Kaissa Desta Idahosa
NP | Nurse Practitioner | 7+ years Exp
2480 Windy Hill Rd Se, Marietta
Georgia, 30067-8644
800-640-3451
Kaissa Desta Idahosa is a Marietta, Georgia based nurse practitioner with 7 years of experience in . She completed her graduation in 2018. She may accept the Medicare-approved amount. Patients may be billed for more than the Medicare deductible and coinsurance. Active license number of Kaissa Desta Idahosa is RN227597 for Family in Georgia. Her current practice location is 2480 Windy Hill Rd Se, Marietta. Patients can reach her at 800-640-3451. Kaissa Desta Idahosa is NP and her NPI number (Unique professional ID assigned by NPPES) is 1942955323.
Kaissa Desta Idahosa has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Kaissa Desta Idahosa speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Kaissa Desta Idahosa |
| Specialization: | Nurse Practitioner (NP) |
| Gender: | Female |
| Credentials: | NP |
| Accepts Medicare Assignment: | May Accept |
| Practice Address: | 2480 Windy Hill Rd Se, Marietta,
Georgia, 30067-8644 |
| Phone: | 800-640-3451 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 7618361692 |
| Enrollment ID: | I20220309000385 |
| NPI Number: | 1942955323 |
| NPI Enumeration Date: | 15 Feb, 2022 |
| NPI Last Update On: | 03 Oct, 2024 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kaissa Desta Idahosa are as mentioned below.
| License Number | Specialization | State | Status | |
| RN227597 | Family | Georgia | Primary | |
| RN227597 | Nurse Practitioner | Georgia | Secondary | |
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Kaissa Desta Idahosa is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Blue Ridge Hospice Inc (0749699072) | 7 |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Kaissa Desta Idahosa
Po Box 1200,
Pleasant Grove, Utah |
| Zip: | 84062-1200 |
| Phone Number: | 800-640-3451 |
Patients can reach Kaissa Desta Idahosa at
2480 Windy Hill Rd Se, Marietta, Georgia or can
call to book an appointment on 800-640-3451.
Comments/ Reviews:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.