Individual provider Active NPI

Anna Geiman, PA-C

  • Medical Physician Assistant
  • Florence, KY
National Provider Identifier
1679572093
Registry record updated Aug 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA852 Issued in KY
Practice address
7607 Dixie Hwy
Florence, KY 41042-2644
Phone
(859) 655-6100
NPI assigned
Jul 18, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA852 KY Primary

Addresses

Primary practice location

7607 Dixie Hwy
Florence, KY 41042-2644

Mailing address

215 E 11TH St
Newport, KY 41071-2203
Phone (859) 655-6100

Other practice location 1

1401 Madison Ave
Covington, KY 41011-3313
Phone (859) 655-6100

Other identifiers 1

IdentifierTypeStateIssuer
PA852OtherKYKY LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041119000835 KY Practitioner - Physician Assistant 5496710329 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA852KYMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Healthpoint Family Care, Inc. CurrentSince Oct 25, 2004 Accepting new patients

Locations

1401 Madison Ave
Covington, KY 41011
Phone (606) 655-8034

7607 Dixie Hwy
Florence, KY 41042

215 E 11th St
Newport, KY 41071

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": "1121644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690934400000",
    "number": "1679572093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 E 11TH ST",
            "city": "NEWPORT",
            "state": "KY",
            "postal_code": "410712203",
            "telephone_number": "859-655-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7607 DIXIE HWY",
            "city": "FLORENCE",
            "state": "KY",
            "postal_code": "410422644",
            "telephone_number": "859-655-6100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1401 Madison Ave",
            "address_purpose": "LOCATION",
            "city": "Covington",
            "state": "KY",
            "postal_code": "410113313",
            "country_code": "US",
            "telephone_number": "859-655-6100",
            "fax_number": "859-655-6179",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GEIMAN",
        "first_name": "ANNA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-18",
        "last_updated": "2023-08-02",
        "certification_date": "2023-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "KY",
            "license": "PA852",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KY LICENSE",
            "identifier": "PA852",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, KY

Sources for this page

Verify at the official NPI Registry.