Active NPI
Gayle Ann Roberts, CNP
- Women's Health Nurse Practitioner
- Massillon, OH
National Provider Identifier
1437209285
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- RN137662
- Practice address
- 123 3Rd St SE
Massillon, OH 44646-6606 - Phone
- (330) 832-2229
- Fax
- (330) 833-4247
- NPI assigned
- Jan 12, 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 |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | RN137662 | OH | Primary |
Addresses
Primary practice location
123 3Rd St SE
Massillon, OH 44646-6606
Mailing address
10201 Twin Oaks Dr
Cambridge, OH 43725-9274
Phone (740) 439-5780
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2329653 | Medicaid | OH |
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
- Certified Nurse Practitioner, Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Daniel J Cain DO Inc | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Obstetrics & Gynecology Physician
- Massillon, OH
- NPI 1619027372
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1437209285",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10201 TWIN OAKS DR",
"city": "CAMBRIDGE",
"state": "OH",
"postal_code": "437259274",
"telephone_number": "740-439-5780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "123 3RD ST SE",
"city": "MASSILLON",
"state": "OH",
"postal_code": "446466606",
"telephone_number": "330-832-2229",
"fax_number": "330-833-4247"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTS",
"first_name": "GAYLE",
"middle_name": "ANN",
"credential": "CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-12",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "OH",
"license": "RN137662",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2329653",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Massillon, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.