Surgical Assistant Solutions, LLC

Primary specialty

Registered Nurse First AssistantTaxonomy code 163WR0006X

License

195446 Issued in GA

Legal business name

SURGICAL ASSISTANT SOLUTIONS, LLC

Practice address

3522 Ashford Dunwoody Rd NE # 141
Brookhaven, GA 30319-2002

Phone

(404) 636-0096

NPI assigned

Jun 9, 2015

Organization subpart

No

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

Authorized official

Name

Ms. Jacquelyn Gabrielle Kistenberg, RNFA

Title

Manager

Phone

(404) 636-0096

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1433808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440115200000",
    "number": "1851772404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3522 ASHFORD DUNWOODY RD NE # 141",
            "city": "BROOKHAVEN",
            "state": "GA",
            "postal_code": "303192002",
            "telephone_number": "404-636-0096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3522 ASHFORD DUNWOODY RD NE # 141",
            "city": "BROOKHAVEN",
            "state": "GA",
            "postal_code": "303192002",
            "telephone_number": "404-636-0096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICAL ASSISTANT SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-09",
        "last_updated": "2015-08-21",
        "status": "A",
        "authorized_official_last_name": "KISTENBERG",
        "authorized_official_first_name": "JACQUELYN",
        "authorized_official_middle_name": "GABRIELLE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "404-636-0096",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RNFA"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "GA",
            "license": "195446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nora Strasser-Burke, RBT
• Robbi Anne Strauss
• Lashanna Nicole Strickland, APNP
• Anna Wynn Sturkie
• Alyssa Sullivan, RBT
• Derrick Anthony Sykes, LPC
• Talk Time Speech and Language Services
• Claudia Tan
• Kaila S. Tang, LCSW
• Brandi Tanner, PH.D.

• Registered Nurse First Assistant in Brookhaven, GA
• Providers in Brookhaven, GA by specialty
• Registered Nurse First Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2015; 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.