Jana Renee Gantley, APRN

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

3002241 Issued in KY

Practice address

555 W Sun St
Morehead, KY 40351-1563

Phone

(606) 207-2931

Fax

(606) 783-0964

NPI assigned

Jun 8, 2006

Last updated

Aug 7, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• JMHC Inc

  dba Nicholas County Rural Health Clinic

  • Rural Health Clinic/Center
  • Carlisle, KY
  • NPI 1093042038
  NPD (past)

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344297600000",
    "number": "1033159827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 W SUN ST",
            "city": "MOREHEAD",
            "state": "KY",
            "postal_code": "403511563",
            "telephone_number": "606-207-2931",
            "fax_number": "606-783-0964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 W SUN ST",
            "city": "MOREHEAD",
            "state": "KY",
            "postal_code": "403511563",
            "telephone_number": "606-207-2931",
            "fax_number": "606-783-0964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANTLEY",
        "first_name": "JANA",
        "middle_name": "RENEE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-08",
        "last_updated": "2012-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "KY",
            "license": "3002241",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "78001237",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leandra Frederick, APRN
• Fresh Start Health PSC (Fresh Start Health Centers)
• William Dane Fritts, OD
• Susan Beth Frommeyer, MD
• Hazel Hansen Fugate, RRT
• Gateway Area Development District
• Gateway Children's Advocacy Center
• Gateway District Health Department (Rowan County Health Dept)
• Isabella Gearhart
• May Ghanim-Moustafa, APRN

• Women's Health Nurse Practitioner in Morehead, KY
• Providers in Morehead, KY by specialty
• Women's Health Nurse Practitioner in Kentucky

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

Verify at the official NPI Registry.