Flamingo Mojo LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

FLAMINGO MOJO LLC

Practice address

510 E Cherokee CT
Woodstock, GA 30188-1964

Phone

(678) 761-9479

NPI assigned

Nov 13, 2023

Last updated

Aug 19, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lori Hudson Hill

Title

Owner

Phone

(678) 761-9479

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1699833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724025600000",
    "number": "1760256432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 E CHEROKEE CT",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301881964",
            "telephone_number": "678-761-9479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 E CHEROKEE CT",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301881964",
            "telephone_number": "678-761-9479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLAMINGO MOJO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-13",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "status": "A",
        "authorized_official_last_name": "HUDSON HILL",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-761-9479"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon M Fischer
• Suzonne M Fish
• Tia Fisher, RBT
• Kristen Fitzwater
• Marley Fiveash, MFT
• Laura Elizabeth Flanagan
• Kymberly Fleming
• Patrick M. Fleming, PA
• Peri Michelle Fletcher, DC
• Danielle Flint, LAPC

• Family Nurse Practitioner in Woodstock, GA
• Providers in Woodstock, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2024; 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.