Individual provider Active NPI

Kristine M. Gohl, R.N.

  • Registered Nurse
  • Levittown, PA
National Provider Identifier
1275894651
Registry record updated Jun 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN627445 Issued in PA
Practice address
41 Shadetree LN
Levittown, PA 19055-2201
Phone
(215) 547-6202
Fax
(215) 547-3094
NPI assigned
Jun 1, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN627445 PA Primary

Addresses

Primary practice location

41 Shadetree LN
Levittown, PA 19055-2201

Mailing address

41 Shadetree LN
Levittown, PA 19055-2201
Phone (215) 547-6202

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
RN627445PAMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1338508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338508800000",
    "number": "1275894651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 SHADETREE LN",
            "city": "LEVITTOWN",
            "state": "PA",
            "postal_code": "190552201",
            "telephone_number": "215-547-6202",
            "fax_number": "215-547-3094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 SHADETREE LN",
            "city": "LEVITTOWN",
            "state": "PA",
            "postal_code": "190552201",
            "telephone_number": "215-547-6202",
            "fax_number": "215-547-3094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOHL",
        "first_name": "KRISTINE",
        "middle_name": "M.",
        "name_prefix": "Mrs.",
        "credential": "R.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-01",
        "last_updated": "2012-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN627445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Levittown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2012; 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.