Georgianna Walker Sorensen PHD PLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

ARNP82019-2 Issued in FL

Legal business name

GEORGIANNA WALKER SORENSEN PHD PLC

Practice address

237 E Park Ave
Lake Wales, FL 33853-3705

Phone

(863) 676-4700

Fax

(863) 676-4707

NPI assigned

Nov 3, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Georgianna W. SorensenNPI 1508920786

Title

Owner

Phone

(863) 676-4700

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Georgianna Walker Sorensen, ARNP LMHC PHD

  • Nurse Practitioner
  • Lake Wales, FL
  • NPI 1508920786
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1225670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403827200000",
    "number": "1497908446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "237 E PARK AVE",
            "city": "LAKE WALES",
            "state": "FL",
            "postal_code": "338533705",
            "telephone_number": "863-676-4700",
            "fax_number": "863-676-4707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "237 E PARK AVE",
            "city": "LAKE WALES",
            "state": "FL",
            "postal_code": "338533705",
            "telephone_number": "863-676-4700",
            "fax_number": "863-676-4707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGIANNA WALKER SORENSEN PHD PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-03",
        "last_updated": "2014-06-27",
        "status": "A",
        "authorized_official_last_name": "SORENSEN",
        "authorized_official_first_name": "GEORGIANNA",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "863-676-4700",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ARNP82019-2",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gaynor Medical Practice
• Brianna Geer
• Elishann Geiger, SLP
• Michael Yadiel Gelpi Rosario, APRN
• Sherly P Geonzon, RPT
• Elizabeth Gill, APRN, FNP-C
• Oneil Gill Jr.
• Crystal Gillyard
• Giriraj LLC
• Giririaj LLC

• Specialist in Lake Wales, FL
• Providers in Lake Wales, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.