Individual provider Active NPI

Gayle Ann Hand, ANP

  • Adult Health Nurse Practitioner
  • Eugene, OR
National Provider Identifier
1083787949
Registry record updated Apr 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
200250077NP-PP Issued in OR
Practice address
390 W 12TH Ave
Eugene, OR 97401-3449
Phone
(541) 683-4404
Fax
(541) 683-4405
NPI assigned
Nov 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 200250077NP-PP OR Primary

Addresses

Primary practice location

390 W 12TH Ave
Eugene, OR 97401-3449

Mailing address

390 W 12TH Ave
Eugene, OR 97401-3449
Phone (541) 683-4404

Other identifiers 2

IdentifierTypeStateIssuer
DMAP 100162MedicaidOR
1083787949OtherNPI

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
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
200250077NP-PPORMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sanders Family Medicine, LLC PastSince Jun 30, 2024 Accepting new patients
PPC Group LLC PastSince Jan 1, 2018 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429056000000",
    "number": "1083787949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 W 12TH AVE",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974013449",
            "telephone_number": "541-683-4404",
            "fax_number": "541-683-4405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 W 12TH AVE",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974013449",
            "telephone_number": "541-683-4404",
            "fax_number": "541-683-4405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAND",
        "first_name": "GAYLE",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-16",
        "last_updated": "2015-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OR",
            "license": "200250077NP-PP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DMAP 100162",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1083787949",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2015; 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.