Active NPI
Gayla Manary
- Community Health Worker
- Rogersville, MO
National Provider Identifier
1386017622
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- License
- 143357
- Practice address
- 123 Johnstown Dr
Rogersville, MO 65742-9366 - Phone
- (417) 840-7776
- NPI assigned
- Nov 9, 2015
- Last updated
- Nov 9, 2015
- 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 |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | 143357 | MO | Primary |
Addresses
Primary practice location
123 Johnstown Dr
Rogersville, MO 65742-9366
Mailing address
123 Johnstown Dr
Rogersville, MO 65742-9366
Phone (417) 840-7776
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 |
|---|---|---|---|
| 143357 | MO | MD | Community Health Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Faith Palliative Care | Current | Accepting new patients | |
| Faith Hospice of the Ozarks LLC | Current | Accepting new patients |
Locations
123 Johnstown Dr
Rogersville, MO 65742
Phone (417) 753-7757
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community Based Hospice Care Agency
- Rogersville, MO
- NPI 1508241001
-
- Hospice and Palliative Medicine (Family Medicine) Physician
- Rogersville, MO
- NPI 1033999156
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1447027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1447027200000",
"number": "1386017622",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "123 JOHNSTOWN DR",
"city": "ROGERSVILLE",
"state": "MO",
"postal_code": "657429366",
"telephone_number": "417-840-7776"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "123 JOHNSTOWN DR",
"city": "ROGERSVILLE",
"state": "MO",
"postal_code": "657429366",
"telephone_number": "417-840-7776"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANARY",
"first_name": "GAYLA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-11-09",
"last_updated": "2015-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "MO",
"license": "143357",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rogersville, MO
- L&J Pharmacy Inc (Rogersville Pharmacy)
- Lester E Cox Medical Centers (Cox Health Center Rogersville)
- Lester E. Cox Medical Centers (CoxHealth Center Rogersville)
- Logan Rogersville R-VIII
- Patrick Edward Macmillan, D.O.
- Rebecca Jean McAtee, FNP-C
- Kristal Kae McCleary, LPC
- McGuire Christian Counseling Inc
- Lisa Ann Melgren
- Megan Menton
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.