Nicole Degraffenreid Kemp

Primary specialty

Prosthetics Case ManagementTaxonomy code 1744P3200X

Practice address

3480 Greenbriar Pkwy
Suite 117
Atlanta, GA 30331

Phone

(770) 653-7609

NPI assigned

Oct 27, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Nicole Degraffenreid Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1477526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477612800000",
    "number": "1801348602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7135 FLETCHER DR",
            "city": "WINSTON",
            "state": "GA",
            "postal_code": "30187",
            "telephone_number": "770-653-7609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3480 GREENBRIAR PKWY",
            "address_2": "SUITE 117",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30331",
            "telephone_number": "770-653-7609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEMP",
        "first_name": "NICOLE",
        "middle_name": "DEGRAFFENREID",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-27",
        "last_updated": "2016-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "",
            "desc": "Specialist, Prosthetics Case Management",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "DEGRAFFENREID",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Dionne Georgiette Kemokai
• Alec Kemp, S-AA
• Avery Suzanne Kemp, AGACNP-BC
• Brittany Kimberly Kemp, M.ED-SLP
• Haley Kemp, AGPCNP-BC
• Sandra Kemp
• Allison Michele Kemper, DPT
• Robin Otto Kemper, CNA, RBT
• Jordan Anthony Kempker, M.D.
• Russell Ryan Kempker, M.D.

• Prosthetics Case Management in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Prosthetics Case Management in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2016; 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.