Active NPI
Geraldine Anamege
- Gerontology Nurse Practitioner
- Stroudsburg, PA
National Provider Identifier
1023778032
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- SP024986
- Practice address
- 18 N 7TH St FL 2
Stroudsburg, PA 18360-2110 - Phone
- (570) 218-8700
- NPI assigned
- Dec 19, 2021
- Last updated
- Dec 19, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | SP024986 | PA | Primary |
Addresses
Primary practice location
18 N 7TH St FL 2
Stroudsburg, PA 18360-2110
Mailing address
18 N 7TH St FL 2
Stroudsburg, PA 18360-2110
Phone (157) 021-8870
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP024986 | PA | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Destiny Empowerment House and Groups LLC | Current | Accepting new patients | |
| Destiny Empowerment House and Groups LLC | Current | Accepting new patients | |
| Destiny Empowerment House and Groups LLC | Current | Accepting new patients |
Locations
18 N 7th St
Unit 2
Stroudsburg, PA 18360
Phone (570) 218-8700
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.
-
dba Dongy Homecare and Residential Services
- Home Health Agency
- Stroudsburg, PA
- NPI 1558901355
-
dba Dongy Homecare and Residential Services
- Home Infusion Agency
- Stroudsburg, PA
- NPI 1700426277
-
- Home Health Agency
- East Stroudsburg, PA
- NPI 1811432313
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1639872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639872000000",
"number": "1023778032",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18 N 7TH ST FL 2",
"city": "STROUDSBURG",
"state": "PA",
"postal_code": "183602110",
"telephone_number": "157-021-8870"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18 N 7TH ST FL 2",
"city": "STROUDSBURG",
"state": "PA",
"postal_code": "183602110",
"telephone_number": "570-218-8700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANAMEGE",
"first_name": "GERALDINE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-12-19",
"last_updated": "2021-12-19",
"certification_date": "2021-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "PA",
"license": "SP024986",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.