Individual provider Active NPI

Tasneem Malik, FNP-BC, MSN, MPH

  • Family Nurse Practitioner
  • Atlanta, GA
National Provider Identifier
1760835979
Registry record updated Jul 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
235545 Issued in GA
Practice address
1600 Clifton Rd
Mailstop E-02
Atlanta, GA 30333
Phone
(404) 639-4213
NPI assigned
Jul 22, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 235545 GA Primary

Addresses

Primary practice location

1600 Clifton Rd
Mailstop E-02
Atlanta, GA 30333

Mailing address

1600 Clifton Rd
Mailstop E-02
Atlanta, GA 30333
Phone (404) 639-4213

Other practice location 1

3700 Market St Ste E1
Clarkston, GA 30021-2653
Phone (678) 383-1383

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
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
235545GAMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1469145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627516800000",
    "number": "1760835979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 CLIFTON RD",
            "address_2": "MAILSTOP E-02",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30333",
            "telephone_number": "404-639-4213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 CLIFTON RD",
            "address_2": "MAILSTOP E-02",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30333",
            "telephone_number": "404-639-4213"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3700 Market St Ste E1",
            "address_purpose": "LOCATION",
            "city": "Clarkston",
            "state": "GA",
            "postal_code": "300212653",
            "country_code": "US",
            "telephone_number": "678-383-1383",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALIK",
        "first_name": "TASNEEM",
        "credential": "FNP-BC, MSN, MPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-22",
        "last_updated": "2021-07-29",
        "certification_date": "2021-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "235545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 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.