Active NPI
Vanessa D Dunn, NP
- Nurse Practitioner
- Marietta, GA
National Provider Identifier
1477866234
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- RN071351
- Practice address
- 1121 Johnson Ferry Rd
Suite 100
Marietta, GA 30068-5425 - Phone
- (770) 509-1884
- Fax
- (770) 509-1884
- NPI assigned
- Jul 22, 2010
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | RN071351 | GA | Primary |
Addresses
Primary practice location
1121 Johnson Ferry Rd
Suite 100
Marietta, GA 30068-5425
Mailing address
3525 Piedmont Rd NE
BLDG 7-601
Atlanta, GA 30305-1578
Phone (404) 842-5400
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN071351 | GA | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279756800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1279756800000",
"number": "1477866234",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3525 PIEDMONT RD NE",
"address_2": "BLDG 7-601",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303051578",
"telephone_number": "404-842-5400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1121 JOHNSON FERRY RD",
"address_2": "SUITE 100",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300685425",
"telephone_number": "770-509-1884",
"fax_number": "770-509-1884"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUNN",
"first_name": "VANESSA",
"middle_name": "D",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-07-22",
"last_updated": "2010-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "GA",
"license": "RN071351",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Jul 22, 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.