Organization Active NPI

Geoway LLC

Doing business as A New creation Clinic and Medi-Spa

  • Family Nurse Practitioner
  • Tucson, AZ
National Provider Identifier
1598204125
Registry record updated Feb 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
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

Updated by the provider on Feb 21, 2024

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

Authorized official

Name
Cheryl Louise Abraham, FNP-CNPI 1205235983
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)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 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 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170321002203 AZ Part B Supplier - Clinic/Group Practice 6901181650 Receives reassigned benefits from 1 practitioner
Practice locations: Tucson, AZ

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D1028103Geoway LLC1801 W Ina Rd, Tucson, AZ 85704Provider-performed microscopyJul 19, 2028

National Provider Directory

National Provider Directory

Locations

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.

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

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.

Verify at the official NPI Registry.