Individual provider Active NPI

Kayla Lunn, FNP-C

  • Nurse Practitioner
  • Suwanee, GA
National Provider Identifier
1982001830
Registry record updated Oct 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN235766 Issued in GA
Practice address
4245 Johns Creek Pkwy Ste a
Suwanee, GA 30024-9122
Phone
(678) 990-3962
Fax
(678) 840-3777
NPI assigned
Nov 20, 2014
Last updated
Oct 5, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN235766 GA Primary

Addresses

Primary practice location

4245 Johns Creek Pkwy Ste a
Suwanee, GA 30024-9122

Mailing address

5000 Research CT Ste 500
Suwanee, GA 30024-6660
Phone (678) 990-3962

Other practice location 1

6105 Peachtree Dunwoody Rd Ste A205
Atlanta, GA 30328-5945
Phone (678) 990-3962

Other practice location 2

4265 Johns Creek Pkwy Ste A
Suwanee, GA 30024-6038
Phone (678) 990-3962

Other identifiers 1

IdentifierTypeStateIssuer
G20934AOtherGAMEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, CA, FL3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20200731002060 GA Practitioner - Nurse Practitioner 9931524303 Reassigns benefits to 1 organization
I20230124000638 CA Practitioner - Nurse Practitioner 9931524303 Reassigns benefits to 1 organization
I20240216000652 FL Practitioner - Nurse Practitioner 9931524303 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ognomy Ga LLC CurrentSince Jun 21, 2023 Accepting new patients
Ognomy Sleep Associates Ca CurrentSince May 22, 2023 Accepting new patients

Locations

201 Spear St
Ste 1100
San Francisco, CA 94105
Phone (415) 651-4333

3750 Palladian Village Dr
Ste 110
Marietta, GA 30066
Phone (678) 265-8361

640 Ellicott St
Ste 101
Buffalo, NY 14203

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": "1416441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601856000000",
    "number": "1982001830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 RESEARCH CT STE 500",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300246660",
            "telephone_number": "678-990-3962",
            "fax_number": "678-840-3777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4245 JOHNS CREEK PKWY STE A",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300249122",
            "telephone_number": "678-990-3962",
            "fax_number": "678-840-3777"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6105 Peachtree Dunwoody Rd Ste A205",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303285945",
            "country_code": "US",
            "telephone_number": "678-990-3962",
            "fax_number": "678-840-3777",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4265 Johns Creek Pkwy Ste A",
            "address_purpose": "LOCATION",
            "city": "Suwanee",
            "state": "GA",
            "postal_code": "300246038",
            "country_code": "US",
            "telephone_number": "678-990-3962",
            "fax_number": "678-840-3777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUNN",
        "first_name": "KAYLA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-20",
        "last_updated": "2020-10-05",
        "certification_date": "2020-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN235766",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "G20934A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Suwanee, GA

Sources for this page

Verify at the official NPI Registry.