Individual provider Active NPI

Gayle Renee Noller, RN

  • Administrator Registered Nurse
  • Wichita, KS
National Provider Identifier
1225277338
Registry record updated Feb 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Administrator Registered NurseTaxonomy code 163WA2000X
License
13-78671-052 Issued in KS
Practice address
1035 N Emporia St
Suite 155
Wichita, KS 67214-2944
Phone
(316) 440-3900
Fax
(316) 440-3905
NPI assigned
Feb 12, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Administrator Registered Nurse 163WA2000X 13-78671-052 KS Primary

Addresses

Primary practice location

1035 N Emporia St
Suite 155
Wichita, KS 67214-2944

Mailing address

2558 Ventnor Dr
Park City, KS 67219-1751
Phone (316) 305-6744

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
13-78671-052KSMDAdministrator Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Kansas Nephrology Physicians PA Past Accepting new patients
Kansas Vascular Access Center LLC PastSince Jul 1, 2015 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1234396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234396800000",
    "number": "1225277338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2558 VENTNOR DR",
            "city": "PARK CITY",
            "state": "KS",
            "postal_code": "672191751",
            "telephone_number": "316-305-6744",
            "fax_number": "316-440-3905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 N EMPORIA ST",
            "address_2": "SUITE 155",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672142944",
            "telephone_number": "316-440-3900",
            "fax_number": "316-440-3905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOLLER",
        "first_name": "GAYLE",
        "middle_name": "RENEE",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-12",
        "last_updated": "2009-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "KS",
            "license": "13-78671-052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2009; 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.