Individual provider Active NPI

Lenika L Vianen

  • Advanced Practice Midwife
  • Suwanee, GA
National Provider Identifier
1689390668
Registry record updated Oct 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
CNM08068 Issued in GA
Practice address
3855 Johns Creek Pkwy Ste D
Suwanee, GA 30024-1293
Phone
(770) 692-8967
NPI assigned
Oct 12, 2022
Last updated
Oct 12, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X CNM08068 GA Primary

Addresses

Primary practice location

3855 Johns Creek Pkwy Ste D
Suwanee, GA 30024-1293

Mailing address

3069 Lauren Parc Rd
Decatur, GA 30032-3616
Phone (678) 642-1337

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
CNM08068GAMDAdvanced Practice Midwife

Interoperability endpoints

  • Direct secure messaging: lenika.vianen.1@19519.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1665532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665532800000",
    "number": "1689390668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3069 LAUREN PARC RD",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300323616",
            "telephone_number": "678-642-1337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3855 JOHNS CREEK PKWY STE D",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300241293",
            "telephone_number": "770-692-8967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIANEN",
        "first_name": "LENIKA",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-12",
        "last_updated": "2022-10-12",
        "certification_date": "2022-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "GA",
            "license": "CNM08068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Suwanee, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2022; 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.