Georgia Kerrick, CRNP

Primary specialty

Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X

License

SP007663 Issued in PA

Practice address

214 College Park PLZ
Johnstown, PA 15904-2833

Phone

(814) 262-0025

Fax

(814) 266-8745

NPI assigned

Jul 2, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse, Nurse Practitioner

State licenses

Practice roles

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.

• Windber Hospital, Inc.

  • General Acute Care Hospital
  • Windber, PA
  • NPI 1275620536
  NPD (past)
• Wpic Physician Practice Corp Inc

  • Neurology Physician
  • Pittsburgh, PA
  • NPI 1356319313
  NPD (past)

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

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313539200000",
    "number": "1245269109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 COLLEGE PARK PLZ",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159042833",
            "telephone_number": "814-262-0025",
            "fax_number": "814-266-8745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 COLLEGE PARK PLZ",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159042833",
            "telephone_number": "814-262-0025",
            "fax_number": "814-266-8745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERRICK",
        "first_name": "GEORGIA",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-02",
        "last_updated": "2011-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN265593L",
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SP007663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Faith Leeann Keller, OTR/L
• Sasha Kelley, LCSW
• Charles J Kennedy, PHD
• Kenneth J. Kulback D.C.
• Patricia Ann Kerns
• Keystone Medicaid Eligibility Partners
• Keystone Rehabilitation Systems Inc
• Keystone Rehabilitation Systems Inc
• Muhammad Junaid Khalid, MBBS
• Abdul Moiz Khan, MD

• Psychiatric/Mental Health Registered Nurse in Johnstown, PA
• Providers in Johnstown, PA by specialty
• Psychiatric/Mental Health Registered Nurse in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2011; 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.