Individual provider Active NPI

Gemina Gena

  • Cardiac Rehabilitation Registered Nurse
  • Columbia, MD
National Provider Identifier
1538632211
Registry record updated Jan 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiac Rehabilitation Registered NurseTaxonomy code 163WC3500X
License
RN1033811 Issued in DC
Practice address
10980 Grantchester Way
Columbia, MD 21044-6097
Phone
(410) 772-6500
NPI assigned
Jan 6, 2019
Last updated
Jan 6, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiac Rehabilitation Registered Nurse 163WC3500X RN1033811 DC Primary

Addresses

Primary practice location

10980 Grantchester Way
Columbia, MD 21044-6097

Mailing address

10980 Grantchester Way
Columbia, MD 21044-6097

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

LicenseStateTypeSpecialty
RN1033811DCMDCardiac Rehabilitation Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1546732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546732800000",
    "number": "1538632211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10980 GRANTCHESTER WAY",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210446097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10980 GRANTCHESTER WAY",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210446097",
            "telephone_number": "410-772-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENA",
        "first_name": "GEMINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-06",
        "last_updated": "2019-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC3500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Cardiac Rehabilitation",
            "state": "DC",
            "license": "RN1033811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 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.

Verify at the official NPI Registry.