Individual provider Active NPI

Donna Marie Redley, RN, BSN, MSN

  • Registered Nurse
  • Fayetteville, GA
National Provider Identifier
1790119378
Registry record updated Aug 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN190163 Issued in GA
Practice address
105 White Tail CT
Fayetteville, GA 30214-4919
Phone
(770) 401-6473
NPI assigned
Aug 30, 2013
Last updated
Aug 30, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 30, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN190163 GA Primary

Addresses

Primary practice location

105 White Tail CT
Fayetteville, GA 30214-4919

Mailing address

105 White Tail CT
Fayetteville, GA 30214-4919
Phone (770) 401-6473

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
Bachelor on Science - Nursing, Master of Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN190163GAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Redleys Pharmacy and Health Consultants LLC PastSince Mar 22, 2020 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1377820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377820800000",
    "number": "1790119378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 WHITE TAIL CT",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302144919",
            "telephone_number": "770-401-6473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 WHITE TAIL CT",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302144919",
            "telephone_number": "770-401-6473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDLEY",
        "first_name": "DONNA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "RN, BSN, MSN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-30",
        "last_updated": "2013-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN190163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2013; 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.