Individual provider Active NPI

Gail McCue Donnery, NURSE PRACTITIONER

  • Adult Health Nurse Practitioner
  • Syracuse, NY
National Provider Identifier
1194837526
Registry record updated Aug 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
301616 Issued in NY
Practice address
1000 E Genesee St Ste 403
Hill Medical Center
Syracuse, NY 13210-1840
Phone
(315) 464-2929
Fax
(315) 464-2930
NPI assigned
Aug 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 301616 NY Primary

Addresses

Primary practice location

1000 E Genesee St Ste 403
Hill Medical Center
Syracuse, NY 13210-1840

Mailing address

1000 E Genesee St Ste 403
Hill Medical Center
Syracuse, NY 13210-1840
Phone (315) 464-2929

Other identifiers 1

IdentifierTypeStateIssuer
03418522MedicaidNY

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
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
301616NYMDAdult Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377216000000",
    "number": "1194837526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 E GENESEE ST STE 403",
            "address_2": "HILL MEDICAL CENTER",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132101840",
            "telephone_number": "315-464-2929",
            "fax_number": "315-464-2930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 E GENESEE ST STE 403",
            "address_2": "HILL MEDICAL CENTER",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132101840",
            "telephone_number": "315-464-2929",
            "fax_number": "315-464-2930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONNERY",
        "first_name": "GAIL",
        "middle_name": "MCCUE",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2013-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "301616",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03418522",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2013; 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.