Active NPI
Gayle Ilene Phelps, CNM RN
- Nurse Practitioner
- Akron, OH
National Provider Identifier
1184184475
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- APN.CNM.03772
- Practice address
- 809 White Pond Dr Ste B
Akron, OH 44320-1178 - Phone
- (234) 205-2040
- NPI assigned
- Mar 22, 2019
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | APN.CNM.03772 | OH | Primary |
Addresses
Primary practice location
809 White Pond Dr Ste B
Akron, OH 44320-1178
Mailing address
809 White Pond Dr Ste B
Akron, OH 44320-1178
Phone (234) 205-2040
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
- Certified Nurse Midwife, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APN.CNM.03772 | OH | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1567728000000",
"number": "1184184475",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "809 WHITE POND DR STE B",
"city": "AKRON",
"state": "OH",
"postal_code": "443201178",
"telephone_number": "234-205-2040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "809 WHITE POND DR STE B",
"city": "AKRON",
"state": "OH",
"postal_code": "443201178",
"telephone_number": "234-205-2040"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHELPS",
"first_name": "GAYLE",
"middle_name": "ILENE",
"credential": "CNM RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-03-22",
"last_updated": "2019-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "OH",
"license": "APN.CNM.03772",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Akron, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.