Joanna Heden Kerr, CPNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

RN191560 Issued in GA

Practice address

3225 Shallowford Rd
1300
Marietta, GA 30062-1266

Phone

(678) 560-7160

NPI assigned

Jun 14, 2012

Last updated

Jan 30, 2013By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Pediatric Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

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

• Sandy Plains Medical Group, LLC

  • Pediatrics Physician
  • Marietta, GA
  • NPI 1215889126
  NPD (past)
• Sandy Plains Pediatrics PC

  • Pediatrics Physician
  • Marietta, GA
  • NPI 1639346471
  NPD (past)

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

{
    "created_epoch": "1339632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359504000000",
    "number": "1639431638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 HERITAGE TRACE VW",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300626363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3225 SHALLOWFORD RD",
            "address_2": "1300",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300621266",
            "telephone_number": "678-560-7160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERR",
        "first_name": "JOANNA",
        "middle_name": "HEDEN",
        "credential": "CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-14",
        "last_updated": "2013-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "GA",
            "license": "RN191560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kennstar LLC (Kennstone Chiropractic Wellness Center)
• Kent D Vanderslice DC PC
• Patricia Kerigan, LPC
• Susan Elizabeth Kerley, MS, LAPC
• Kerry Kerns, LMSW
• Kyla Kerr
• Michelle Kim Kerrigan
• Jody Louise Kershner, MT-BC
• Alexandra Kershteyn
• Glenn A Kerwin, MD

• Pediatric Nurse Practitioner in Marietta, GA
• Providers in Marietta, 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 Jan 30, 2013; 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.