Active NPI
Nathan Brady Gammill, R.N., F.N.P.
- Family Nurse Practitioner
- New York, NY
National Provider Identifier
1407187859
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 336689
- Practice address
- 52 Saint Nicholas PL
Apt.#31
New York, NY 10031-1239 - Phone
- (646) 275-0462
- NPI assigned
- Jan 25, 2010
- Last updated
- Sep 9, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 606583-1 | NY | |
| Family Nurse Practitioner | 363LF0000X | 336689 | NY | Primary |
Addresses
Primary practice location
52 Saint Nicholas PL
Apt.#31
New York, NY 10031-1239
Mailing address
52 Saint Nicholas PL
Apt.#31
New York, NY 10031-1239
Phone (646) 275-0462
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| W01882 | Other | NY | MEDICARE NUMBER |
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, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 606583-1 | NY | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Under 21 | Past | Accepting new patients |
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1264377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473379200000",
"number": "1407187859",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "52 SAINT NICHOLAS PL",
"address_2": "APT.#31",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100311239",
"telephone_number": "646-275-0462"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "52 SAINT NICHOLAS PL",
"address_2": "APT.#31",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100311239",
"telephone_number": "646-275-0462"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAMMILL",
"first_name": "NATHAN",
"middle_name": "BRADY",
"name_prefix": "Mr.",
"credential": "R.N., F.N.P.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-01-25",
"last_updated": "2016-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "606583-1",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "336689",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE NUMBER",
"identifier": "W01882",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.