Individual provider Active NPI

Gertrude Ann Basgall, R.N.

  • School Registered Nurse
  • Sierra Vista, AZ
National Provider Identifier
1144357294
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
RN057145 Issued in AZ
Practice address
801 N Lenzner Ave
Sierra Vista, AZ 85635-0905
Phone
(520) 515-2945
Fax
(520) 515-2948
NPI assigned
Feb 27, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X RN057145 AZ Primary

Addresses

Primary practice location

801 N Lenzner Ave
Sierra Vista, AZ 85635-0905

Mailing address

1321 Buckhorn Cir
Sierra Vista, AZ 85635-0902
Phone (520) 515-2945

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN057145AZMDSchool Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1144357294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1321 BUCKHORN CIR",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856350902",
            "telephone_number": "520-515-2945",
            "fax_number": "152-051-5294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 N LENZNER AVE",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856350905",
            "telephone_number": "520-515-2945",
            "fax_number": "520-515-2948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASGALL",
        "first_name": "GERTRUDE",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "R.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "AZ",
            "license": "RN057145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sierra Vista, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.