Individual provider Active NPI

Fianna Mischel

  • Licensed Practical Nurse
  • Kennesaw, GA
National Provider Identifier
1952074239
Registry record updated Jul 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
LPN077823 Issued in GA
Practice address
711 Spring Ridge CT NW
Kennesaw, GA 30144-5039
Phone
(678) 472-0947
NPI assigned
Jul 31, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X LPN077823 GA Primary

Addresses

Primary practice location

711 Spring Ridge CT NW
Kennesaw, GA 30144-5039

Mailing address

711 Spring Ridge CT NW
Kennesaw, GA 30144-5039
Phone (678) 472-0947

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
LPN077823GAMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1627689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627689600000",
    "number": "1952074239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 SPRING RIDGE CT NW",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301445039",
            "telephone_number": "678-472-0947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 SPRING RIDGE CT NW",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301445039",
            "telephone_number": "678-472-0947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISCHEL",
        "first_name": "FIANNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-31",
        "last_updated": "2021-07-31",
        "certification_date": "2021-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "GA",
            "license": "LPN077823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennesaw, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 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.