Individual provider Active NPI

Lateefah Lashawn Noel Key, MSW, ST

  • Contractor
  • Fayetteville, GA
National Provider Identifier
1811737679
Registry record updated May 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ContractorTaxonomy code 171W00000X
License
061953364 Issued in GA
Practice address
320 Woodside Blvd
Fayetteville, GA 30214-2550
Phone
(561) 516-0311
NPI assigned
May 29, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Contractor 171W00000X 061953364 GA Primary

Addresses

Primary practice location

320 Woodside Blvd
Fayetteville, GA 30214-2550

Mailing address

320 Woodside Blvd
Fayetteville, GA 30214-2550
Phone (561) 516-0311

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

State licenses

LicenseStateTypeSpecialty
061953364GAMDContractor

NPI Registry JSON

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

{
    "created_epoch": "1716940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716940800000",
    "number": "1811737679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 WOODSIDE BLVD",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302142550",
            "telephone_number": "561-516-0311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 WOODSIDE BLVD",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302142550",
            "telephone_number": "561-516-0311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOEL KEY",
        "first_name": "LATEEFAH",
        "middle_name": "LASHAWN",
        "credential": "MSW, ST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-29",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "GA",
            "license": "061953364",
            "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 May 29, 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.