Active NPI
Jean Wadhams Geller, NP
- Ambulatory Women's Health Care Registered Nurse
- Fresno, CA
National Provider Identifier
1316925035
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Women's Health Care Registered Nurse
- License
- 275340
- Practice address
- 3152 N Millbrook Ave
Suite B
Fresno, CA 93703-1459 - Phone
- (559) 244-0133
- Fax
- (559) 244-0148
- NPI assigned
- Jan 3, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Women's Health Care Registered Nurse | 163WW0101X | 275340 | CA | Primary |
| Medical Physician Assistant | 363AM0700X | 5681 | CA |
Addresses
Primary practice location
3152 N Millbrook Ave
Suite B
Fresno, CA 93703-1459
Mailing address
3812 N 1St St
Fresno, CA 93726-4301
Phone (559) 495-3120
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 275340 | Other | CA | REGISTERED NURSE |
| 5681 | Other | CA | NURSE PRACTITIONER LIC |
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 275340 | CA | MD | Ambulatory Women's Health Care Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley Women'S Healthcare Medical Group, Inc | Past | Accepting new patients | |
| Omni Women'S Health Medical Group, Inc | 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.
-
- Clinical Medical Laboratory
- Fresno, CA
- NPI 1891997813
-
- Obstetrics & Gynecology Physician
- Fresno, CA
- NPI 1154873230
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136246400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1388448000000",
"number": "1316925035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3812 N 1ST ST",
"city": "FRESNO",
"state": "CA",
"postal_code": "937264301",
"telephone_number": "559-495-3120",
"fax_number": "559-495-3134"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3152 N MILLBROOK AVE",
"address_2": "SUITE B",
"city": "FRESNO",
"state": "CA",
"postal_code": "937031459",
"telephone_number": "559-244-0133",
"fax_number": "559-244-0148"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GELLER",
"first_name": "JEAN",
"middle_name": "WADHAMS",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-03",
"last_updated": "2013-12-31",
"status": "A"
},
"taxonomies": [
{
"code": "163WW0101X",
"taxonomy_group": "",
"desc": "Registered Nurse, Women's Health Care, Ambulatory",
"state": "CA",
"license": "275340",
"primary": true
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "CA",
"license": "5681",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGISTERED NURSE",
"identifier": "275340",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NURSE PRACTITIONER LIC",
"identifier": "5681",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 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.