Active NPI
Lindsey Catherine Georgoulis, RN, BSN
- Registered Nurse
- Somerville, MA
National Provider Identifier
1962954420
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN2258801
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RN2258801 | Other | MA | MASS 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
| License | State | Type | Specialty |
|---|---|---|---|
| RN2258801 | MA | MD | Hospice 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.