Individual provider Active NPI

Geena Elizabeth Whittredge, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Holyoke, MA
National Provider Identifier
1205667698
Registry record updated Dec 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN10012391 Issued in MA
Practice address
494 Appleton St
Holyoke, MA 01040-3211
Phone
(413) 420-2303
Fax
(413) 534-2398
NPI assigned
Aug 8, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 19, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN10012391 MA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN10012391 MA Primary

Addresses

Primary practice location

494 Appleton St
Holyoke, MA 01040-3211

Mailing address

494 Appleton St
Holyoke, MA 01040-3211
Phone (413) 420-2303

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241121003672 MA Practitioner - Nurse Practitioner 0749715142 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Yale University School of Medicine, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Center for Human Development, Inc.Group PAC ID 7618950874, 70 clinicians

Practice addresses (Care Compare)

494 Appleton St
Holyoke, MA 01040-3211
Phone (413) 532-1456

Hospital & facility affiliations

  • Holyoke Medical Center Hospital, Holyoke, MA, CCN 220024

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN10012391MAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Human Development, Inc. Current Accepting new patients
Center for Human Development, Inc CurrentSince Sep 13, 2024 Accepting new patients

Locations

494 Appleton St
Holyoke, MA 01040
Phone (413) 420-2302

332 Birnie Ave
Springfield, MA 01107
Phone (413) 439-2189

367 Pine St
Springfield, MA 01105
Phone (413) 737-1426

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1723075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734566400000",
    "number": "1205667698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "494 APPLETON ST",
            "city": "HOLYOKE",
            "state": "MA",
            "postal_code": "010403211",
            "telephone_number": "413-420-2303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "494 APPLETON ST",
            "city": "HOLYOKE",
            "state": "MA",
            "postal_code": "010403211",
            "telephone_number": "413-420-2303",
            "fax_number": "413-534-2398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITTREDGE",
        "first_name": "GEENA",
        "middle_name": "ELIZABETH",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-08",
        "last_updated": "2024-12-19",
        "certification_date": "2024-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "RN10012391",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN10012391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holyoke, MA

Sources for this page

Verify at the official NPI Registry.