Active NPI
Heather Michele Repp, AA
- Anesthesiologist Assistant
- Atlanta, GA
National Provider Identifier
1508109984
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiologist Assistant
- License
- 6948
- Practice address
- 2961 W Roxboro Rd NE
Atlanta, GA 30324-2918 - Phone
- (404) 398-7113
- NPI assigned
- Apr 3, 2013
- 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 |
|---|---|---|---|---|
| Anesthesiologist Assistant | 367H00000X | 6948 | GA | Primary |
Addresses
Primary practice location
2961 W Roxboro Rd NE
Atlanta, GA 30324-2918
Mailing address
2961 W Roxboro Rd NE
Atlanta, GA 30324-2918
Phone (404) 398-7113
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)
- Enrolled
- Credentials
- Associate of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6948 | GA | MD | Anesthesiologist Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1364947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1586649600000",
"number": "1508109984",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2961 W ROXBORO RD NE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303242918",
"telephone_number": "404-398-7113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2961 W ROXBORO RD NE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303242918",
"telephone_number": "404-398-7113"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REPP",
"first_name": "HEATHER",
"middle_name": "MICHELE",
"name_prefix": "Mrs.",
"credential": "AA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-04-03",
"last_updated": "2020-04-12",
"certification_date": "2020-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "367H00000X",
"taxonomy_group": "",
"desc": "Anesthesiologist Assistant",
"state": "GA",
"license": "6948",
"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 Apr 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.