Active NPI
Richard Barry Gaston, CRNP
- Adult Health Nurse Practitioner
- McIntosh, AL
National Provider Identifier
1326255803
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 1-072663
- Practice address
- 1379 Ciba Rd
McIntosh, AL 36553 - Phone
- (251) 436-2253
- Fax
- (251) 436-5003
- NPI assigned
- May 16, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 1-072663 | AL | Primary |
Addresses
Primary practice location
1379 Ciba Rd
McIntosh, AL 36553
Mailing address
1004 Savannah St
Mobile, AL 36604
Phone (251) 436-2253
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-072663 | AL | MD | Adult Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1326255803",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1004 SAVANNAH ST",
"city": "MOBILE",
"state": "AL",
"postal_code": "36604",
"telephone_number": "251-436-2253",
"fax_number": "251-436-5003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1379 CIBA RD",
"city": "MCINTOSH",
"state": "AL",
"postal_code": "36553",
"telephone_number": "251-436-2253",
"fax_number": "251-436-5003"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GASTON",
"first_name": "RICHARD",
"middle_name": "BARRY",
"name_prefix": "Mr.",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "AL",
"license": "1-072663",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in McIntosh, AL
- Bayou la Batre Area Health Development Board, Inc. (Southwest Alabama Health Services)
- Randy Ward Davidson, PHT
- Huguette Douyon, D.O.
- Encore Rehabilitation Inc (Encore Rehab of McIntosh)
- Breanna Rena Johnston
- Elizabeth Rae Johnston
- McConaghy Drug Store, Inc (McIntosh Drugs)
- McIntosh Rescue Squad, Inc.
- R. Michael Robinson, DMD, PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.