Organization Active NPI

Qualitas Geriatrics, LLC

  • Gerontology Nurse Practitioner
  • Georgetown, KY
National Provider Identifier
1437424207
Registry record updated Mar 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
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, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2012

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.