Active NPI
Geriatric Visiting Practitioners Inc
- Community Health Worker
- Raleigh, NC
National Provider Identifier
1699090761
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- Legal business name
- GERIATRIC VISITING PRACTITIONERS INC
- Practice address
- 6512 Six Forks Rd
Suite 601a
Raleigh, NC 27615-6561 - Phone
- (919) 845-2131
- Fax
- (919) 845-2139
- NPI assigned
- Apr 1, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Chris Oduok
- Title
- Administrator
- Phone
- (919) 845-2131
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | Primary |
Addresses
Primary practice location
6512 Six Forks Rd
Suite 601a
Raleigh, NC 27615-6561
Mailing address
6512 Six Forks Rd
Suite 601a
Raleigh, NC 27615-6561
Phone (919) 845-2131
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8346 | Other | TX | LAST FOUR |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1270080000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1270080000000",
"number": "1699090761",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6512 SIX FORKS RD",
"address_2": "SUITE 601A",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276156561",
"telephone_number": "919-845-2131",
"fax_number": "919-845-2139"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6512 SIX FORKS RD",
"address_2": "SUITE 601A",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276156561",
"telephone_number": "919-845-2131",
"fax_number": "919-845-2139"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GERIATRIC VISITING PRACTITIONERS INC",
"organizational_subpart": "NO",
"enumeration_date": "2010-04-01",
"last_updated": "2010-04-01",
"status": "A",
"authorized_official_last_name": "ODUOK",
"authorized_official_first_name": "CHRIS",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "919-845-2131"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Community Health Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LAST FOUR",
"identifier": "8346",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.