Individual provider Active NPI

Geselle Meader McKnight, CRNA

  • Certified Registered Nurse Anesthetist
  • Silver Spring, MD
National Provider Identifier
1558411124
Registry record updated Apr 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN1007266 Issued in DC
Practice address
3200 N Leisure World Blvd Apt 817
Silver Spring, MD 20906-7620
Phone
(301) 233-1939
Fax
(301) 438-2772
NPI assigned
Jan 12, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X RN1007266 DC Primary

Addresses

Primary practice location

3200 N Leisure World Blvd Apt 817
Silver Spring, MD 20906-7620

Mailing address

3200 N Leisure World Blvd Apt 817
Silver Spring, MD 20906-7620
Phone (301) 233-1939

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

State licenses

LicenseStateTypeSpecialty
RN1007266DCMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Chugach Anesthesia, LLC CurrentSince Aug 20, 2013 Accepting new patients
Alaska Spine Center, LLC PastSince Aug 20, 2013 Accepting new patients

Locations

4100 Lake Otis Pkwy
Ste 212
Anchorage, AK 99508
Phone (907) 550-6100

14700 28th Ave N
Ste 20
Plymouth, MN 55447
Phone (612) 559-3779

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333929600000",
    "number": "1558411124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 N LEISURE WORLD BLVD APT 817",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209067620",
            "telephone_number": "301-233-1939",
            "fax_number": "301-438-2772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 N LEISURE WORLD BLVD APT 817",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209067620",
            "telephone_number": "301-233-1939",
            "fax_number": "301-438-2772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKNIGHT",
        "first_name": "GESELLE",
        "middle_name": "MEADER",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-12",
        "last_updated": "2012-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "DC",
            "license": "RN1007266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2012; 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.