Active NPI
Geraldine McGowan, RN
- Registered Nurse
- Mount Vernon, NY
National Provider Identifier
1477043339
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 177984
- Practice address
- 256 Washington St.
2ND Floor Pros Department
Mount Vernon, NY 10553 - Phone
- (914) 613-0700
- NPI assigned
- May 16, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 177984 | NY | Primary |
Addresses
Primary practice location
256 Washington St.
2ND Floor Pros Department
Mount Vernon, NY 10553
Mailing address
256 Washington St
2ND Floor Pros Department
Mount Vernon, NY 10553
Phone (914) 613-0700
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 177984 | NY | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1526428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1526428800000",
"number": "1477043339",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "256 WASHINGTON ST",
"address_2": "2ND FLOOR PROS DEPARTMENT",
"city": "MOUNT VERNON",
"state": "NY",
"postal_code": "10553",
"telephone_number": "914-613-0700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "256 WASHINGTON ST.",
"address_2": "2ND FLOOR PROS DEPARTMENT",
"city": "MOUNT VERNON",
"state": "NY",
"postal_code": "10553",
"telephone_number": "914-613-0700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCGOWAN",
"first_name": "GERALDINE",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-16",
"last_updated": "2018-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "177984",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mount Vernon, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.