Active NPI
Nathan Gearhart
- Registered Nurse
- Troy, MI
National Provider Identifier
1053809822
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 4704330617
- Practice address
- 4839 Riverchase Dr
Troy, MI 48098-4184 - Phone
- (810) 569-4269
- NPI assigned
- Apr 27, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 4704330617 | MI | Primary |
Addresses
Primary practice location
4839 Riverchase Dr
Troy, MI 48098-4184
Mailing address
4839 Riverchase Dr
Troy, MI 48098-4184
Phone (810) 569-4269
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704330617 | MI | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1524787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1524787200000",
"number": "1053809822",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4839 RIVERCHASE DR",
"city": "TROY",
"state": "MI",
"postal_code": "480984184",
"telephone_number": "810-569-4269"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4839 RIVERCHASE DR",
"city": "TROY",
"state": "MI",
"postal_code": "480984184",
"telephone_number": "810-569-4269"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEARHART",
"first_name": "NATHAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-04-27",
"last_updated": "2018-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MI",
"license": "4704330617",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Troy, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.