Individual provider Active NPI

Natalie Jane Gailey, CNP

  • Women's Health Nurse Practitioner
  • Mansfield, OH
National Provider Identifier
1194940791
Registry record updated Jan 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
COA12935 NP Issued in OH
Practice address
500 S Trimble Rd
Mansfield, OH 44906-4103
Phone
(419) 756-6000
Fax
(419) 756-1774
NPI assigned
Apr 17, 2007
Last updated
Jan 14, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X COA12935 NP OH Primary
Women's Health Nurse Practitioner 363LW0102X RN334993 COA1 OH

Addresses

Primary practice location

500 S Trimble Rd
Mansfield, OH 44906-4103

Mailing address

500 S Trimble Rd
Mansfield, OH 44906-4103
Phone (419) 756-6000

Other names 1

  • Natalie Jane Arnold Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160427001085 OH Practitioner - Nurse Practitioner 5799084679 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
COA12935 NPOHMDWomen's Health Nurse Practitioner
RN334993 COA1OHMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mansfield Obstetrics & Gynecology Associates Inc CurrentSince Feb 22, 2016 Accepting new patients
Mid-Ohio Radiology, Inc. CurrentSince Feb 22, 2016 Accepting new patients

Locations

500 S Trimble Rd
Mansfield, OH 44906
Phone (419) 756-6000

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421193600000",
    "number": "1194940791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 S TRIMBLE RD",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449064103",
            "telephone_number": "419-756-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 S TRIMBLE RD",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449064103",
            "telephone_number": "419-756-6000",
            "fax_number": "419-756-1774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAILEY",
        "first_name": "NATALIE",
        "middle_name": "JANE",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-17",
        "last_updated": "2015-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "OH",
            "license": "COA12935 NP",
            "primary": true
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "OH",
            "license": "RN334993 COA1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NATALIE",
            "last_name": "ARNOLD",
            "middle_name": "JANE",
            "credential": "CNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mansfield, OH

Sources for this page

Verify at the official NPI Registry.