Individual provider Active NPI

Olive Gaye, MBA

  • Registered Nurse
  • Orlando, FL
National Provider Identifier
1346762291
Registry record updated Aug 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
L17000125816 Issued in FL
Practice address
12200 Menta St Ste 102
Orlando, FL 32837-7540
Phone
(407) 440-2877
Fax
(407) 440-2876
NPI assigned
Jul 12, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X L17000125816 FL Primary

Addresses

Primary practice location

12200 Menta St Ste 102
Orlando, FL 32837-7540

Mailing address

12200 Menta St Ste 102
Orlando, FL 32837-7540
Phone (407) 440-2877

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
Credentials
Master of Business Administration

State licenses

LicenseStateTypeSpecialty
L17000125816FLMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Gencare Resources, LLC CurrentSince Aug 4, 2024 Accepting new patients
Gencare Resources, LLC CurrentSince Jul 24, 2022 Accepting new patients

Locations

6100 Lake Ellenor Dr
Ste 258
Orlando, FL 32809
Phone (407) 250-2221

12200 Menta St
Ste 102
Orlando, FL 32837
Phone (407) 440-2877

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.

NPI Registry JSON

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

{
    "created_epoch": "1499817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722556800000",
    "number": "1346762291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12200 MENTA ST STE 102",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328377540",
            "telephone_number": "407-440-2877",
            "fax_number": "407-440-2876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12200 MENTA ST STE 102",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328377540",
            "telephone_number": "407-440-2877",
            "fax_number": "407-440-2876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAYE",
        "first_name": "OLIVE",
        "credential": "MBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-12",
        "last_updated": "2024-08-02",
        "certification_date": "2024-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "L17000125816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2024; 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.