interoperability endpoints
- kdeeb67906@direct.emory.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1515542400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1518048000000",
"number": "1447767504",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "EMORY UNIVERSITY HOSPITAL SUITE N251",
"address_2": "1364 CLIFTON RD NE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303221059",
"telephone_number": "404-778-8501",
"fax_number": "404-712-8876"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1364 CLIFTON RD NE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303221059",
"telephone_number": "404-778-8501",
"fax_number": "404-712-8876"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEEB",
"first_name": "KRISTIN",
"middle_name": "K",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-01-10",
"last_updated": "2018-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "246QH0000X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Pathology, Hematology",
"state": "GA",
"license": "17029RE",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.