Active NPI
Georgiana Rumman
- Student in an Organized Health Care Education/Training Program
- San Rafael, CA
National Provider Identifier
1225533706
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- AMFT120443
- Practice address
- 1480 Lincoln Ave
San Rafael, CA 94901-2084 - Phone
- (858) 951-7266
- NPI assigned
- Mar 27, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | AMFT120443 | ||
| Student in an Organized Health Care Education/Training Program | 390200000X | AMFT120443 | CA | Primary |
Addresses
Primary practice location
1480 Lincoln Ave
San Rafael, CA 94901-2084
Mailing address
1480 Lincoln Ave Ste 8
San Rafael, CA 94901-2085
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 106H00000X | Other | KAISER |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AMFT120443 | CA | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1608076800000",
"number": "1225533706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1480 LINCOLN AVE STE 8",
"city": "SAN RAFAEL",
"state": "CA",
"postal_code": "949012085"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1480 LINCOLN AVE",
"city": "SAN RAFAEL",
"state": "CA",
"postal_code": "949012084",
"telephone_number": "858-951-7266"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUMMAN",
"first_name": "GEORGIANA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-03-27",
"last_updated": "2020-12-16",
"certification_date": "2020-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": null,
"license": "AMFT120443",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "CA",
"license": "AMFT120443",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KAISER",
"identifier": "106H00000X",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in San Rafael, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 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.