Active NPI
Jullie Dianne Assavedo, RN
- Religious Nonmedical Nursing Personnel
- Decatur, GA
National Provider Identifier
1508084161
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Religious Nonmedical Nursing Personnel
- License
- RN124758
- Practice address
- 450 Winn Way
Decatur, GA 30030-1715 - Phone
- (404) 294-0499
- Fax
- (404) 294-0793
- NPI assigned
- Apr 20, 2007
- 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 |
|---|---|---|---|---|
| Religious Nonmedical Nursing Personnel | 374T00000X | RN124758 | GA | Primary |
Addresses
Primary practice location
450 Winn Way
Decatur, GA 30030-1715
Mailing address
450 Winn Way
Decatur, GA 30030-1715
Phone (404) 294-0499
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
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN124758 | GA | MD | Religious Nonmedical Nursing Personnel |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1508084161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "450 WINN WAY",
"city": "DECATUR",
"state": "GA",
"postal_code": "300301715",
"telephone_number": "404-294-0499",
"fax_number": "404-294-0793"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "450 WINN WAY",
"city": "DECATUR",
"state": "GA",
"postal_code": "300301715",
"telephone_number": "404-294-0499",
"fax_number": "404-294-0793"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ASSAVEDO",
"first_name": "JULLIE",
"middle_name": "DIANNE",
"name_prefix": "Ms.",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "374T00000X",
"taxonomy_group": "",
"desc": "Religious Nonmedical Nursing Personnel",
"state": "GA",
"license": "RN124758",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Decatur, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.