Genesis

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

TT3185 Issued in FL

Legal business name

GENESIS

Practice address

5214 Goshawk Dr
Milton, FL 32570-5020

Phone

(850) 776-8448

NPI assigned

May 1, 2012

Organization subpart

No

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

Authorized official

Name

Donna Cavener, CRTT

Title

Respiratory Therapist

Phone

(850) 776-8448

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1335830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335830400000",
    "number": "1629336359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5214 GOSHAWK DR",
            "city": "MILTON",
            "state": "FL",
            "postal_code": "325705020",
            "telephone_number": "850-776-8448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5214 GOSHAWK DR",
            "city": "MILTON",
            "state": "FL",
            "postal_code": "325705020",
            "telephone_number": "850-776-8448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-01",
        "last_updated": "2012-05-01",
        "status": "A",
        "authorized_official_last_name": "CAVENER",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "RESPIRATORY THERAPIST",
        "authorized_official_telephone_number": "850-776-8448",
        "authorized_official_credential": "CRTT"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "FL",
            "license": "TT3185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gastroenterology Associates of Pensacola PA
• James Carlyle Gathings, PHARMACIST
• Voquetta Gay
• Tracey Lynn Gehrke, M.S., CCC-SLP
• Gene Terrezza OD and Associates PA
• Sue Ellen George, MD
• Courtney Taylor Geren
• Luis A Ghiglino, M.D.
• Kaylen Giadrosich
• Susan T Giannakis, RD

• Nursing Facility/Intermediate Care Facility in Milton, FL
• Providers in Milton, FL by specialty
• Nursing Facility/Intermediate Care Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 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.