Individual provider Active NPI

Kay M Gilletly, RN CDMS CRRN CCM MSC

  • Case Manager/Care Coordinator
  • Delaware, OH
National Provider Identifier
1194165795
Registry record updated May 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
License
RN127610 Issued in OH
Practice address
76 Cottswold Dr
Delaware, OH 43015-2812
Phone
(614) 975-6773
NPI assigned
Jun 27, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 2, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X RN127610 OH Primary

Addresses

Primary practice location

76 Cottswold Dr
Delaware, OH 43015-2812

Mailing address

PO Box 131
Lewis Center, OH 43035-0131
Phone (614) 975-6773

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
RN127610OHMDCase Manager/Care Coordinator

NPI Registry JSON

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

{
    "created_epoch": "1372291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398988800000",
    "number": "1194165795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 131",
            "city": "LEWIS CENTER",
            "state": "OH",
            "postal_code": "430350131",
            "telephone_number": "614-975-6773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 COTTSWOLD DR",
            "city": "DELAWARE",
            "state": "OH",
            "postal_code": "430152812",
            "telephone_number": "614-975-6773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLETLY",
        "first_name": "KAY",
        "middle_name": "M",
        "credential": "RN CDMS CRRN CCM MSC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-27",
        "last_updated": "2014-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "OH",
            "license": "RN127610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delaware, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 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.

Verify at the official NPI Registry.