Brenetta Marie Geddis

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

247 Ayers St
Youngstown, OH 44506-1529

Phone

(330) 519-4074

NPI assigned

May 20, 2010

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1274313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274313600000",
    "number": "1891014577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "247 AYERS ST",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445061529",
            "telephone_number": "330-519-4074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "247 AYERS ST",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445061529",
            "telephone_number": "330-519-4074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEDDIS",
        "first_name": "BRENETTA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-20",
        "last_updated": "2010-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Antonette M Gealy
• Lesa Gearheart
• Kori Geary
• Michael Geathers
• Brittany Gebhart
• Joan Marie Geer, RPH
• Michelle D Geer, OT
• Kaili Amanda Gehring, PA
• Zachary S Geiger, DO
• Tracy Lynn Geiselman, APRN

• Community Health Worker in Youngstown, OH
• Providers in Youngstown, OH by specialty
• Community Health Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2010; 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.