Active NPI
Geoway LLC
Doing business as A New creation Clinic and Medi-Spa
- Family Nurse Practitioner
- Tucson, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- GEOWAY LLC
- Doing business as
- A New creation Clinic and Medi-Spa
- Practice address
- 1801 W Ina Rd
Tucson, AZ 85704-1277 - Phone
- (520) 293-1117
- Fax
- (520) 293-7701
- NPI assigned
- Feb 15, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Cheryl Louise Abraham, FNP-C
- Title
- Provider
- Phone
- (520) 293-1117
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | Primary |
Addresses
Primary practice location
1801 W Ina Rd
Tucson, AZ 85704-1277
Mailing address
1801 W Ina Rd
Tucson, AZ 85704-1277
Phone (520) 293-1117
Other names 1
- A New creation Clinic and Medi-Spa
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 03D1028103 | Geoway LLC | Provider-performed microscopy | Jul 19, 2028 |
National Provider Directory
National Provider DirectoryLocations
1801 W Ina Rd
Tucson, AZ 85704
Phone (520) 293-1117
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Tucson, AZ
- NPI 1205235983
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1487116800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1708473600000",
"number": "1598204125",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1801 W INA RD",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857041277",
"telephone_number": "520-293-1117",
"fax_number": "520-293-7701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1801 W INA RD",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857041277",
"telephone_number": "520-293-1117",
"fax_number": "520-293-7701"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GEOWAY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-02-15",
"last_updated": "2024-02-21",
"certification_date": "2024-02-21",
"status": "A",
"authorized_official_last_name": "ABRAHAM",
"authorized_official_first_name": "CHERYL",
"authorized_official_middle_name": "LOUISE",
"authorized_official_title_or_position": "PROVIDER",
"authorized_official_telephone_number": "520-293-1117",
"authorized_official_credential": "FNP-C"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "A New creation Clinic and Medi-Spa",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Tucson, AZ
- Miriam Gurevich Geoffroy, M.D.
- George L Radnothy PT (Academy Physical Therapy)
- Gail George, PHYSICAL THERAPIST
- Georgette Michelle-Ann George, FNP-C
- Tiffany Nichole Georgia, R.D.H.
- Rebecca Sue Gephart, RPH
- Gerald D. Halbach, D.D.S., P.C.
- Ann K. Gerald, M.D.
- Sishana Janelle Gerald, HAIR LOSS SPECIALIST
- Hannah Gerard
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.