Individual provider Active NPI

Stephanie Gill, NP

  • Family Nurse Practitioner
  • Norwood, MA
National Provider Identifier
1003933268
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
213297 Issued in MA
Practice address
95 Chapel St
Suite 3 Ab
Norwood, MA 02062-3155
Phone
(781) 769-3113
NPI assigned
Mar 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 213297 MA Primary

Addresses

Primary practice location

95 Chapel St
Suite 3 Ab
Norwood, MA 02062-3155

Mailing address

40 Metacomet St
Wrentham, MA 02093-1256
Phone (508) 384-9386

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050225000184 MA Practitioner - Nurse Practitioner 0042263436 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
213297MAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
I Dhaliwal MD PC CurrentSince Feb 1, 2014 Accepting new patients

Locations

19 Kendrick St
Wrentham, MA 02093
Phone (508) 384-1821

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IHEHAD
  • FHIR API: https://fhir4.healow.com/fhir/r4/ACIIAA/Endpoint/ACIIAA

Organizations & group practices 1

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": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003933268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 METACOMET ST",
            "city": "WRENTHAM",
            "state": "MA",
            "postal_code": "020931256",
            "telephone_number": "508-384-9386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 CHAPEL ST",
            "address_2": "SUITE 3 AB",
            "city": "NORWOOD",
            "state": "MA",
            "postal_code": "020623155",
            "telephone_number": "781-769-3113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILL",
        "first_name": "STEPHANIE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "213297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwood, MA

Sources for this page

Verify at the official NPI Registry.