Active NPI
Eileen F. Gabriel, RN, GNP-C
- Gerontology Nurse Practitioner
- Williamstown, MA
National Provider Identifier
1114904026
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 223916
- Practice address
- 197 Adams Rd
Williamstown, MA 01267-2930 - Phone
- (413) 458-8182
- Fax
- (412) 458-3140
- NPI assigned
- Dec 30, 2005
- Last updated
- Oct 7, 2011
- 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 |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 223916 | MA | Primary |
Addresses
Primary practice location
197 Adams Rd
Williamstown, MA 01267-2930
Mailing address
197 Adams Rd
Williamstown, MA 01267-2930
Phone (413) 458-8182
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1016257 | Medicaid | VT | |
| 0351521 | Medicaid | MA |
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, Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Williamstown Medical Associates PC | Gerontology | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Williamstown, MA
- NPI 1154319200
Gerontology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135900800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317945600000",
"number": "1114904026",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "197 ADAMS RD",
"city": "WILLIAMSTOWN",
"state": "MA",
"postal_code": "012672930",
"telephone_number": "413-458-8182",
"fax_number": "412-458-3140"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "197 ADAMS RD",
"city": "WILLIAMSTOWN",
"state": "MA",
"postal_code": "012672930",
"telephone_number": "413-458-8182",
"fax_number": "412-458-3140"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GABRIEL",
"first_name": "EILEEN",
"middle_name": "F.",
"credential": "RN, GNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-30",
"last_updated": "2011-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "MA",
"license": "223916",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1016257",
"state": "VT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0351521",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Williamstown, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.