Irisebygette LLC

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Legal business name

IRISEBYGETTE LLC

Practice address

13701 River Walk PL Apt 203
Chester, VA 23836-6166

Phone

(928) 388-4551

NPI assigned

Oct 4, 2019

Last updated

Oct 4, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Georgette F Dilworth, PRS

Title

Peer Recovery Specialist

Phone

(928) 388-4551

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1570147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570147200000",
    "number": "1689215162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13701 RIVER WALK PL APT 203",
            "city": "CHESTER",
            "state": "VA",
            "postal_code": "238366166",
            "telephone_number": "928-388-4551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13701 RIVER WALK PL APT 203",
            "city": "CHESTER",
            "state": "VA",
            "postal_code": "238366166",
            "telephone_number": "928-388-4551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRISEBYGETTE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-04",
        "last_updated": "2019-10-04",
        "status": "A",
        "authorized_official_last_name": "DILWORTH",
        "authorized_official_first_name": "GEORGETTE",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PEER RECOVERY SPECIALIST",
        "authorized_official_telephone_number": "928-388-4551",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PRS"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Peer Specialist in Chester, VA
• Providers in Chester, VA by specialty
• Peer Specialist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2019; 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.