Individual provider Active NPI

Gayle A. Jennings, CRNP

  • Family Nurse Practitioner
  • Pittsburgh, PA
National Provider Identifier
1225259526
Registry record updated Jul 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP012668 Issued in PA
Practice address
2275 Swallow Hill Rd
BLDG. 2600
Pittsburgh, PA 15220-1656
Phone
(412) 279-4522
Fax
(412) 279-3416
NPI assigned
May 2, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2013

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 UP006473V PA
Family Nurse Practitioner 363LF0000X SP012668 PA Primary

Addresses

Primary practice location

2275 Swallow Hill Rd
BLDG. 2600
Pittsburgh, PA 15220-1656

Mailing address

2275 Swallow Hill Rd
BLDG. 2600
Pittsburgh, PA 15220-1656
Phone (412) 279-4522

Other identifiers 1

IdentifierTypeStateIssuer
SP012668OtherPALICENSE

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
UP006473VPAMDWomen's Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374192000000",
    "number": "1225259526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2275 SWALLOW HILL RD",
            "address_2": "BLDG. 2600",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152201656",
            "telephone_number": "412-279-4522",
            "fax_number": "412-279-3416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2275 SWALLOW HILL RD",
            "address_2": "BLDG. 2600",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152201656",
            "telephone_number": "412-279-4522",
            "fax_number": "412-279-3416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENNINGS",
        "first_name": "GAYLE",
        "middle_name": "A.",
        "name_prefix": "Ms.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-02",
        "last_updated": "2013-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "PA",
            "license": "UP006473V",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP012668",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "SP012668",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 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.