Individual provider Active NPI

Khristina Jerome Charley, RN

  • Orthopedic Registered Nurse
  • Atlanta, GA
National Provider Identifier
1871263384
Registry record updated Sep 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Registered NurseTaxonomy code 163WX0800X
License
RN298361 Issued in GA
Practice address
795 Hammond Dr Apt 2408
Atlanta, GA 30328-5568
Phone
(404) 326-9220
NPI assigned
Sep 16, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Registered Nurse 163WX0800X RN298361 GA Primary

Addresses

Primary practice location

795 Hammond Dr Apt 2408
Atlanta, GA 30328-5568

Mailing address

795 Hammond Dr Apt 2408
Atlanta, GA 30328-5568
Phone (404) 326-9220

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN298361GAMDOrthopedic Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1631750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631750400000",
    "number": "1871263384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "795 HAMMOND DR APT 2408",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303285568",
            "telephone_number": "404-326-9220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "795 HAMMOND DR APT 2408",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303285568",
            "telephone_number": "404-326-9220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARLEY",
        "first_name": "KHRISTINA",
        "middle_name": "JEROME",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-16",
        "last_updated": "2021-09-16",
        "certification_date": "2021-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WX0800X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Orthopedic",
            "state": "GA",
            "license": "RN298361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Sep 16, 2021; 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.