Active NPI
Gayle Doll, FNP
- Family Nurse Practitioner
- West Lafayette, IN
National Provider Identifier
1043496748
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 71001675A
- Practice address
- 512 Sagamore Pkwy W
West Lafayette, IN 47906-1458 - Phone
- (765) 497-3551
- NPI assigned
- Jan 14, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 71001675A | IN | |
| Family Nurse Practitioner | 363LF0000X | 71001675 | IN | |
| Family Nurse Practitioner | 363LF0000X | 71001675A | IN | Primary |
Addresses
Primary practice location
512 Sagamore Pkwy W
West Lafayette, IN 47906-1458
Mailing address
512 Sagamore Pkwy W
Suite 400
West Lafayette, IN 47906-1458
Phone (765) 497-3551
Other names 1
- Gayle Snodgrass
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71001675 | IN | MD | Family Nurse Practitioner |
| 71001675A | IN | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200268800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548460800000",
"number": "1043496748",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "512 SAGAMORE PKWY W",
"address_2": "SUITE 400",
"city": "WEST LAFAYETTE",
"state": "IN",
"postal_code": "479061458",
"telephone_number": "765-497-3551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "512 SAGAMORE PKWY W",
"city": "WEST LAFAYETTE",
"state": "IN",
"postal_code": "479061458",
"telephone_number": "765-497-3551"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOLL",
"first_name": "GAYLE",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-01-14",
"last_updated": "2019-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IN",
"license": "71001675A",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IN",
"license": "71001675",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IN",
"license": "71001675A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "GAYLE",
"last_name": "SNODGRASS",
"credential": "FNP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in West Lafayette, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 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.