Active NPI
Josh Gile
- Licensed Practical Nurse
- Sheboygan, WI
National Provider Identifier
1407399397
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 320312-31
- Practice address
- 2122 S 16TH St
Sheboygan, WI 53081-5748 - Phone
- (920) 254-5970
- NPI assigned
- Nov 23, 2016
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 320312-31 | WI | Primary |
Addresses
Primary practice location
2122 S 16TH St
Sheboygan, WI 53081-5748
Mailing address
2122 S 16TH St
Sheboygan, WI 53081-5748
Phone (920) 254-5970
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 |
|---|---|---|---|
| 320312-31 | WI | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1479859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1479859200000",
"number": "1407399397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2122 S 16TH ST",
"city": "SHEBOYGAN",
"state": "WI",
"postal_code": "530815748",
"telephone_number": "920-254-5970"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2122 S 16TH ST",
"city": "SHEBOYGAN",
"state": "WI",
"postal_code": "530815748",
"telephone_number": "920-254-5970"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILE",
"first_name": "JOSH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-11-23",
"last_updated": "2016-11-23",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "WI",
"license": "320312-31",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sheboygan, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 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.