Active NPI
Kathleen Maria Georgiou, RN
- Registered Nurse
- Schererville, IN
National Provider Identifier
1245651249
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 28130977A
- Practice address
- 225 W 77TH Ave.
Grimmer Middle School
Schererville, IN 46375 - Phone
- (219) 865-6985
- Fax
- (219) 865-4423
- NPI assigned
- Dec 18, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 28130977A | IN | Primary |
Addresses
Primary practice location
225 W 77TH Ave.
Grimmer Middle School
Schererville, IN 46375
Mailing address
8260 Wicker Ave.
Lake Central School Corporation
Saint John, IN 46373
Phone (219) 365-8507
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28130977A | IN | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lake Central School Corporation | Past | Accepting new patients | |
| Lake Central School Corporation | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Local Education Agency (LEA)
- Saint John, IN
- NPI 1609143585
-
- Pediatric Physical Therapist
- Saint John, IN
- NPI 1841627866
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1387324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1387324800000",
"number": "1245651249",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8260 WICKER AVE.",
"address_2": "LAKE CENTRAL SCHOOL CORPORATION",
"city": "SAINT JOHN",
"state": "IN",
"postal_code": "46373",
"telephone_number": "219-365-8507"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 W 77TH AVE.",
"address_2": "GRIMMER MIDDLE SCHOOL",
"city": "SCHERERVILLE",
"state": "IN",
"postal_code": "46375",
"telephone_number": "219-865-6985",
"fax_number": "219-865-4423"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEORGIOU",
"first_name": "KATHLEEN",
"middle_name": "MARIA",
"name_prefix": "Mrs.",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-12-18",
"last_updated": "2013-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "IN",
"license": "28130977A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Schererville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.