Active NPI
Beverly A. Gish, RN, FNP-BC
- Family Nurse Practitioner
- Columbus, OH
National Provider Identifier
1184934341
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- COA12895-NP
- Practice address
- 1160 W Broad St
Lower Lights Christian Health Center
Columbus, OH 43222-1317 - Phone
- (614) 274-1455
- Fax
- (614) 274-2040
- NPI assigned
- Oct 20, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | RN.132275-COA2 | OH | |
| Family Nurse Practitioner | 363LF0000X | COA12895-NP | OH | Primary |
Addresses
Primary practice location
1160 W Broad St
Lower Lights Christian Health Center
Columbus, OH 43222-1317
Mailing address
1160 W Broad St
Lower Lights Christian Health Center
Columbus, OH 43222-1317
Phone (614) 274-1455
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
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN.132275-COA2 | OH | MD | Primary Care Clinic/Center |
| COA12895-NP | OH | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1287532800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1407456000000",
"number": "1184934341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1160 W BROAD ST",
"address_2": "LOWER LIGHTS CHRISTIAN HEALTH CENTER",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432221317",
"telephone_number": "614-274-1455",
"fax_number": "614-274-2040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1160 W BROAD ST",
"address_2": "LOWER LIGHTS CHRISTIAN HEALTH CENTER",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432221317",
"telephone_number": "614-274-1455",
"fax_number": "614-274-2040"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GISH",
"first_name": "BEVERLY",
"middle_name": "A.",
"name_prefix": "Ms.",
"credential": "RN, FNP-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-10-20",
"last_updated": "2014-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "OH",
"license": "RN.132275-COA2",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "COA12895-NP",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.