Individual provider Active NPI

Kelly Lynn Gartee, RN

  • Registered Nurse
  • Toledo, OH
National Provider Identifier
1407494073
Registry record updated Dec 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
450677 Issued in OH
Practice address
628 S Westwood Ave
Toledo, OH 43609-1526
Phone
(419) 290-1461
NPI assigned
Dec 14, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2019

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 450677 OH Primary

Addresses

Primary practice location

628 S Westwood Ave
Toledo, OH 43609-1526

Mailing address

628 S Westwood Ave
Toledo, OH 43609-1526
Phone (419) 290-1461

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Toledo

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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
450677OHMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1576281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576281600000",
    "number": "1407494073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "628 S WESTWOOD AVE",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436091526",
            "telephone_number": "419-290-1461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "628 S WESTWOOD AVE",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436091526",
            "telephone_number": "419-290-1461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARTEE",
        "first_name": "KELLY",
        "middle_name": "LYNN",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-14",
        "last_updated": "2019-12-14",
        "certification_date": "2019-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "450677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Toledo",
            "affiliation": "N",
            "address_1": "628 S Westwood Ave",
            "city": "Toledo",
            "state": "OH",
            "country_code": "US",
            "postal_code": "436091526",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2019; 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.