Active NPI
Georgine Amy Safko-Dodson, CRNP
- Nurse Practitioner
- Altoona, PA
National Provider Identifier
1982953451
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- SP012049
- Practice address
- 350 Lakemont Park Blvd
Altoona, PA 16602-5946 - Phone
- (814) 946-5411
- Fax
- (814) 931-1605
- NPI assigned
- Aug 30, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | SP012049 | PA | Primary |
Addresses
Primary practice location
350 Lakemont Park Blvd
Altoona, PA 16602-5946
Mailing address
204 Autumnview Dr
Hollidaysburg, PA 16648-9280
Phone (814) 932-1700
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346284800000",
"number": "1982953451",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "204 AUTUMNVIEW DR",
"city": "HOLLIDAYSBURG",
"state": "PA",
"postal_code": "166489280",
"telephone_number": "814-932-1700",
"fax_number": "814-931-1605"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 LAKEMONT PARK BLVD",
"city": "ALTOONA",
"state": "PA",
"postal_code": "166025946",
"telephone_number": "814-946-5411",
"fax_number": "814-931-1605"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAFKO-DODSON",
"first_name": "GEORGINE",
"middle_name": "AMY",
"name_prefix": "Mrs.",
"credential": "CRNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-08-30",
"last_updated": "2012-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "PA",
"license": "SP012049",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Altoona, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.