NICHOLE KAY PEANASKY NPI 1578998878

NPI Information

NPI: 1578998878
Provider Name: NICHOLE KAY PEANASKY
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

PECOS Registration: Yes

Address:
2665 N DECATUR RD STE 520
DECATUR, GA
ZIP 30033
Phone: (404) 299-2223
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Nichole Kay Peanasky is an adult health nurse practitioner in Decatur, GA. Nichole Kay Peanasky NPI is 1578998878. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2665 N DECATUR RD STE 520
DECATUR, GA
ZIP 30033-146
Phone: (404) 299-2223
Fax: (404) 297-5003

The NPI 1578998878 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/6/2013 and was last updated on 6/14/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2200X	Nurse Practitioner	Adult Health	RN214615	GEORGIA	Yes
2	363LA2200X	Nurse Practitioner	Adult Health	SP012819	PENNSYLVANIA	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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