Individual provider Active NPI

Rebecca Krick Georgi, MS

  • Counselor
  • Durham, NC
National Provider Identifier
1891955977
Registry record updated Jun 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
3190 Issued in NC
Practice address
3601 Ridge Rd
Durham, NC 27705-5541
Phone
(919) 489-6569
Fax
(919) 489-7356
NPI assigned
Jun 12, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 3190 NC Primary

Addresses

Primary practice location

3601 Ridge Rd
Durham, NC 27705-5541

Mailing address

3601 Ridge Rd
Durham, NC 27705-5541
Phone (919) 489-6569

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
Master of Science

State licenses

LicenseStateTypeSpecialty
3190NCMDEducational Registered Respiratory Therapist

NPI Registry JSON

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

{
    "created_epoch": "1213228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213228800000",
    "number": "1891955977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 RIDGE RD",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277055541",
            "telephone_number": "919-489-6569",
            "fax_number": "919-489-7356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 RIDGE RD",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277055541",
            "telephone_number": "919-489-6569",
            "fax_number": "919-489-7356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEORGI",
        "first_name": "REBECCA",
        "middle_name": "KRICK",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-12",
        "last_updated": "2008-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NC",
            "license": "3190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2008; 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.