Active NPI
Gale E Roberts, FNP
- Family Nurse Practitioner
- Ozark, MO
National Provider Identifier
1215022397
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN083179
- Practice address
- 2004 W Marler LN
Ozark, MO 65721-7661 - Phone
- (417) 581-3006
- Fax
- (417) 581-3009
- NPI assigned
- Oct 4, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN083179 | MO | Primary |
Addresses
Primary practice location
2004 W Marler LN
Ozark, MO 65721-7661
Mailing address
3800 S National Ave
#540
Springfield, MO 65807-5209
Phone (417) 269-5712
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 182220 | Other | BLUE CROSS OF MO | |
| 429808314 | Medicaid | MO |
Other names 1
- Gale E Cook
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN083179 | MO | MD | Family Nurse Practitioner |
Interoperability endpoints
- gale.roberts@cernerdirect.coxhealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1304380800000",
"number": "1215022397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3800 S NATIONAL AVE",
"address_2": "#540",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658075209",
"telephone_number": "417-269-5712",
"fax_number": "417-269-4869"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2004 W MARLER LN",
"city": "OZARK",
"state": "MO",
"postal_code": "657217661",
"telephone_number": "417-581-3006",
"fax_number": "417-581-3009"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTS",
"first_name": "GALE",
"middle_name": "E",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-04",
"last_updated": "2011-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MO",
"license": "RN083179",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS OF MO",
"identifier": "182220",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "429808314",
"state": "MO"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "GALE",
"last_name": "COOK",
"middle_name": "E",
"credential": "RN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Ozark, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.