Individual provider Active NPI

Gail Fay Michaelis-Ow, NP

  • Women's Health Nurse Practitioner
  • Santa Cruz, CA
National Provider Identifier
1306957634
Registry record updated Jul 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
RN 258572 Issued in CA
Practice address
1119 Pacific Ave
Suite 200
Santa Cruz, CA 95060-7503
Phone
(831) 426-5550
Fax
(831) 426-1178
NPI assigned
Aug 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X RN258572 CA
Women's Health Nurse Practitioner 363LW0102X RN 258572 CA Primary

Addresses

Primary practice location

1119 Pacific Ave
Suite 200
Santa Cruz, CA 95060-7503

Mailing address

1691 The Alameda
San Jose, CA 95126-2203
Phone (408) 287-7532

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20150105001746 CA Order and Referring Only - Nurse Practitioner 2062456734

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN258572CAMDAdult Health Nurse Practitioner
RN 258572CAMDWomen's Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185321600000",
    "number": "1306957634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1691 THE ALAMEDA",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951262203",
            "telephone_number": "408-287-7532",
            "fax_number": "408-287-0405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1119 PACIFIC AVE",
            "address_2": "SUITE 200",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950607503",
            "telephone_number": "831-426-5550",
            "fax_number": "831-426-1178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHAELIS-OW",
        "first_name": "GAIL",
        "middle_name": "FAY",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CA",
            "license": "RN258572",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "CA",
            "license": "RN 258572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Cruz, CA

Sources for this page

Verify at the official NPI Registry.