Individual provider Active NPI

Gayla Sholey

  • Advanced Practice Midwife
  • Lexington, KY
National Provider Identifier
1124434204
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
56331 Issued in KY
Practice address
141 N Eagle Creek Dr Ste 200
Lexington, KY 40509-2538
Phone
(859) 323-9897
NPI assigned
Jul 9, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X OH
Advanced Practice Midwife 367A00000X 00000 KY
Advanced Practice Midwife 367A00000X 56331 KY Primary

Addresses

Primary practice location

141 N Eagle Creek Dr Ste 200
Lexington, KY 40509-2538

Mailing address

2751 Bay Park Drive
#300
Oregon, OH 43616
Phone (419) 690-7596

Other practice location 1

2751 Bay Park Dr Ste 300
Oregon, OH 43616-4922
Phone (419) 690-7596

Other identifiers 2

IdentifierTypeStateIssuer
0197005MedicaidOH
H558270OtherOHOHIO MEDICARE

Other names 1

  • Gayla McKnight Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170613002338 OH Practitioner - Certified Nurse Midwife (CNM) 4587883715 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Memorial Professional Services LTDGroup PAC ID 1456531870, 40 clinicians

Practice addresses (Care Compare)

715 S Taft Ave
Fremont, OH 43420-3237
Phone (419) 333-6462

Hospital & facility affiliations

  • Memorial Hospital Hospital, Fremont, OH, CCN 360156
  • Promedica Toledo Hospital Hospital, Toledo, OH, CCN 360068

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
00000KYMDGenetic Counselor (M.S.)
56331KYMDOrthopaedic Hand Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bay Park Community Hospital CurrentSince May 2, 2017 Accepting new patients
Bay Park Community Hospital Past Accepting new patients

Locations

2751 Bay Park Dr
Ste 300
Oregon, OH 43616
Phone (419) 690-7596

2801 Bay Park Dr
Oregon, OH 43616
Phone (419) 690-7652

Interoperability endpoints

  • Direct secure messaging: gsholey89082@direct.promedica.org

Organizations & group practices 3

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1404864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1124434204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2751 BAY PARK DRIVE",
            "address_2": "#300",
            "city": "OREGON",
            "state": "OH",
            "postal_code": "43616",
            "telephone_number": "419-690-7596",
            "fax_number": "419-697-6707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 N EAGLE CREEK DR STE 200",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405092538",
            "telephone_number": "859-323-9897"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2751 Bay Park Dr Ste 300",
            "address_purpose": "LOCATION",
            "city": "Oregon",
            "state": "OH",
            "postal_code": "436164922",
            "country_code": "US",
            "telephone_number": "419-690-7596",
            "fax_number": "419-697-6707",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHOLEY",
        "first_name": "GAYLA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-09",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "OH",
            "license": null,
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "KY",
            "license": "00000",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "KY",
            "license": "56331",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0197005",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO MEDICARE",
            "identifier": "H558270",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GAYLA",
            "last_name": "MCKNIGHT",
            "credential": "APRN, CNM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.