Individual provider Active NPI

Elena Michelle Geist

  • Home Health Agency
  • Daytona Beach, FL
National Provider Identifier
1962954065
Registry record updated Oct 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
G16000114278 Issued in FL
Practice address
1125 Madrid Ave
Daytona Beach, FL 32114-3915
Phone
(386) 274-9325
Fax
(386) 236-9621
NPI assigned
Oct 25, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 25, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X G16000114278 FL Primary

Addresses

Primary practice location

1125 Madrid Ave
Daytona Beach, FL 32114-3915

Mailing address

1125 Madrid Ave
Daytona Beach, FL 32114-3915
Phone (386) 274-9325

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
G16000114278FLMDHome Health Agency

NPI Registry JSON

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

{
    "created_epoch": "1477353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477353600000",
    "number": "1962954065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 MADRID AVE",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321143915",
            "telephone_number": "386-274-9325",
            "fax_number": "386-236-9621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 MADRID AVE",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321143915",
            "telephone_number": "386-274-9325",
            "fax_number": "386-236-9621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEIST",
        "first_name": "ELENA",
        "middle_name": "MICHELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-25",
        "last_updated": "2016-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "G16000114278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Daytona Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2016; 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.