Active NPI
Creative Care Consultants, LLC
- Psychiatric/Mental Health Nurse Practitioner
- Jonesboro, GA
National Provider Identifier
1720131592
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- CREATIVE CARE CONSULTANTS, LLC
- Practice address
- 1943 Saybrook CT
Jonesboro, GA 30236-2681 - Phone
- (770) 478-6091
- NPI assigned
- Jan 18, 2007
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Karen Cheeseman, APRN,BC
- Title
- Ceo
- Phone
- (770) 478-6091
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
1943 Saybrook CT
Jonesboro, GA 30236-2681
Mailing address
1943 Saybrook CT
Jonesboro, GA 30236-2681
Phone (770) 478-6091
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Psychiatric/Mental Health Registered Nurse
- Jonesboro, GA
- NPI 1487650248
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169078400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1720131592",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1943 SAYBROOK CT",
"city": "JONESBORO",
"state": "GA",
"postal_code": "302362681",
"telephone_number": "770-478-6091"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1943 SAYBROOK CT",
"city": "JONESBORO",
"state": "GA",
"postal_code": "302362681",
"telephone_number": "770-478-6091"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CREATIVE CARE CONSULTANTS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-18",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "CHEESEMAN",
"authorized_official_first_name": "KAREN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "770-478-6091",
"authorized_official_credential": "APRN,BC"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jonesboro, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.