Bethany Geleris, CRNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

95004255 Issued in CA

Practice address

744 52ND St
Oakland, CA 94609-1810

Phone

(909) 568-4395

NPI assigned

Oct 5, 2015

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1444003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551744000000",
    "number": "1043680978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1872 YORBA DR",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917681553",
            "telephone_number": "909-568-4395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "744 52ND ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946091810",
            "telephone_number": "909-568-4395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GELERIS",
        "first_name": "BETHANY",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-05",
        "last_updated": "2019-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Pediatrics",
            "state": "CA",
            "license": "95004255",
            "primary": false
        },
        {
            "code": "364SP0200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Pediatrics",
            "state": "PA",
            "license": "SP015426",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CA",
            "license": "95004255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benjamin Cunningham Geiger, LMFT
• Molly Rose Geisler-Juarez, LM, CPM, IBCLC, MAS
• Kassahun Gelaye
• Chelsea Gelbart, NP
• Jonathan Gelber, M.D.
• Michael S. Gelfond, MD
• Danielle R Gelhaus
• Juby Leonora Geli
• Bob Gelshtein, AMFT
• Ketema Kuma Gemechu, PHARMD

• Pediatric Nurse Practitioner in Oakland, CA
• Providers in Oakland, CA by specialty
• Pediatric Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.