Individual provider Active NPI

Patricia Weeks George, MSN, CGNP

  • Gerontology Nurse Practitioner
  • Beckley, WV
National Provider Identifier
1457574535
Registry record updated Jul 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
21863 Issued in WV
Practice address
302 Carriage Dr
Beckley, WV 25801-2812
Phone
(304) 250-0333
Fax
(304) 250-0334
NPI assigned
Apr 10, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 21863 WV Primary

Addresses

Primary practice location

302 Carriage Dr
Beckley, WV 25801-2812

Mailing address

302 Carriage Dr
Beckley, WV 25801-2812
Phone (304) 250-0333

Other identifiers 1

IdentifierTypeStateIssuer
3810000295MedicaidWV

Other names 1

  • Patricia Ella Weeks Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184630400000",
    "number": "1457574535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 CARRIAGE DR",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258012812",
            "telephone_number": "304-250-0333",
            "fax_number": "304-250-0334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 CARRIAGE DR",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258012812",
            "telephone_number": "304-250-0333",
            "fax_number": "304-250-0334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEORGE",
        "first_name": "PATRICIA",
        "middle_name": "WEEKS",
        "credential": "MSN, CGNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-10",
        "last_updated": "2007-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "WV",
            "license": "21863",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810000295",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATRICIA",
            "last_name": "WEEKS",
            "middle_name": "ELLA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Beckley, WV

Sources for this page

Verify at the official NPI Registry.