Georgina Ann Baratta, ANP
Individual provider Active NPI Adult Health Nurse Practitioner · Niagara Falls, NY
NPI 1437398385 · NPPES record last updated Apr 11, 2017
Key facts
- NPI
- 1437398385
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adult Health Nurse Practitioner 363LA2200X
- License
- 30-305089 (NY)
- Practice address
- 4640 Theresa LN
Niagara Falls, NY 14305-3604 - Phone
- (716) 523-6776
- NPI assigned
- Feb 17, 2009
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30-305089 | NY | MD | Adult Health Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 30-305089 | NY | Yes |
Addresses
Primary practice location
4640 Theresa LN
Niagara Falls, NY 14305-3604
Mailing address
4640 Theresa LN
Niagara Falls, NY 14305-3604
Phone (716) 523-6776
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| J40079014 | Other | NY | MEDICARE |
| 03179980 | Medicaid | NY |
Other providers in Niagara Falls, NY
- Margarita Balestreri
- Kimberly K Balicki
- Rebecca Lynn Balone
- Allison Banko
- Annemarie Laurri Bannister
- Joseph Barbato
- Angelina Barido
- John Barksdale
- Kristin Lynn Barnard
- Christopher Michael Barone
All providers in Niagara Falls, NY · Adult Health Nurse Practitioner in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 11, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.