Renee M Gall, RN

Primary specialty

Gerontology Registered NurseTaxonomy code 163WG0600X

License

292002 Issued in OH

Practice address

1201 Akins Rd
Broadview Heights, OH 44147-2311

Phone

(440) 457-2900

NPI assigned

Oct 5, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1633392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633392000000",
    "number": "1508538786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 AKINS RD",
            "city": "BROADVIEW HEIGHTS",
            "state": "OH",
            "postal_code": "441472311",
            "telephone_number": "440-457-2900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 AKINS RD",
            "city": "BROADVIEW HEIGHTS",
            "state": "OH",
            "postal_code": "441472311",
            "telephone_number": "440-457-2900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALL",
        "first_name": "RENEE",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-05",
        "last_updated": "2021-10-05",
        "certification_date": "2021-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0600X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Gerontology",
            "state": "OH",
            "license": "292002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "4408155473",
            "affiliation": "N",
            "endpointDescription": "Fax",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1201 Akins Rd",
            "city": "Broadview Heights",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441472311",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• James Steven Formoso, BC-HIS
• Sandra K Frey, PHARM.D.
• Max Jose Fruits
• Bruce Furukawa, M.D.
• Kahla Gagne
• Ernesto Gerardo, MD
• Brandy Glovier, PTA
• Nicholas Peter Griggs, DDS
• Melinda Hope Gurgul, DPT
• Joong H. Hahn, D.D.S., M.S.D.

• Gerontology Registered Nurse in Broadview Heights, OH
• Providers in Broadview Heights, OH by specialty
• Gerontology Registered Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2021; 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.