Sarah Elise Riebel, APRN, CPNP-CP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

RN236348 Issued in GA

Practice address

705 Town Blvd NE Ste S560
Brookhaven, GA 30319-7217

Phone

(404) 446-4726

Fax

(404) 446-4727

NPI assigned

Nov 20, 2019

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Choa Hospital Based, LLC

  • Pediatrics Physician
  • Brookhaven, GA
  • NPI 1457695488
  NPD (past)
• Intown Pediatric and Adolescent Medicine

  • Pediatrics Physician
  • Atlanta, GA
  • NPI 1457375073
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1574208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576454400000",
    "number": "1487290813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "490 BILL KENNEDY WAY SE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303166835",
            "telephone_number": "404-446-4726",
            "fax_number": "404-446-4727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 TOWN BLVD NE STE S560",
            "city": "BROOKHAVEN",
            "state": "GA",
            "postal_code": "303197217",
            "telephone_number": "404-446-4726",
            "fax_number": "404-446-4727"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "490 Bill Kennedy Way SE",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303166835",
            "country_code": "US",
            "telephone_number": "404-446-4726",
            "fax_number": "404-446-4727",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIEBEL",
        "first_name": "SARAH",
        "middle_name": "ELISE",
        "credential": "APRN, CPNP-CP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-20",
        "last_updated": "2019-12-16",
        "certification_date": "2019-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "GA",
            "license": "RN236348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "info@intownpediatrics.com",
            "affiliation": "N",
            "endpointDescription": "Practice Email",
            "address_1": "490 Bill Kennedy Way SE",
            "city": "Atlanta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "303166835",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Atlanta",
            "affiliation": "N",
            "address_1": "490 Bill Kennedy Way SE",
            "city": "Atlanta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "303166835",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kishauna Reid
• Jessica Lee Reynolds, O.D.
• Stephanie Reynolds
• Jeffrey M. Reznik, M.D.
• Ride Care
• Mikayla Noel Ries, BS
• Latavia Riley, RBT
• Richard Gil Rivera, PA
• Shadrielle Robbins
• Rana Scarlett Roberts, APRN, PMHNP-BC

• Pediatric Nurse Practitioner in Brookhaven, GA
• Providers in Brookhaven, GA by specialty
• Pediatric Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.