Active NPI
Robert Centeio, RN
- General Practice Registered Nurse
- Phenix City, AL
National Provider Identifier
1831865799
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Registered Nurse
- License
- RN288372
- Practice address
- 2515 Orchard St
Phenix City, AL 36869-6468 - Phone
- (334) 200-6635
- NPI assigned
- Aug 20, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Registered Nurse | 163WG0000X | RN288372 | GA | Primary |
Addresses
Primary practice location
2515 Orchard St
Phenix City, AL 36869-6468
Mailing address
2515 Orchard St
Phenix City, AL 36869-6468
Phone (334) 200-6635
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN288372 | GA | MD | General Practice Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629417600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629417600000",
"number": "1831865799",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2515 ORCHARD ST",
"city": "PHENIX CITY",
"state": "AL",
"postal_code": "368696468",
"telephone_number": "334-200-6635"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2515 ORCHARD ST",
"city": "PHENIX CITY",
"state": "AL",
"postal_code": "368696468",
"telephone_number": "334-200-6635"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CENTEIO",
"first_name": "ROBERT",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-08-20",
"last_updated": "2021-08-20",
"certification_date": "2021-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "163WG0000X",
"taxonomy_group": "",
"desc": "Registered Nurse, General Practice",
"state": "GA",
"license": "RN288372",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Phenix City, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.