SALLIE KEY FNP NPI 1821142605

NPI Information

NPI: 1821142605
Provider Name: SALLIE KEY, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
301 DOGWOOD HTS STE 200
CANTON, GA
ZIP 30114
Phone: (770) 910-4541
Get Directions

Sallie Key, FNP is a family nurse practitioner in Canton, GA. Sallie Key, FNP NPI is 1821142605. 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:

301 DOGWOOD HTS STE 200
CANTON, GA
ZIP 30114-764
Phone: (770) 910-4541
Fax: (770) 910-4541

The NPI 1821142605 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 1/22/2007 and was last updated on 2/27/2024.

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	163WG0000X	Registered Nurse	General Practice	RN0000116942	TENNESSEE	No
2	163WG0000X	Registered Nurse	General Practice	RN152212	GEORGIA	No
3	363LF0000X	Nurse Practitioner	Family	APN0000007667	TENNESSEE	No
4	363LF0000X	Nurse Practitioner	Family	809329	TEXAS	No
5	363LF0000X	Nurse Practitioner	Family	RN152212	GEORGIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	311920802	MEDICAID	TEXAS
2	P01446964	OTHER	TEXAS	RR
3	3908789	MEDICAID	TENNESSEE
4	8EH586	OTHER	TEXAS	BCBS
5	311920801	MEDICAID	TEXAS

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: 5/5/2024

NPI Synchronization or Removal

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