Active NPI
Gayle S Fredere, CRNA
- Certified Registered Nurse Anesthetist
- Mobile, AL
National Provider Identifier
1285620674
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 1024624
- Practice address
- 6508 Bienville CT
Mobile, AL 36695-3259 - Phone
- (251) 709-6980
- NPI assigned
- Sep 21, 2005
- Last updated
- Dec 12, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 1024624 | AL | Primary |
| Anesthesiology Physician | 207L00000X | 1-024624 | AL |
Addresses
Primary practice location
6508 Bienville CT
Mobile, AL 36695-3259
Mailing address
6508 Bienville CT
Mobile, AL 36695-3259
Phone (251) 709-6980
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000057537 | Medicaid | AL | |
| 115135 | Other | AL | MEDICAID AOC |
| 115141 | Other | AL | MEDICAID SMC |
| 051057537 | Other | AL | BC OF AL |
| 511-00430 | Other | AL | BCBS OF ALABAMA SMC |
| 511-00442 | Other | AL | BCBS OF AL - AOC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1979
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2890 Dauphin St
Mobile, AL 36606-2457
Phone (251) 473-2020
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-024624 | AL | MD | Anesthesiology Physician |
| 1024624 | AL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Baldwin Anesthesia, PC | Anesthesiology | Current | Accepting new patients |
| M and M Anesthesiology PA | Anesthesiology | Past | Accepting new patients |
| Teresa G Walker MD PC | Anesthesiology | Past | Accepting new patients |
| Sheridan Anesthesia Services of Alabama, Inc. | Anesthesiology | Past | Accepting new patients |
| P R H PC | Anesthesiology | Past | Accepting new patients |
| Coastal Anesthesia, P.C. | Anesthesiology | Past | Accepting new patients |
| Anesthesia Services PC | Anesthesiology | Past | Accepting new patients |
Locations
1613 N McKenzie St
Foley, AL 36535
Phone (251) 949-3400
Organizations & group practices 8
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.
-
- Anesthesiology Physician
- Mobile, AL
- NPI 1881099174
-
- Anesthesiology Physician
- Foley, AL
- NPI 1922345438
-
- Anesthesiology Physician
- Mobile, AL
- NPI 1649265810
-
- Anesthesiology Physician
- Mobile, AL
- NPI 1588637169
-
- Anesthesiology Physician
- Foley, AL
- NPI 1043534027
-
- Anesthesiology Physician
- Mobile, AL
- NPI 1487606661
-
- Anesthesiology Physician
- Andalusia, AL
- NPI 1225379159
-
- Anesthesiology Physician
- Mobile, AL
- NPI 1205891967
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1386806400000",
"number": "1285620674",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6508 BIENVILLE CT",
"city": "MOBILE",
"state": "AL",
"postal_code": "366953259",
"telephone_number": "251-709-6980"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6508 BIENVILLE CT",
"city": "MOBILE",
"state": "AL",
"postal_code": "366953259",
"telephone_number": "251-709-6980"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREDERE",
"first_name": "GAYLE",
"middle_name": "S",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-09-21",
"last_updated": "2013-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "AL",
"license": "1024624",
"primary": true
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "AL",
"license": "1-024624",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000057537",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID AOC",
"identifier": "115135",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID SMC",
"identifier": "115141",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC OF AL",
"identifier": "051057537",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF ALABAMA SMC",
"identifier": "511-00430",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF AL - AOC",
"identifier": "511-00442",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mobile, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.