Organization Active NPI

Knowledge Development Ase' Group LLC

  • Student in an Organized Health Care Education/Training Program
  • Atlanta, GA
National Provider Identifier
1821448432
Registry record updated Jun 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
License
13176350 Issued in GA
Legal business name
KNOWLEDGE DEVELOPMENT ASE' GROUP LLC
Practice address
584 Amal Dr SW
Atlanta, GA 30315-4827
Phone
(410) 215-8055
NPI assigned
Jun 14, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2016

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

Authorized official

Name
Kenya Ross-Beatty, M.B.A., N.C.R.M.A.
Title
Professor
Phone
(410) 215-8055

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training ProgramGroup: 193400000X SINGLE SPECIALTY GROUP 390200000X 13176350 GA Primary

Addresses

Primary practice location

584 Amal Dr SW
Atlanta, GA 30315-4827

Mailing address

584 Amal Dr SW
Atlanta, GA 30315-4827
Phone (410) 215-8055

Other names 1

  • KDAG, LLC Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1465862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465862400000",
    "number": "1821448432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "584 AMAL DR SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303154827",
            "telephone_number": "410-215-8055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "584 AMAL DR SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303154827",
            "telephone_number": "410-215-8055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KNOWLEDGE DEVELOPMENT ASE' GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-14",
        "last_updated": "2016-06-14",
        "status": "A",
        "authorized_official_last_name": "ROSS-BEATTY",
        "authorized_official_first_name": "KENYA",
        "authorized_official_title_or_position": "PROFESSOR",
        "authorized_official_telephone_number": "410-215-8055",
        "authorized_official_credential": "M.B.A., N.C.R.M.A."
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "GA",
            "license": "13176350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KDAG, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 14, 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.