Geriatric Practitioner Services, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

118164 Issued in MO

Legal business name

GERIATRIC PRACTITIONER SERVICES, LLC

Practice address

11361 Brierhall Cir
Maryland Heights, MO 63043-5002

Phone

(314) 753-6714

NPI assigned

Aug 11, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Catherine Ann Kush, DNP, GNP-BCNPI 1205929338

Title

Sole Member

Phone

(314) 753-6714

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Catherine Ann Kush, DNP, GNP-BC

  • Nurse Practitioner
  • Maryland Heights, MO
  • NPI 1205929338
  NPD (past) Authorized official

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

{
    "created_epoch": "1439251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439251200000",
    "number": "1861878092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11361 BRIERHALL CIR",
            "city": "MARYLAND HEIGHTS",
            "state": "MO",
            "postal_code": "630435002",
            "telephone_number": "314-753-6714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11361 BRIERHALL CIR",
            "city": "MARYLAND HEIGHTS",
            "state": "MO",
            "postal_code": "630435002",
            "telephone_number": "314-753-6714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERIATRIC PRACTITIONER SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-11",
        "last_updated": "2015-08-11",
        "status": "A",
        "authorized_official_last_name": "KUSH",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "314-753-6714",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP, GNP-BC"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MO",
            "license": "118164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsey Freivogel, M.S. ABA
• Gustavo M Galeano, MD
• Galina Rivkin Inc
• Gateway Behavioral Health Consultants
• Alyssa Gaylord, RD, CSP, LD
• Allison Anne Gill, M.S. CCC-SLP
• Angela Laurice Gitman, FNP-C
• Halsey Glantz, PT, DPT, GCS
• Beth Marilyn Glenn, APRN
• Goldstar Laboratories Missouri LLC

• Skilled Nursing Facility in Maryland Heights, MO
• Providers in Maryland Heights, MO by specialty
• Skilled Nursing Facility in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2015; 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.