Individual provider Active NPI

Beverley J Genetti, RNFA

  • Registered Nurse First Assistant
  • Allentown, PA
National Provider Identifier
1730100538
Registry record updated May 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered Nurse First AssistantTaxonomy code 163WR0006X
License
RN-296009L Issued in PA
Practice address
1611 Pond Road
Suite 101 Lehigh Valley Womens Cancer Center
Allentown, PA 18104-2258
Phone
(610) 366-8555
Fax
(610) 366-8550
NPI assigned
Jul 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse First Assistant 163WR0006X RN-296009L PA Primary

Addresses

Primary practice location

1611 Pond Road
Suite 101 Lehigh Valley Womens Cancer Center
Allentown, PA 18104-2258

Mailing address

1611 Pond Road
Suite 101 Lehigh Valley Womens Cancer Center
Allentown, PA 18104-2258
Phone (610) 366-8555

Other identifiers 2

IdentifierTypeStateIssuer
001718035-0004MedicaidPA
020640OtherPAMEDICARE ID UNSPECIFIED

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

State licenses

LicenseStateTypeSpecialty
RN-296009LPAMDRegistered Nurse First Assistant

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211500800000",
    "number": "1730100538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1611 POND ROAD",
            "address_2": "SUITE 101 LEHIGH VALLEY WOMENS CANCER CENTER",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181042258",
            "telephone_number": "610-366-8555",
            "fax_number": "610-366-8550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 POND ROAD",
            "address_2": "SUITE 101 LEHIGH VALLEY WOMENS CANCER CENTER",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181042258",
            "telephone_number": "610-366-8555",
            "fax_number": "610-366-8550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENETTI",
        "first_name": "BEVERLEY",
        "middle_name": "J",
        "name_prefix": "Ms.",
        "credential": "RNFA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-21",
        "last_updated": "2008-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "PA",
            "license": "RN-296009L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001718035-0004",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID UNSPECIFIED",
            "identifier": "020640",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2008; 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.