Active NPI
Nancy Gasper, CPNP
- Pediatric Nurse Practitioner
- Westlake, OH
National Provider Identifier
1083679633
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 04854-RX
- Practice address
- 2001 Crocker Rd
Suite 600
Westlake, OH 44145-6966 - Phone
- (440) 871-5100
- NPI assigned
- Apr 18, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 04854-RX | OH | Primary |
Addresses
Primary practice location
2001 Crocker Rd
Suite 600
Westlake, OH 44145-6966
Mailing address
9639 Taberna LN
Olmsted TWP, OH 44138-4260
Phone (440) 235-8439
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2985159 | Medicaid | OH |
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
- Credentials
- Certified Pediatric Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04854-RX | OH | MD | Pediatric Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1356652800000",
"number": "1083679633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9639 TABERNA LN",
"city": "OLMSTED TWP",
"state": "OH",
"postal_code": "441384260",
"telephone_number": "440-235-8439"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 CROCKER RD",
"address_2": "SUITE 600",
"city": "WESTLAKE",
"state": "OH",
"postal_code": "441456966",
"telephone_number": "440-871-5100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GASPER",
"first_name": "NANCY",
"credential": "CPNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-18",
"last_updated": "2012-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "OH",
"license": "04854-RX",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2985159",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Westlake, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 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.