Individual provider Active NPI

Eileen F. Gabriel, RN, GNP-C

  • Gerontology Nurse Practitioner
  • Williamstown, MA
National Provider Identifier
1114904026
Registry record updated Oct 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
223916 Issued in MA
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, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1016257MedicaidVT
0351521MedicaidMA

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

OrganizationSpecialtyStatusNew patients
Williamstown Medical Associates PC Gerontology PastSince Aug 13, 2007 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.

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.

Verify at the official NPI Registry.