Individual provider Active NPI

Jeri Lynne Geleris, F.N.P.

  • Family Nurse Practitioner
  • Rancho Cucamonga, CA
National Provider Identifier
1285993980
Registry record updated May 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
332 Issued in CA
Practice address
7890 Haven Ave
Ste 1
Rancho Cucamonga, CA 91730-3051
Phone
(909) 581-3051
Fax
(909) 581-3057
NPI assigned
May 15, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 332 CA Primary

Addresses

Primary practice location

7890 Haven Ave
Ste 1
Rancho Cucamonga, CA 91730-3051

Mailing address

7890 Haven Ave
Ste 1
Rancho Cucamonga, CA 91730-3072
Phone (909) 581-3051

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

LicenseStateTypeSpecialty
332CAMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1337040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337040000000",
    "number": "1285993980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7890 HAVEN AVE",
            "address_2": "STE 1",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917303072",
            "telephone_number": "909-581-3051",
            "fax_number": "909-581-3057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7890 HAVEN AVE",
            "address_2": "STE 1",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917303051",
            "telephone_number": "909-581-3051",
            "fax_number": "909-581-3057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GELERIS",
        "first_name": "JERI",
        "middle_name": "LYNNE",
        "credential": "F.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-15",
        "last_updated": "2012-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cucamonga, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 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.