Individual provider Active NPI

Catherine L Geralds, D.O.

  • Internal Medicine Physician
  • Austin, TX
National Provider Identifier
1134491913
Registry record updated Dec 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
R1756 Issued in TX
Practice address
5000 W Slaughter LN Ste 100
Austin, TX 78749-4015
Phone
(512) 654-4000
NPI assigned
Feb 8, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X PG159124 OR
Internal Medicine Physician 207R00000X R1756 TX Primary

Addresses

Primary practice location

5000 W Slaughter LN Ste 100
Austin, TX 78749-4015

Mailing address

P.O. Box 844658
Dallas, TX 75284-4658
Phone (512) 923-7202

Other names 1

  • Catherine Bennett Lacy Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address clacygeralds281740@direct.sw.org Direct

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)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
PG159124ORMDInternal Medicine Physician

Interoperability endpoints

  • Direct secure messaging: clacygeralds281740@direct.sw.org

NPI Registry JSON

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

{
    "created_epoch": "1328659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639699200000",
    "number": "1134491913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 844658",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752844658",
            "telephone_number": "512-923-7202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 W SLAUGHTER LN STE 100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787494015",
            "telephone_number": "512-654-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERALDS",
        "first_name": "CATHERINE",
        "middle_name": "L",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-08",
        "last_updated": "2021-12-17",
        "certification_date": "2021-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OR",
            "license": "PG159124",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "R1756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "clacygeralds281740@direct.sw.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "5000 W Slaughter Ln Ste 100",
            "city": "Austin",
            "state": "TX",
            "country_code": "US",
            "postal_code": "787494015",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "CATHERINE",
            "last_name": "LACY",
            "middle_name": "BENNETT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 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.

Verify at the official NPI Registry.