Gail Wiebe, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

200950078NP Issued in OR

Practice address

673 NW Jackson Ave
Corvallis, OR 97330-4832

Phone

(541) 230-1630

Fax

(800) 747-7137

NPI assigned

Jul 1, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

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.

• Integrated Youthcare, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Corvallis, OR
  • NPI 1881832095
  NPD (past)

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

{
    "created_epoch": "1246406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435104000000",
    "number": "1285862938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "673 NW JACKSON AVE",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973304832",
            "telephone_number": "541-230-1630",
            "fax_number": "800-747-7137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "673 NW JACKSON AVE",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973304832",
            "telephone_number": "541-230-1630",
            "fax_number": "800-747-7137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIEBE",
        "first_name": "GAIL",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-01",
        "last_updated": "2015-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OR",
            "license": "200950078NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael A Whitten
• Selena Whittle, PHD, MS, LPC
• Whole Life Healthy
• Margaret Catherine Wickham, LMT
• Mariska S Widharma, PHARMD
• Kaitlin Wiegand
• Melanie Wiens
• Lloyd Harvey Wiggins, MD
• Tara M Wikert
• Wild Geese Mental Health LLC

• Psychiatric/Mental Health Nurse Practitioner in Corvallis, OR
• Providers in Corvallis, OR by specialty
• Psychiatric/Mental Health Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2015; 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.