Active NPI
Nicole Gilmer, CRNA
- Certified Registered Nurse Anesthetist
- Memphis, TN
National Provider Identifier
1326311150
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 16527
- Practice address
- 50 N Dunlap St
Memphis, TN 38103-2800 - Phone
- (901) 287-6060
- Fax
- (901) 287-5102
- NPI assigned
- Feb 9, 2012
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 16527 | TN | Primary |
Addresses
Primary practice location
50 N Dunlap St
Memphis, TN 38103-2800
Mailing address
PO Box 5099
Memphis, TN 38101-5099
Phone (901) 287-6060
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 N Humphreys Blvd
Memphis, TN 38120-2146
Phone (901) 287-7337
848 Adams Ave
Memphis, TN 38103-2816
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16527 | TN | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Anesthesiologists P a | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Pediatric Anesthesiologists PA | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
50 N Dunlap St
Memphis, TN 38103
Phone (901) 522-3060
Organizations & group practices 3
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.
-
- Pediatrics Physician
- Memphis, TN
- NPI 1093024101
-
- Anesthesiology Physician
- Memphis, TN
- NPI 1720087802
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Memphis, TN
- NPI 1528443207
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1328745600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1329782400000",
"number": "1326311150",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5099",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381015099",
"telephone_number": "901-287-6060",
"fax_number": "901-287-5102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 N DUNLAP ST",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381032800",
"telephone_number": "901-287-6060",
"fax_number": "901-287-5102"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILMER",
"first_name": "NICOLE",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-02-09",
"last_updated": "2012-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TN",
"license": "16527",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2012; 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.