Individual provider Active NPI

Geraldine Marie Tookey, APRN

  • Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist
  • St Johnsbury, VT
National Provider Identifier
1215922901
Registry record updated Sep 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0807X
License
101.0134660 Issued in VT
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

Updated by the provider on Sep 14, 2021

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1215922901MedicaidCT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, VT, AK3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20180219000076 CT Practitioner - Nurse Practitioner 8628245677
I20211007003652 VT Practitioner - Nurse Practitioner 8628245677 Reassigns benefits to 1 organization
I20250130000331 AK Practitioner - Nurse Practitioner 8628245677 Reassigns benefits to 1 organization

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
Tanana Valley Clinic LLCGroup PAC ID 5698056901, 142 clinicians

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

LicenseStateTypeSpecialty
005936CTMDDentist
209-002904ILMDPediatric Nurse Practitioner
101.0134660VTMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Kingdom Human Services Inc CurrentSince Sep 2, 2021 Accepting new patients
Connecticut Children'S Specialty Group, Inc. Pediatrics CurrentSince Jan 13, 2019 Accepting new patients
Tanana Valley Clinic LLC CurrentSince Mar 1, 2025 Accepting new patients
Connecticut Children'S Specialty Group, Inc. Pediatrics CurrentSince Jan 13, 2019 Accepting new patients
Tanana Valley Clinic LLC CurrentSince Mar 1, 2025 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.