Active NPI
Charity Nnenna Ikpe, FNP
- Registered Nurse
- Lawrenceville, GA
National Provider Identifier
1881970879
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN171431
- Practice address
- 3545 Cruse Rd Ste 103
Lawrenceville, GA 30044-3169 - Phone
- (770) 456-5666
- NPI assigned
- Oct 23, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN171431 | GA | |
| Registered Nurse | 163W00000X | RN171431 | GA | Primary |
Addresses
Primary practice location
3545 Cruse Rd Ste 103
Lawrenceville, GA 30044-3169
Mailing address
2692 Trellis Oaks CT SW
Marietta, GA 30060-5407
Phone (770) 444-3915
Other practice location 1
80 Jesse Hill Jr Dr SE
Atlanta, GA 30303-3031
Phone (404) 616-5963
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)
- Enrolled
- Credentials
- Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1319328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1591747200000",
"number": "1881970879",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2692 TRELLIS OAKS CT SW",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300605407",
"telephone_number": "770-444-3915"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3545 CRUSE RD STE 103",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300443169",
"telephone_number": "770-456-5666"
}
],
"practiceLocations": [
{
"address_1": "80 Jesse Hill Jr Dr SE",
"address_purpose": "LOCATION",
"city": "Atlanta",
"state": "GA",
"postal_code": "303033031",
"country_code": "US",
"telephone_number": "404-616-5963",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "IKPE",
"first_name": "CHARITY",
"middle_name": "NNENNA",
"name_prefix": "Mrs.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-10-23",
"last_updated": "2020-06-10",
"certification_date": "2020-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN171431",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "GA",
"license": "RN171431",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lawrenceville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.