Active NPI
Geraldine Marie Tookey, APRN
- Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist
- St Johnsbury, VT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist
- License
- 101.0134660
- Practice address
- 2225 Portland St
St Johnsbury, VT 05819-8635 - Phone
- (802) 334-6744
- NPI assigned
- Sep 19, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 005936 | CT | |
| Pediatric Nurse Practitioner | 363LP0200X | 101.0134660 | VT | |
| Pediatric Nurse Practitioner | 363LP0200X | 005936 | CT | |
| Pediatric Nurse Practitioner | 363LP0200X | 209-002904 | IL | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 005936 | CT | |
| Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist | 364SP0807X | 101.0134660 | VT | Primary |
Addresses
Primary practice location
2225 Portland St
St Johnsbury, VT 05819-8635
Mailing address
2225 Portland St
St Johnsbury, VT 05819-8635
Phone (802) 334-6744
Other practice location 1
200 Retreat Ave
Hartford, CT 06102-3101
Phone (309) 636-6723
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215922901 | Medicaid | CT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT, VT, AK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1650 Cowles St
Fairbanks, AK 99701-5907
Phone (907) 459-3500
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 005936 | CT | MD | Dentist |
| 209-002904 | IL | MD | Pediatric Nurse Practitioner |
| 101.0134660 | VT | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeast Kingdom Human Services Inc | Current | Accepting new patients | |
| Connecticut Children'S Specialty Group, Inc. | Pediatrics | Current | Accepting new patients |
| Tanana Valley Clinic LLC | Current | Accepting new patients | |
| Connecticut Children'S Specialty Group, Inc. | Pediatrics | Current | Accepting new patients |
| Tanana Valley Clinic LLC | Current | Accepting new patients | |
| Fairbanks Memorial Hospital, LLC | Past | Accepting new patients |
Locations
1650 Cowles St
Fairbanks, AK 99701
Phone (907) 452-8181
1001 Noble St
Fairbanks, AK 99701
Phone (907) 276-2806
2111 Cowles St
Fairbanks, AK 99701
Phone (907) 457-4900
282 Washington St
Hartford, CT 06106
Phone (860) 545-8950
10 Columbus Blvd
Ofc
Hartford, CT 06106
10 Columbus Blvd
Hartford, CT 06106
Phone (860) 837-5619
2225 Portland St
St Johnsbury, VT 05819
Phone (802) 748-3181
Interoperability endpoints
- geraldine.tookey@xdr.hhchealthdirect.org
Organizations & group practices 6
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.
-
- Multi-Specialty Clinic/Center
- Fairbanks, AK
- NPI 1922559558
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Newport, VT
- NPI 1043372709
-
- Ophthalmology Physician
- Glastonbury, CT
- NPI 1568056984
Pediatrics
-
- Pediatrics Physician
- Hartford, CT
- NPI 1669448882
-
- Multi-Specialty Clinic/Center
- Fairbanks, AK
- NPI 1073081485
-
- General Acute Care Hospital
- Fairbanks, AK
- NPI 1720537178
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631577600000",
"number": "1215922901",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2225 PORTLAND ST",
"city": "ST JOHNSBURY",
"state": "VT",
"postal_code": "058198635",
"telephone_number": "802-334-6744"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2225 PORTLAND ST",
"city": "ST JOHNSBURY",
"state": "VT",
"postal_code": "058198635",
"telephone_number": "802-334-6744"
}
],
"practiceLocations": [
{
"address_1": "200 Retreat Ave",
"address_purpose": "LOCATION",
"city": "Hartford",
"state": "CT",
"postal_code": "061023101",
"country_code": "US",
"telephone_number": "309-636-6723",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TOOKEY",
"first_name": "GERALDINE",
"middle_name": "MARIE",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-19",
"last_updated": "2021-09-14",
"certification_date": "2021-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CT",
"license": "005936",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "VT",
"license": "101.0134660",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "CT",
"license": "005936",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "IL",
"license": "209-002904",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "CT",
"license": "005936",
"primary": false
},
{
"code": "364SP0807X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Child & Adolescent",
"state": "VT",
"license": "101.0134660",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1215922901",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in St Johnsbury, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.