Active NPI
Sarah Virginia Myers, PH.D, RN
- Gerontology Registered Nurse
- Riverdale, GA
National Provider Identifier
1710091160
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Registered Nurse
- License
- RN068905
- Practice address
- 6419 Kings Way
Riverdale, GA 30296-2922 - Phone
- (770) 997-7458
- NPI assigned
- Aug 19, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Registered Nurse | 163WG0600X | RN068905 | GA | Primary |
Addresses
Primary practice location
6419 Kings Way
Riverdale, GA 30296-2922
Mailing address
6419 Kings Way
Riverdale, GA 30296-2922
Phone (770) 997-7458
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
- Credentials
- Doctor of Philosophy, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN068905 | GA | MD | Gerontology Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1710091160",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6419 KINGS WAY",
"city": "RIVERDALE",
"state": "GA",
"postal_code": "302962922",
"telephone_number": "770-997-7458"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6419 KINGS WAY",
"city": "RIVERDALE",
"state": "GA",
"postal_code": "302962922",
"telephone_number": "770-997-7458"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MYERS",
"first_name": "SARAH",
"middle_name": "VIRGINIA",
"name_prefix": "Dr.",
"credential": "PH.D, RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "163WG0600X",
"taxonomy_group": "",
"desc": "Registered Nurse, Gerontology",
"state": "GA",
"license": "RN068905",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Riverdale, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.