Active NPI
Kallie Alesch Platt, CPNP-AC
- Critical Care Pediatric Nurse Practitioner
- Brookhaven, GA
National Provider Identifier
1447913793
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Pediatric Nurse Practitioner
- License
- RN240309
- Practice address
- 1730 Northeast Expy NE
Brookhaven, GA 30329-2068 - Phone
- (770) 855-2337
- NPI assigned
- Oct 14, 2021
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Critical Care Pediatric Nurse Practitioner | 363LP0222X | RN240309 | GA | Primary |
Addresses
Primary practice location
1730 Northeast Expy NE
Brookhaven, GA 30329-2068
Mailing address
116 Mellrich Ave NE
Atlanta, GA 30317-1416
Phone (770) 855-2337
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 |
|---|---|---|---|
| RN240309 | GA | MD | Critical Care Pediatric Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1634169600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674604800000",
"number": "1447913793",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "116 MELLRICH AVE NE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303171416",
"telephone_number": "770-855-2337"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1730 NORTHEAST EXPY NE",
"city": "BROOKHAVEN",
"state": "GA",
"postal_code": "303292068",
"telephone_number": "770-855-2337"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PLATT",
"first_name": "KALLIE",
"middle_name": "ALESCH",
"credential": "CPNP-AC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-10-14",
"last_updated": "2023-01-25",
"certification_date": "2023-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0222X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics, Critical Care",
"state": "GA",
"license": "RN240309",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brookhaven, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 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.