Organization Active NPI

Geriatrix of Massachusetts, Inc

  • Gerontology Nurse Practitioner
  • Brentwood, TN
National Provider Identifier
1104027291
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
Legal business name
GERIATRIX OF MASSACHUSETTS, INC
Practice address
10 Cadillac Dr
Suite 350
Brentwood, TN 37027-5078
Phone
(615) 986-9201
Fax
(615) 986-9256
NPI assigned
May 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Kirk M Stanley
Title
Cfo
Phone
(615) 986-9226

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LG0600X Primary

Addresses

Primary practice location

10 Cadillac Dr
Suite 350
Brentwood, TN 37027-5078

Mailing address

10 Cadillac Dr
Suite 350
Brentwood, TN 37027-5078
Phone (615) 986-9201

Other names 1

  • INSPIRIS of Massachusetts Doing business as

National Provider Directory

National Provider Directory

Locations

30 Princeton Blvd
Lowell, MA 01851
Phone (978) 454-8066

NPI Registry JSON

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

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104027291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 CADILLAC DR",
            "address_2": "SUITE 350",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370275078",
            "telephone_number": "615-986-9201",
            "fax_number": "615-986-9256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 CADILLAC DR",
            "address_2": "SUITE 350",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370275078",
            "telephone_number": "615-986-9201",
            "fax_number": "615-986-9256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERIATRIX OF MASSACHUSETTS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STANLEY",
        "authorized_official_first_name": "KIRK",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "615-986-9226"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Gerontology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "INSPIRIS of Massachusetts",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brentwood, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.