Active NPI
Lishonder G Kind
- Gerontology Nurse Practitioner
- Hampton, GA
National Provider Identifier
1932794922
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 246345
- Practice address
- 12734 Cattail CT
Hampton, GA 30228-2611 - Phone
- (229) 415-5319
- NPI assigned
- Mar 2, 2021
- Last updated
- Mar 2, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 246345 | GA | Primary |
Addresses
Primary practice location
12734 Cattail CT
Hampton, GA 30228-2611
Mailing address
12734 Cattail CT
Hampton, GA 30228-2611
Phone (229) 415-5319
Other names 1
- Lishonder Gail Kind
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vpa PC | Current | Accepting new patients | |
| Mobile Wound Care Solutions LLC | Current | Accepting new patients | |
| Vpa PC | Current | Accepting new patients |
Locations
1372 Peachtree St NE
Ste 100
Atlanta, GA 30309
Phone (470) 964-1700
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1614643200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614643200000",
"number": "1932794922",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12734 CATTAIL CT",
"city": "HAMPTON",
"state": "GA",
"postal_code": "302282611",
"telephone_number": "229-415-5319"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12734 CATTAIL CT",
"city": "HAMPTON",
"state": "GA",
"postal_code": "302282611",
"telephone_number": "229-415-5319"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIND",
"first_name": "LISHONDER",
"middle_name": "G",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-03-02",
"last_updated": "2021-03-02",
"certification_date": "2021-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "GA",
"license": "246345",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LISHONDER",
"last_name": "KIND",
"middle_name": "GAIL",
"credential": "RN,NP",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Hampton, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.