Rekha Umoh, DNP

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

AG0915134 Issued in GA

Practice address

133 Radford Cir SW
Marietta, GA 30060-6373

Phone

(404) 276-7765

NPI assigned

Nov 12, 2015

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jan 1, 2024 through Jan 1, 2028

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1447286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523491200000",
    "number": "1679946644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1136 CLEVELAND AVE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303443618",
            "telephone_number": "404-767-9530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 RADFORD CIR SW",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300606373",
            "telephone_number": "404-276-7765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UMOH",
        "first_name": "REKHA",
        "name_prefix": "Dr.",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-12",
        "last_updated": "2018-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "GA",
            "license": "AG0915134",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1679946644",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anum Ul-Haque, DO
• Alison Lynn Brantley Ulbrandt, D.O.
• Lisa Price Ulbricht, ACNP
• Brie Ulrich, MASTER HEALTH COACH
• Deborah Aniekan Umoh
• Allyson Joy Underwood, FNP-BC
• Darian L. Underwood, OT
• Martavius Underwood, RBT
• Robert A. Underwood, M.D.
• Unfolding Evolution Healthcare

• Primary Care Nurse Practitioner in Marietta, GA
• Providers in Marietta, GA by specialty
• Primary Care Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.