Individual provider Active NPI

Harriet Kay, MSN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Stone Mountain, GA
National Provider Identifier
1831557479
Registry record updated Feb 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN113826 Issued in GA
Practice address
1064 New Gibraltar SQ
Stone Mountain, GA 30083-3082
Phone
(404) 372-5755
NPI assigned
Feb 9, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN113826 GA Primary

Addresses

Primary practice location

1064 New Gibraltar SQ
Stone Mountain, GA 30083-3082

Mailing address

1064 New Gibraltar SQ
Stone Mountain, GA 30083-3082
Phone (404) 372-5755

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160728000290 GA Order and Referring Only - PsychiatryPractitioner - Psychiatry 5597058545

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
RN113826GAMDPsychiatric/Mental Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1454976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454976000000",
    "number": "1831557479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1064 NEW GIBRALTAR SQ",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300833082",
            "telephone_number": "404-372-5755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1064 NEW GIBRALTAR SQ",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300833082",
            "telephone_number": "404-372-5755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAY",
        "first_name": "HARRIET",
        "credential": "MSN, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-09",
        "last_updated": "2016-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "GA",
            "license": "RN113826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stone Mountain, GA

Sources for this page

Verify at the official NPI Registry.