Individual provider Active NPI

Louise Schramm Marlow, CPNP

  • Pediatric Nurse Practitioner
  • Suwanee, GA
National Provider Identifier
1821156902
Registry record updated Dec 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
RN069888 Issued in GA
Practice address
4430 Lassen CT
Suwanee, GA 30024-8745
Phone
(678) 925-8494
NPI assigned
Dec 4, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Registered Nurse) 163WL0100X LC000177 GA
Pediatric Nurse Practitioner 363LP0200X RN069888 GA Primary

Addresses

Primary practice location

4430 Lassen CT
Suwanee, GA 30024-8745

Mailing address

4430 Lassen CT
Suwanee, GA 30024-8745
Phone (678) 925-8494

Other practice location 1

173 Boulevard NE
Atlanta, GA 30312-1313
Phone (404) 658-1500

Other names 1

  • Luann Marlow Professional name

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)
Enrolled
Credentials
Certified Pediatric Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
LC000177GAMDLactation Consultant (Registered Nurse)
RN069888GAMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dream Baby Cafe, LLC Lactation Consultant PastSince Feb 1, 2021 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607126400000",
    "number": "1821156902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4430 LASSEN CT",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300248745",
            "telephone_number": "678-925-8494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4430 LASSEN CT",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300248745",
            "telephone_number": "678-925-8494"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "173 Boulevard NE",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303121313",
            "country_code": "US",
            "telephone_number": "404-658-1500",
            "fax_number": "404-658-1535",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARLOW",
        "first_name": "LOUISE",
        "middle_name": "SCHRAMM",
        "name_prefix": "Mrs.",
        "credential": "CPNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-04",
        "last_updated": "2020-12-05",
        "certification_date": "2020-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "GA",
            "license": "LC000177",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "GA",
            "license": "RN069888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LUANN",
            "last_name": "MARLOW",
            "credential": "CPNP, IBCLC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Suwanee, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2020; 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.