NNOKP NPI 1932648730

NPI Information

  • NPI: 1932648730
  • Provider Name: NNOKP
  • Classification: Nurse Practitioner - 363LP0200X
  • Specialization: Pediatrics
  • Entity Type: Organization
  • Doing Business As: NUESTROS NINOS OUR KIDS PEDIATRICS
  • CLIA Number: 11D1091809
  • Address: 777 FRANKLIN GTWY SE
    MARIETTA, GA
    ZIP 30067
  • Phone: (770) 732-6007

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NPI Details

NNOKP is a pediatrics nurse practitioner in Marietta, GA. NNOKP NPI is 1932648730. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Nuestros Ninos Our Kids Pediatrics.

The provider's business location address is:

777 FRANKLIN GTWY SE
MARIETTA, GA
ZIP 30067-803
Phone: (770) 732-6007
Fax: (770) 732-8242

The provider's authorized official is Maria Cano .
The authorized official title is Practice Manager and has the following contact phone number (770) 732-6007.

The CLIA number assigned to this NPI record is 11D1091809 - practitioner other with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 2/14/2017 and was last updated on 2/14/2017.

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
1363LP0200XNurse PractitionerPediatricsYes

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
1000906716CMEDICAIDGEORGIA
2000897454EMEDICAIDGEORGIA
3818552480AMEDICAIDGEORGIA
4000813425EMEDICAIDGEORGIA
5000874057IMEDICAIDGEORGIA
6003145632AMEDICAIDGEORGIA

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: 11/21/2025

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