Georgia Recla, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

4704363575 Issued in MI

Practice address

504 W Cayuga St
Iron River, MI 49935-1328

Phone

(906) 284-9595

NPI assigned

Apr 29, 2022

Last updated

Aug 23, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1651190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661212800000",
    "number": "1730824285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "731 FERN ST",
            "city": "IRON RIVER",
            "state": "MI",
            "postal_code": "499352127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 W CAYUGA ST",
            "city": "IRON RIVER",
            "state": "MI",
            "postal_code": "499351328",
            "telephone_number": "906-284-9595"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "504 W Cayuga St",
            "address_purpose": "LOCATION",
            "city": "Iron River",
            "state": "MI",
            "postal_code": "499351328",
            "country_code": "US",
            "telephone_number": "906-284-9595",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RECLA",
        "first_name": "GEORGIA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-29",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704363575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Registered Nurse in Iron River, MI
• Providers in Iron River, MI by specialty
• Registered Nurse in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2022; 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.