Active NPI
Gloria Gatewood Crittenden, ARNP
- Nurse Practitioner
- Tallahassee, FL
National Provider Identifier
1407065691
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- ARNP 2712832
- Practice address
- 1401 Centerville Rd
Ste 300
Tallahassee, FL 32308-4675 - Phone
- (850) 878-8121
- Fax
- (850) 942-6515
- NPI assigned
- May 22, 2007
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | ARNP 2712832 | FL | Primary |
Addresses
Primary practice location
1401 Centerville Rd
Ste 300
Tallahassee, FL 32308-4675
Mailing address
1401 Centerville Rd
Ste 300
Tallahassee, FL 32308-4675
Phone (850) 878-8121
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ARNP 2712832 | Other | FL | FLORIDA LICENSE |
| 308549000 | Medicaid | FL |
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP 2712832 | FL | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1314921600000",
"number": "1407065691",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1401 CENTERVILLE RD",
"address_2": "STE 300",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323084675",
"telephone_number": "850-878-8121",
"fax_number": "850-942-6515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 CENTERVILLE RD",
"address_2": "STE 300",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323084675",
"telephone_number": "850-878-8121",
"fax_number": "850-942-6515"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRITTENDEN",
"first_name": "GLORIA",
"middle_name": "GATEWOOD",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-22",
"last_updated": "2011-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "ARNP 2712832",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FLORIDA LICENSE",
"identifier": "ARNP 2712832",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "308549000",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tallahassee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.