Individual provider Active NPI

Nora Gant, ARNP, MN

  • Adult Health Nurse Practitioner
  • Lacey, WA
National Provider Identifier
1306064472
Registry record updated Nov 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
AP30007610 Issued in WA
Practice address
4525 3Rd Ave SE Ste 200
Lacey, WA 98503-1010
Phone
(360) 493-4504
Fax
(360) 412-8922
NPI assigned
Apr 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X AP30007610 WA Primary

Addresses

Primary practice location

4525 3Rd Ave SE Ste 200
Lacey, WA 98503-1010

Mailing address

4525 3Rd Ave SE Ste 200
Lacey, WA 98503-1010
Phone (360) 493-4504

Other practice location 1

914 S Scheuber Rd
Centralia, WA 98531-9027
Phone (360) 736-2803

Other identifiers 1

IdentifierTypeStateIssuer
9652421MedicaidWA

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address ngant437155@wm.providencedirect.org Direct
Direct Messaging Address ngant437155@wm.providencedirect.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090727000787 WA Practitioner - Nurse Practitioner 8921151762 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Providence Health and Services WashingtonGroup PAC ID 6709782600, 480 clinicians

Practice addresses (Care Compare)

4525 3Rd Ave SE
Suite 200
Lacey, WA 98503-1010
Phone (360) 754-3934

Hospital & facility affiliations

  • Providence Centralia Hospital Hospital, Centralia, WA, CCN 500019
  • Providence St Peter Hospital Hospital, Olympia, WA, CCN 500024
  • Grays Harbor Community Hospital Hospital, Aberdeen, WA, CCN 500031

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health & Services Washington CurrentSince Aug 19, 2014 Accepting new patients

Locations

914 S Scheuber Rd
Centralia, WA 98531
Phone (360) 330-8516

4525 3rd Ave SE
#200
Olympia, WA 98503
Phone (360) 533-6906

525 Lilly Rd NE
Olympia, WA 98506
Phone (360) 413-8550

Interoperability endpoints

  • Direct secure messaging: ngant437155@wm.providencedirect.org
  • Direct secure messaging: nora.gant@direct.vmmc.org

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636502400000",
    "number": "1306064472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4525 3RD AVE SE STE 200",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985031010",
            "telephone_number": "360-493-4504",
            "fax_number": "360-412-8922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4525 3RD AVE SE STE 200",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985031010",
            "telephone_number": "360-493-4504",
            "fax_number": "360-412-8922"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "914 S Scheuber Rd",
            "address_purpose": "LOCATION",
            "city": "Centralia",
            "state": "WA",
            "postal_code": "985319027",
            "country_code": "US",
            "telephone_number": "360-736-2803",
            "fax_number": "360-943-8023",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GANT",
        "first_name": "NORA",
        "name_prefix": "Ms.",
        "credential": "ARNP, MN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-23",
        "last_updated": "2021-11-10",
        "certification_date": "2021-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "WA",
            "license": "AP30007610",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9652421",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ngant437155@wm.providencedirect.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4525 3rd Ave SE Ste 200",
            "city": "Lacey",
            "state": "WA",
            "country_code": "US",
            "postal_code": "985031010",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ngant437155@wm.providencedirect.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "914 S Scheuber Rd",
            "city": "Centralia",
            "state": "WA",
            "country_code": "US",
            "postal_code": "985319027",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lacey, WA

Sources for this page

Verify at the official NPI Registry.