Angela Deraad

Primary specialty

Maternal Newborn Registered NurseTaxonomy code 163WM0102X

License

129675 Issued in GA

Practice address

1175 Cascade Pkwy SW
Atlanta, GA 30311-3090

Phone

(706) 415-2862

NPI assigned

Apr 2, 2017

Last updated

Apr 2, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Lucrettia Angelique Nicolette Franklin Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1491091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491091200000",
    "number": "1619409224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1175 CASCADE PKWY SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303113090",
            "telephone_number": "706-415-2862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1175 CASCADE PKWY SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303113090",
            "telephone_number": "706-415-2862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DERAAD",
        "first_name": "ANGELA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-02",
        "last_updated": "2017-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "GA",
            "license": "L-16676",
            "primary": false
        },
        {
            "code": "163WM0102X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Maternal Newborn",
            "state": "GA",
            "license": "129675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LUCRETTIA",
            "last_name": "FRANKLIN",
            "middle_name": "ANGELIQUE NICOLETTE",
            "credential": "RN, BSN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Gabrielle Deparis-Hale, MS, LPC, NCC
• Dependable Health Care Solutions, LLC
• Rebekka Elizabeth-Marie Depew, MD
• John Deppe
• Ashley Depriest, MS, RD, LD
• Jeremy Walter Deramus, LMT
• Jacquelyne Deras de Guillen
• Brian Derby, M.D.
• Richard S Derby, LPC
• Stephanie Deren

• Maternal Newborn Registered Nurse in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Maternal Newborn Registered Nurse in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2017; 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.