Individual provider Active NPI

Brenda Geray, RN

  • Registered Nurse
  • Mahnomen, MN
National Provider Identifier
1992346373
Registry record updated Oct 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
2462467 Issued in MN
Practice address
211 S Main St
Mahnomen, MN 56557
Phone
(218) 935-2525
NPI assigned
Oct 7, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 2462467 MN Primary

Addresses

Primary practice location

211 S Main St
Mahnomen, MN 56557

Mailing address

414 W Jefferson Ave
Mahnomen, MN 56557-4912

Other practice location 1

414 W Jefferson Ave
Mahnomen, MN 56557-4912
Phone (218) 261-1381

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
2462467MNMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Thrifty Drug Stores Inc PastSince Oct 13, 2019 Accepting new patients
Thrifty Drug Stores Inc PastSince Oct 13, 2019 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1570406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570406400000",
    "number": "1992346373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 W JEFFERSON AVE",
            "city": "MAHNOMEN",
            "state": "MN",
            "postal_code": "565574912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 S MAIN ST",
            "city": "MAHNOMEN",
            "state": "MN",
            "postal_code": "56557",
            "telephone_number": "218-935-2525"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "414 W Jefferson Ave",
            "address_purpose": "LOCATION",
            "city": "Mahnomen",
            "state": "MN",
            "postal_code": "565574912",
            "country_code": "US",
            "telephone_number": "218-261-1381",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GERAY",
        "first_name": "BRENDA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-07",
        "last_updated": "2019-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MN",
            "license": "2462467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mahnomen, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2019; 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.