Ruby Apolinario Geronimo, NP-C

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

268333 Issued in NC

Practice address

1600 Medical Dr
Laurinburg, NC 28352-5524

Phone

(910) 277-9164

Fax

(910) 277-9189

NPI assigned

Mar 10, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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

{
    "created_epoch": "1299715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456876800000",
    "number": "1356649503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 602458",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282602458",
            "telephone_number": "910-277-9164",
            "fax_number": "910-277-9189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 MEDICAL DR",
            "city": "LAURINBURG",
            "state": "NC",
            "postal_code": "283525524",
            "telephone_number": "910-277-9164",
            "fax_number": "910-277-9189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERONIMO",
        "first_name": "RUBY",
        "middle_name": "APOLINARIO",
        "name_prefix": "Ms.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-10",
        "last_updated": "2016-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NC",
            "license": "268333",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP3382",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1356649503",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nisma Gabr, OD
• Grace Liem Galloway, NP, PHD
• Leatha Garrison
• Generations Health Services
• Generations Health Services
• Timothy Pius Gibble, M.D.
• Donna Edge Gibson, FNP-BC
• Gwendolyn Thomas Gilchrist, LCSWA
• Michelle Gilchrist, FNP
• Michael C. Gilliam, MD

• Primary Care Nurse Practitioner in Laurinburg, NC
• Providers in Laurinburg, NC by specialty
• Primary Care Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2016; 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.