Active NPI
Renee Catjakis
- Occupational Health Nurse Practitioner
- Springfield, MA
National Provider Identifier
1447719976
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Health Nurse Practitioner
- License
- RN2301062
- Practice address
- 233 Carew St
Springfield, MA 01104-2377 - Phone
- (413) 748-6870
- NPI assigned
- Mar 14, 2019
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical-Surgical Registered Nurse | 163WM0705X | RN2301062 | MA | |
| Family Nurse Practitioner | 363LF0000X | 8475 | CT | |
| Occupational Health Nurse Practitioner | 363LX0106X | RN2301062 | MA | Primary |
Addresses
Primary practice location
233 Carew St
Springfield, MA 01104-2377
Mailing address
4 Yale CT
Enfield, CT 06082-5521
Phone (413) 896-4875
Other names 1
- Renee Geoffrion
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN2301062 | MA | MD | Medical-Surgical Registered Nurse |
| 8475 | CT | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fairview Pediatrics | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Pediatrics Physician
- Chicopee, MA
- NPI 1700855053
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1575936000000",
"number": "1447719976",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 YALE CT",
"city": "ENFIELD",
"state": "CT",
"postal_code": "060825521",
"telephone_number": "413-896-4875"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "233 CAREW ST",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "011042377",
"telephone_number": "413-748-6870"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CATJAKIS",
"first_name": "RENEE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-14",
"last_updated": "2019-12-10",
"certification_date": "2019-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "163WM0705X",
"taxonomy_group": "",
"desc": "Registered Nurse, Medical-Surgical",
"state": "MA",
"license": "RN2301062",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CT",
"license": "8475",
"primary": false
},
{
"code": "363LX0106X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Occupational Health",
"state": "MA",
"license": "RN2301062",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "RENEE",
"last_name": "GEOFFRION",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Springfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.