Individual provider Active NPI

Geanna Marie Partland, M.ED., BCBA

  • Specialist
  • Setauket, NY
National Provider Identifier
1265795421
Registry record updated Jun 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
508889041 Issued in NY
Practice address
79 Lower Sheep Pasture Rd
Setauket, NY 11733-1224
Phone
(631) 235-3167
NPI assigned
Jun 21, 2012
Last updated
Jun 21, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 508889041 NY Primary

Addresses

Primary practice location

79 Lower Sheep Pasture Rd
Setauket, NY 11733-1224

Mailing address

79 Lower Sheep Pasture Rd
Setauket, NY 11733-1224

Other identifiers 1

IdentifierTypeStateIssuer
508889041OtherNYSPECIAL EDUCATION TEACHER

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
Master of Education

State licenses

LicenseStateTypeSpecialty
508889041NYMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1340236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340236800000",
    "number": "1265795421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79 LOWER SHEEP PASTURE RD",
            "city": "SETAUKET",
            "state": "NY",
            "postal_code": "117331224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79 LOWER SHEEP PASTURE RD",
            "city": "SETAUKET",
            "state": "NY",
            "postal_code": "117331224",
            "telephone_number": "631-235-3167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARTLAND",
        "first_name": "GEANNA",
        "middle_name": "MARIE",
        "credential": "M.ED., BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-21",
        "last_updated": "2012-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "508889041",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPECIAL EDUCATION TEACHER",
            "identifier": "508889041",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Setauket, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2012; 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.