Active NPI
Georgeann Morten, BSN, RN, PHN
- Registered Nurse
- San Leandro, CA
National Provider Identifier
1639360357
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN471153
- Practice address
- 1000 San Leandro Blvd
San Leandro, CA 94577-1598 - Phone
- (510) 667-3674
- Fax
- (510) 895-5843
- NPI assigned
- Aug 7, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN471153 | CA | Primary |
Addresses
Primary practice location
1000 San Leandro Blvd
San Leandro, CA 94577-1598
Mailing address
1000 San Leandro Blvd
San Leandro, CA 94577-1598
Phone (510) 667-3674
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
- Credentials
- Bachelor on Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN471153 | CA | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alameda County | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Case Management Agency
- San Leandro, CA
- NPI 1114381837
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186444800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1186444800000",
"number": "1639360357",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 SAN LEANDRO BLVD",
"city": "SAN LEANDRO",
"state": "CA",
"postal_code": "945771598",
"telephone_number": "510-667-3674",
"fax_number": "510-895-5843"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 SAN LEANDRO BLVD",
"city": "SAN LEANDRO",
"state": "CA",
"postal_code": "945771598",
"telephone_number": "510-667-3674",
"fax_number": "510-895-5843"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORTEN",
"first_name": "GEORGEANN",
"name_prefix": "Mrs.",
"credential": "BSN, RN, PHN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-07",
"last_updated": "2007-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "RN471153",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Leandro, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.