Individual provider Active NPI

Marie Christine Gergel

  • Lactation Consultant (Registered Nurse)
  • Wesley Chapel, FL
National Provider Identifier
1104692391
Registry record updated Nov 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X
License
L-307509 Issued in FL
Practice address
32520 Spring Corral CT
Wesley Chapel, FL 33545-1652
Phone
(570) 262-5954
NPI assigned
Nov 28, 2023
Last updated
Nov 28, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Registered Nurse) 163WL0100X L-307509 FL Primary

Addresses

Primary practice location

32520 Spring Corral CT
Wesley Chapel, FL 33545-1652

Mailing address

32520 Spring Corral CT
Wesley Chapel, FL 33545-1652
Phone (570) 262-5954

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

State licenses

LicenseStateTypeSpecialty
L-307509FLMDLactation Consultant (Registered Nurse)

NPI Registry JSON

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

{
    "created_epoch": "1701129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701129600000",
    "number": "1104692391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32520 SPRING CORRAL CT",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335451652",
            "telephone_number": "570-262-5954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32520 SPRING CORRAL CT",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335451652",
            "telephone_number": "570-262-5954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERGEL",
        "first_name": "MARIE",
        "middle_name": "CHRISTINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-28",
        "last_updated": "2023-11-28",
        "certification_date": "2023-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "FL",
            "license": "L-307509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wesley Chapel, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2023; 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.