Marie Therese Georges, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

18678 Issued in CA

Practice address

107 N McKinley St
Corona, CA 92879-6561

Phone

(951) 358-0141

Fax

(877) 778-8365

NPI assigned

Apr 6, 2007

Last updated

Jan 7, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: marie.georges.p1@direct.cmcentersinc.nextgenshare.com
• Direct secure messaging: marietherese.hyppolitefnp.p1@direct.schc.nextgenshare.com

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

• Newstart Medical Group Inc

  dba Blue Stone Health and Wellness

  • Rural Health Clinic/Center
  • Weimar, CA
  • NPI 1588072698
  Medicare reassignment NPD
• Providence Medical Foundation

  • Family Medicine Physician
  • Brea, CA
  • NPI 1871607762
  Medicare reassignment
• Shasta Community Health Center

  dba Shasta Community Telemedicine and Training Center

  • Federally Qualified Health Center (FQHC)
  • Redding, CA
  • NPI 1114533171
  Medicare reassignment
• Providence Medical Foundation

  • General Practice Physician
  • Diamond Bar, CA
  • NPI 1285890624
  NPD
• Providence Medical Foundation

  • Hematology & Oncology Physician
  • Orange, CA
  • NPI 1801443510
  NPD
• Shasta Community Health Center

  dba Shasta Community Health Center Urgent Care

  • Federally Qualified Health Center (FQHC)
  • Redding, CA
  • NPI 1356815542
  NPD
• Shasta Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Redding, CA
  • NPI 1891710638

  Family

  NPD
• Allergy Immunology and Asthma Medical Group Inc.

  • Specialist
  • Stockton, CA
  • NPI 1376554824
  NPD (past)
• Keen Medical Group Inc

  • Occupational Health Nurse Practitioner
  • Hesperia, CA
  • NPI 1174901334
  NPD (past)
• Last Frontier Healthcare District

  dba Modoc Medical Center

  • Critical Access Hospital
  • Alturas, CA
  • NPI 1487669032
  NPD (past)

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546819200000",
    "number": "1245353309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31588 RAILROAD CANYON RD",
            "city": "CANYON LAKE",
            "state": "CA",
            "postal_code": "925879468",
            "telephone_number": "951-291-2065",
            "fax_number": "951-471-8026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 N MCKINLEY ST",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928796561",
            "telephone_number": "951-358-0141",
            "fax_number": "877-778-8365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEORGES",
        "first_name": "MARIE",
        "middle_name": "THERESE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-06",
        "last_updated": "2019-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71005381A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R135819",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704287858",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "18678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shaniya Gentry
• George K Nguyen DDS, PC (Temescal Dental)
• George K Nguyen DDS, PC (Sycamore Creek Dental)
• George N. Chidi, MD, PA (Medicross Clinic & Urgent Care)
• Debra Alphonsa George-Barber, PH.D.
• Ragy S Gergis
• Paul B Gerhardt, PHD
• Yoav Gershon, M.D.
• Brandon Geston
• Alexander James Geyer, M.D.

• Family Nurse Practitioner in Corona, CA
• Providers in Corona, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.