Individual provider Active NPI

Carol O'Dean Gales, REGISTERED NURSE

  • Child & Adolescent Psychiatric/Mental Health Registered Nurse
  • Spokane, WA
National Provider Identifier
1427274547
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0807X
License
RN00071145 Issued in WA
Practice address
210 W Sprague Ave
Spokane, WA 99201-3627
Phone
(509) 343-5045
Fax
(509) 747-0609
NPI assigned
Apr 17, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatric/Mental Health Registered Nurse 163WP0807X RN00071145 WA Primary

Addresses

Primary practice location

210 W Sprague Ave
Spokane, WA 99201-3627

Mailing address

210 W Spague Ave
Spokane, WA 99201-3816
Phone (509) 343-5045

Other identifiers 1

IdentifierTypeStateIssuer
RN00071145OtherWAREGISTERED NURSE LICENSE

Other names 1

  • Carol O'Dean Sherling Former name

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

LicenseStateTypeSpecialty
RN00071145WAMDChild & Adolescent Psychiatric/Mental Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1427274547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 W SPAGUE AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992013816",
            "telephone_number": "509-343-5045",
            "fax_number": "509-747-0609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 W SPRAGUE AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992013627",
            "telephone_number": "509-343-5045",
            "fax_number": "509-747-0609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALES",
        "first_name": "CAROL",
        "middle_name": "O'DEAN",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0807X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Child & Adolescent",
            "state": "WA",
            "license": "RN00071145",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED NURSE LICENSE",
            "identifier": "RN00071145",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROL",
            "last_name": "SHERLING",
            "middle_name": "O'DEAN",
            "credential": "REGISTERED NURSE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.