Active NPI
Gwendolyn Day, CRNP, DNP
- Family Nurse Practitioner
- Mobile, AL
National Provider Identifier
1104267251
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1-074486
- Practice address
- 735 S Washington Ave
Mobile, AL 36603-1301 - Phone
- (251) 433-2642
- Fax
- (251) 433-2642
- NPI assigned
- Jul 17, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Registered Nurse | 163WG0100X | 1-074486 | AL | |
| Family Nurse Practitioner | 363LF0000X | 1-074486 | AL | Primary |
Addresses
Primary practice location
735 S Washington Ave
Mobile, AL 36603-1301
Mailing address
3737 Government Blvd Ste 408
Mobile, AL 36693-4362
Phone (251) 602-1911
Other practice location 1
13750 US Highway 90
Grand Bay, AL 36541-5453
Phone (251) 865-6443
Other practice location 2
1758 Spring Hill Ave
Mobile, AL 36607-3508
Phone (251) 479-0551
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
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-074486 | AL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carelon Medical Partners of Kansas, PA | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Leawood, KS
- NPI 1952831422
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1374019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537920000000",
"number": "1104267251",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3737 GOVERNMENT BLVD STE 408",
"city": "MOBILE",
"state": "AL",
"postal_code": "366934362",
"telephone_number": "251-602-1911",
"fax_number": "251-602-1850"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "735 S WASHINGTON AVE",
"city": "MOBILE",
"state": "AL",
"postal_code": "366031301",
"telephone_number": "251-433-2642",
"fax_number": "251-433-2642"
}
],
"practiceLocations": [
{
"address_1": "13750 US Highway 90",
"address_purpose": "LOCATION",
"city": "Grand Bay",
"state": "AL",
"postal_code": "365415453",
"country_code": "US",
"telephone_number": "251-865-6443",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1758 Spring Hill Ave",
"address_purpose": "LOCATION",
"city": "Mobile",
"state": "AL",
"postal_code": "366073508",
"country_code": "US",
"telephone_number": "251-479-0551",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DAY",
"first_name": "GWENDOLYN",
"name_prefix": "Miss",
"credential": "CRNP, DNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-07-17",
"last_updated": "2018-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "163WG0100X",
"taxonomy_group": "",
"desc": "Registered Nurse, Gastroenterology",
"state": "AL",
"license": "1-074486",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AL",
"license": "1-074486",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mobile, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.