Active NPI
Qualitas Geriatrics, LLC
- Gerontology Nurse Practitioner
- Georgetown, KY
National Provider Identifier
1437424207
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- Legal business name
- QUALITAS GERIATRICS, LLC
- Practice address
- 143 E Main St
Georgetown, KY 40324-1763 - Phone
- (859) 312-3595
- Fax
- (800) 746-0578
- NPI assigned
- Mar 13, 2012
- Last updated
- Mar 13, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Anthony Chase
- Title
- Ceo
- Phone
- (859) 312-3595
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | NU | Primary |
Addresses
Primary practice location
143 E Main St
Georgetown, KY 40324-1763
Mailing address
143 E Main St
Georgetown, KY 40324-1763
Phone (859) 312-3595
National Provider Directory
National Provider DirectoryLocations
143 E Main St
Georgetown, KY 40324
Phone (859) 312-3595
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1331596800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1331596800000",
"number": "1437424207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "143 E MAIN ST",
"city": "GEORGETOWN",
"state": "KY",
"postal_code": "403241763",
"telephone_number": "859-312-3595",
"fax_number": "800-746-0578"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "143 E MAIN ST",
"city": "GEORGETOWN",
"state": "KY",
"postal_code": "403241763",
"telephone_number": "859-312-3595",
"fax_number": "800-746-0578"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "QUALITAS GERIATRICS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-03-13",
"last_updated": "2012-03-13",
"status": "A",
"authorized_official_last_name": "CHASE",
"authorized_official_first_name": "ANTHONY",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "859-312-3595"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Georgetown, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 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.