Margaret E Gjellum, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

029857 Issued in AL

Practice address

400 N Edwards St
Enterprise, AL 36330-2510

Phone

(333) 347-0584

NPI assigned

Jan 7, 2008

Last updated

Jan 7, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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)

Enrolled

Credentials

Certified 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• QHG of Enterprise Inc

  dba Medical Center Enterprise

  • Certified Registered Nurse Anesthetist
  • Enterprise, AL
  • NPI 1295759678

  Nurse Anesthetist, Certified Registered

  NPD (past)

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

{
    "created_epoch": "1199664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199664000000",
    "number": "1104001460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91 LAUREL BREEZE DR",
            "city": "ENTERPRISE",
            "state": "AL",
            "postal_code": "363307841",
            "telephone_number": "333-347-0584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N EDWARDS ST",
            "city": "ENTERPRISE",
            "state": "AL",
            "postal_code": "363302510",
            "telephone_number": "333-347-0584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GJELLUM",
        "first_name": "MARGARET",
        "middle_name": "E",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-07",
        "last_updated": "2008-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AL",
            "license": "029857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michele L Garrett IV, PHARM.D.
• Elizabeth George
• Fred George, PH.D.
• Christopher Gerhart, PHARMD
• Erica Newman Gibes, PHARM.D.
• Lacinda Glass, RPH
• Cheyenne Cierria Godwin, PHARMD
• Cheryl Marie Gomez, LICSW
• Angie Gonzalez
• Sonya Goodpaster, LPC

• Certified Registered Nurse Anesthetist in Enterprise, AL
• Providers in Enterprise, AL by specialty
• Certified Registered Nurse Anesthetist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2008; 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.