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KATELYN RAE GENOVA PA-C NPI 1083206973


NPI Information

NPI: 1083206973
Provider Name: KATELYN RAE GENOVA, PA-C
Classification: Military Health Care Provider - 171000000X
Entity Type: Individual

PECOS Registration: Yes

Address:
MADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVE
TACOMA, WA
ZIP 98431
Phone: (253) 968-2252
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Katelyn Rae Genova, PA-C is a military health care provider in Tacoma, WA. The provider is active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. Katelyn Rae Genova, PA-C NPI is 1083206973. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

MADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVE
TACOMA, WA
ZIP 98431-001
Phone: (253) 968-2252

The NPI 1083206973 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/11/2021 and was last updated on 7/28/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363A00000XPhysician AssistantNo
2171000000XMilitary Health Care ProviderYes
3363A00000XPhysician Assistant3845SOUTH CAROLINANo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.