Individual provider Active NPI

Germaine C Malagise, CRNP

  • Nurse Practitioner
  • Beaver, PA
National Provider Identifier
1467423285
Registry record updated Sep 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
TP004353M Issued in PA
Practice address
605 Sharon Rd
Beaver, PA 15009-1919
Phone
(724) 774-0778
Fax
(724) 774-1109
NPI assigned
Jan 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X TP004353M PA Primary

Addresses

Primary practice location

605 Sharon Rd
Beaver, PA 15009-1919

Mailing address

605 Sharon Rd
Beaver, PA 15009-1919
Phone (724) 774-0778

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)
Enrolled
Credentials
Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190073600000",
    "number": "1467423285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 SHARON RD",
            "city": "BEAVER",
            "state": "PA",
            "postal_code": "150091919",
            "telephone_number": "724-774-0778",
            "fax_number": "724-774-1109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 SHARON RD",
            "city": "BEAVER",
            "state": "PA",
            "postal_code": "150091919",
            "telephone_number": "724-774-0778",
            "fax_number": "724-774-1109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALAGISE",
        "first_name": "GERMAINE",
        "middle_name": "C",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-30",
        "last_updated": "2007-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "TP004353M",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaver, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2007; 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.