Active NPI
Gayle M Rufli, ARNP
- Adult Psychiatric/Mental Health Clinical Nurse Specialist
- Paducah, KY
National Provider Identifier
1508929183
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Psychiatric/Mental Health Clinical Nurse Specialist
- License
- 3001891
- Practice address
- 425 Broadway St
Paducah, KY 42001-0713 - Phone
- (270) 442-7121
- NPI assigned
- Dec 18, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | |||
| Adult Psychiatric/Mental Health Clinical Nurse Specialist | 364SP0809X | 3001891 | KY | Primary |
| Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist | 364SP0807X | 3001891 | KY |
Addresses
Primary practice location
425 Broadway St
Paducah, KY 42001-0713
Mailing address
425 Broadway
Paducah, KY 42001
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891S | Other | KY | ARNP |
| 3001891 | Other | KY | APRN |
| 1029464 | Other | KY | RN |
| 7100128830 | Medicaid | KY |
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 Specialist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3001891 | KY | MD | Adult Psychiatric/Mental Health Clinical Nurse Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifeskills, Inc. | Past | Accepting new patients | |
| Lifeskills, Inc. | Past | Accepting new patients | |
| Western Ky Regional MHMR Board Inc | Mental Health (Including Community Mental Health Center) | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Developmentally Disabled Services Day Training Agency
- Hopkinsville, KY
- NPI 1346321643
-
- Community/Behavioral Health Agency
- Bowling Green, KY
- NPI 1669401816
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Paducah, KY
- NPI 1841216934
Mental Health (Including Community Mental Health Center)
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1508929183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "425 BROADWAY",
"city": "PADUCAH",
"state": "KY",
"postal_code": "42001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "425 BROADWAY ST",
"city": "PADUCAH",
"state": "KY",
"postal_code": "420010713",
"telephone_number": "270-442-7121"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUFLI",
"first_name": "GAYLE",
"middle_name": "M",
"credential": "ARNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-18",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": false
},
{
"code": "364SP0809X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
"state": "KY",
"license": "3001891",
"primary": true
},
{
"code": "364SP0807X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Child & Adolescent",
"state": "KY",
"license": "3001891",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ARNP",
"identifier": "1891S",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "APRN",
"identifier": "3001891",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RN",
"identifier": "1029464",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100128830",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Paducah, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.