Individual provider Active NPI

Naomi Matsumura Gerep, ND

  • Naturopath
  • Rossville, GA
National Provider Identifier
1871245092
Registry record updated Oct 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
099.0134126 Issued in VT
Practice address
504 Chickamauga Ave
Rossville, GA 30741-1311
Phone
(423) 401-0242
NPI assigned
Jan 19, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Naturopath 175F00000X 099.0134126 VT Primary

Addresses

Primary practice location

504 Chickamauga Ave
Rossville, GA 30741-1311

Mailing address

504 Chickamauga Ave
Rossville, GA 30741-1311
Phone (423) 488-9973

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
099.0134126VTMDNaturopath

NPI Registry JSON

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

{
    "created_epoch": "1642550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697068800000",
    "number": "1871245092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 CHICKAMAUGA AVE",
            "city": "ROSSVILLE",
            "state": "GA",
            "postal_code": "307411311",
            "telephone_number": "423-488-9973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 CHICKAMAUGA AVE",
            "city": "ROSSVILLE",
            "state": "GA",
            "postal_code": "307411311",
            "telephone_number": "423-401-0242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEREP",
        "first_name": "NAOMI",
        "middle_name": "MATSUMURA",
        "credential": "ND",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-19",
        "last_updated": "2023-10-12",
        "certification_date": "2023-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "VT",
            "license": "099.0134126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rossville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2023; 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.