Active NPI
Gwenivere Elizabeth Gay, NREMTP
- Paramedic
- Fort Rucker, AL
National Provider Identifier
1124375316
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Paramedic
- License
- 1000008
- Practice address
- 453 South Novacel Dr
Fort Rucker, AL 36362 - Phone
- (251) 518-9111
- NPI assigned
- Aug 7, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Paramedic | 146L00000X | 1000008 | AL | Primary |
Addresses
Primary practice location
453 South Novacel Dr
Fort Rucker, AL 36362
Mailing address
104 S Springview Dr
Enterprise, AL 36330-5060
Phone (251) 518-9111
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1000008 | AL | MD | Paramedic |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344297600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344297600000",
"number": "1124375316",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 S SPRINGVIEW DR",
"city": "ENTERPRISE",
"state": "AL",
"postal_code": "363305060",
"telephone_number": "251-518-9111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "453 SOUTH NOVACEL DR",
"city": "FORT RUCKER",
"state": "AL",
"postal_code": "36362",
"telephone_number": "251-518-9111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAY",
"first_name": "GWENIVERE",
"middle_name": "ELIZABETH",
"credential": "NREMTP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-08-07",
"last_updated": "2012-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "146L00000X",
"taxonomy_group": "",
"desc": "Emergency Medical Technician, Paramedic",
"state": "AL",
"license": "1000008",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Rucker, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.