Justin Grant Gatewood, RN

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

416010 Issued in OH

Practice address

664 Liberty St
Painesville, OH 44077-3661

Phone

(440) 251-1854

NPI assigned

Dec 30, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

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 and National Provider Directory roles.

• Ari Care Pediatric Services

  • Nursing Care Agency
  • Painesville, OH
  • NPI 1053170761
  NPD Authorized official

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

{
    "created_epoch": "1577664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577664000000",
    "number": "1053950683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "664 LIBERTY ST",
            "city": "PAINESVILLE",
            "state": "OH",
            "postal_code": "440773661",
            "telephone_number": "440-251-1854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "664 LIBERTY ST",
            "city": "PAINESVILLE",
            "state": "OH",
            "postal_code": "440773661",
            "telephone_number": "440-251-1854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GATEWOOD",
        "first_name": "JUSTIN",
        "middle_name": "GRANT",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-12-30",
        "last_updated": "2019-12-30",
        "certification_date": "2019-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "OH",
            "license": "416010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Colette Elizabeth Gallo, PT, DPT
• Kim Garcia
• Yvonne Garin
• Laura M Garlisi, MD
• Denise Garrett
• Michael D Gaugler, M.D.
• Jessica Gazella, LSW
• Peggy Geis
• Anthony Patrick Genovese
• Melissa Ann Gercar, LPN

• All providers in Painesville, OH
• Home Health Registered Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 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.

Verify at the official NPI Registry.