Individual provider Active NPI

Reba Anntoinette Ramsey-Young, STNA

  • Nurse's Aide
  • Marietta, GA
National Provider Identifier
1598093882
Registry record updated Jun 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse's AideTaxonomy code 376K00000X
License
CN0014195230 Issued in GA
Practice address
1023 Soaring Way
Marietta, GA 30062-2378
Phone
(419) 344-1842
Fax
(678) 594-3362
NPI assigned
Nov 24, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X 400651000707 OH
Nurse's Aide 376K00000X CN0014195230 GA Primary

Addresses

Primary practice location

1023 Soaring Way
Marietta, GA 30062-2378

Mailing address

1023 Soaring Way
Marietta, GA 30062-2378
Phone (419) 344-1842

Other identifiers 1

IdentifierTypeStateIssuer
2840895MedicaidOH

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

LicenseStateTypeSpecialty
400651000707OHMDHome Health Aide
CN0014195230GAMDNurse's Aide

NPI Registry JSON

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

{
    "created_epoch": "1259020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402272000000",
    "number": "1598093882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1023 SOARING WAY",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300622378",
            "telephone_number": "419-344-1842",
            "fax_number": "678-594-3362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1023 SOARING WAY",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300622378",
            "telephone_number": "419-344-1842",
            "fax_number": "678-594-3362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMSEY-YOUNG",
        "first_name": "REBA",
        "middle_name": "ANNTOINETTE",
        "name_prefix": "Mrs.",
        "credential": "STNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-11-24",
        "last_updated": "2014-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "OH",
            "license": "400651000707",
            "primary": false
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "GA",
            "license": "CN0014195230",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2840895",
            "state": "OH"
        }
    ],
    "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 Jun 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.