Individual provider Active NPI

Faith Ludwick, PNP

  • Pediatric Nurse Practitioner
  • Alpharetta, GA
National Provider Identifier
1861506693
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
RN067905 Issued in GA
Practice address
12385 Crabapple Rd Ste 100
Alpharetta, GA 30004-6357
Phone
(770) 343-9900
Fax
(770) 343-8759
NPI assigned
Aug 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X RN067905 GA Primary

Addresses

Primary practice location

12385 Crabapple Rd Ste 100
Alpharetta, GA 30004-6357

Mailing address

235 Sheringham Dr
Roswell, GA 30076-2471
Phone (770) 343-9900

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
RN067905GAMDPediatric Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861506693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 SHERINGHAM DR",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300762471",
            "telephone_number": "770-343-9900",
            "fax_number": "770-343-8759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12385 CRABAPPLE RD STE 100",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300046357",
            "telephone_number": "770-343-9900",
            "fax_number": "770-343-8759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUDWICK",
        "first_name": "FAITH",
        "name_prefix": "Mrs.",
        "credential": "PNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "GA",
            "license": "RN067905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpharetta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.