Raeemah A Redd, FNP

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

1083237689 Issued in GA

Practice address

617 Griffin St NW
Atlanta, GA 30318-6707

Phone

(197) 344-1635

NPI assigned

Oct 13, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Cassie J Kelly Professional 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": "1634083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636156800000",
    "number": "1689336919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 E 10TH AVE",
            "city": "ROSELLE",
            "state": "NJ",
            "postal_code": "072032202",
            "telephone_number": "973-441-6350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "617 GRIFFIN ST NW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303186707",
            "telephone_number": "197-344-1635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDD",
        "first_name": "RAEEMAH",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-13",
        "last_updated": "2021-11-06",
        "certification_date": "2021-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "GA",
            "license": "1083237689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CASSIE",
            "last_name": "KELLY",
            "middle_name": "J",
            "credential": "FNP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Aliya Victorine Redd, MD
• Douglas C. Redd, M.D.
• Hannah Redd, PT, DPT
• Kristina A Redd, MD
• Nia Redd
• Stephen C Redd, MD
• Astin Alyse Redden, PA-C
• Meredith Holley Redden, M.D.
• Redding Allergy and Asthma Center, Inc.
• Redding Pediatric Allergy and Asthma Center

• Health Service Clinic/Center in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Health Service Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2021; 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.