Individual provider Active NPI

Lindsey Catherine Georgoulis, RN, BSN

  • Registered Nurse
  • Somerville, MA
National Provider Identifier
1962954420
Registry record updated Nov 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN2258801 Issued in MA
Practice address
44 Elm St
Apt 3
Somerville, MA 02143-2229
Phone
(978) 269-4137
NPI assigned
Nov 1, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 1, 2016

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine Registered Nurse 163WC0200X RN2258801 MA
General Practice Registered Nurse 163WG0000X RN2258801 MA
Hospice Registered Nurse 163WH1000X RN2258801 MA
Registered Nurse 163W00000X RN2258801 MA Primary

Addresses

Primary practice location

44 Elm St
Apt 3
Somerville, MA 02143-2229

Mailing address

44 Elm St
Apt 3
Somerville, MA 02143-2229
Phone (978) 269-4137

Other identifiers 1

IdentifierTypeStateIssuer
RN2258801OtherMAMASS BOARD OF REGISTERED NURSES LICENSE

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
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN2258801MAMDHospice Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1477958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477958400000",
    "number": "1962954420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 ELM ST",
            "address_2": "APT 3",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021432229",
            "telephone_number": "978-269-4137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 ELM ST",
            "address_2": "APT 3",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021432229",
            "telephone_number": "978-269-4137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEORGOULIS",
        "first_name": "LINDSEY",
        "middle_name": "CATHERINE",
        "name_prefix": "Miss",
        "credential": "RN, BSN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-01",
        "last_updated": "2016-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "MA",
            "license": "RN2258801",
            "primary": false
        },
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "MA",
            "license": "RN2258801",
            "primary": false
        },
        {
            "code": "163WH1000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Hospice",
            "state": "MA",
            "license": "RN2258801",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "RN2258801",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASS BOARD OF REGISTERED NURSES LICENSE",
            "identifier": "RN2258801",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerville, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 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.