Individual provider Active NPI

Gina Burge, RN

  • Registered Nurse
  • University Park, PA
National Provider Identifier
1922492438
Registry record updated Mar 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN526594L Issued in PA
Practice address
502 Student Health Ctr
University Park, PA 16802-2129
Phone
(814) 865-6555
Fax
(814) 863-8464
NPI assigned
Mar 23, 2015
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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

LicenseStateTypeSpecialty
RN526594LPAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
The Pennsylvania State University Past Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN526594L PA Primary

Addresses

NPPES NPI Registry

Primary practice location

502 Student Health Ctr
University Park, PA 16802-2129

Mailing address

502 Student Health Ctr
University Park, PA 16802-2129
Phone (814) 865-6555

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 23, 2015.

{
    "created_epoch": "1427068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427068800000",
    "number": "1922492438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 STUDENT HEALTH CTR",
            "city": "UNIVERSITY PARK",
            "state": "PA",
            "postal_code": "168022129",
            "telephone_number": "814-865-6555",
            "fax_number": "814-863-8464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 STUDENT HEALTH CTR",
            "city": "UNIVERSITY PARK",
            "state": "PA",
            "postal_code": "168022129",
            "telephone_number": "814-865-6555",
            "fax_number": "814-863-8464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURGE",
        "first_name": "GINA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-23",
        "last_updated": "2015-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN526594L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in University Park, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 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.