Individual provider Active NPI

Vivian Arnold, CERT. HAIR LOSS SPEC

  • Prosthetics Case Management
  • Fayetteville, GA
National Provider Identifier
1902354822
Registry record updated Sep 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetics Case ManagementTaxonomy code 1744P3200X
License
L195460131 Issued in LA
Practice address
518 Kenwood Rd
Fayetteville, GA 30214-3490
Phone
(404) 787-3811
NPI assigned
Sep 20, 2016
Last updated
Sep 20, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetics Case Management 1744P3200X L195460131 LA Primary

Addresses

Primary practice location

518 Kenwood Rd
Fayetteville, GA 30214-3490

Mailing address

518 Kenwood Rd
Fayetteville, GA 30214-3490
Phone (404) 787-3811

Other names 1

  • Mrs. Vivian Arnold Professional name

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
L195460131LAMDProsthetics Case Management

NPI Registry JSON

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

{
    "created_epoch": "1474329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474329600000",
    "number": "1902354822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "518 KENWOOD RD",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302143490",
            "telephone_number": "404-787-3811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "518 KENWOOD RD",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302143490",
            "telephone_number": "404-787-3811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARNOLD",
        "first_name": "VIVIAN",
        "name_prefix": "Mrs.",
        "credential": "CERT. HAIR LOSS SPEC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-20",
        "last_updated": "2016-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "",
            "desc": "Specialist, Prosthetics Case Management",
            "state": "LA",
            "license": "L195460131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VIVIAN",
            "last_name": "ARNOLD",
            "prefix": "MRS.",
            "credential": "CERT. HAIR LOSS SPEC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Fayetteville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2016; 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.