Carol A Gannon, APN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APN.0002761-NP Issued in CO

Practice address

6801 W 20TH St Unit 101
Greeley, CO 80634-9640

Phone

(970) 378-8000

Fax

(970) 378-8088

NPI assigned

Mar 21, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Family Physicians of Greeley LLP

  • Family Medicine Physician
  • Greeley, CO
  • NPI 1649244591
  Medicare reassignment NPD
• Optumcare Colorado Medical Group LLC

  • General Practice Physician
  • Colorado Springs, CO
  • NPI 1407252828
  Medicare reassignment NPD
• Family Physicians of Greeley, LLP

  • Family Medicine Physician
  • Johnstown, CO
  • NPI 1942698071
  NPD
• Optumcare Colorado Medical Group LLC

  • Rheumatology Physician
  • Boulder, CO
  • NPI 1922893478
  NPD

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

{
    "created_epoch": "1206057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588032000000",
    "number": "1538330113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6801 W 20TH ST UNIT 101",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806349640",
            "telephone_number": "970-378-8000",
            "fax_number": "970-378-8088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6801 W 20TH ST UNIT 101",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806349640",
            "telephone_number": "970-378-8000",
            "fax_number": "970-378-8088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANNON",
        "first_name": "CAROL",
        "middle_name": "A",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-21",
        "last_updated": "2020-04-28",
        "certification_date": "2020-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "RN.0116733",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "RXN.0099175-NP",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "APN.0002761-NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "73426547",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Miriam Galvan, RBT
• Rosalia Galvan
• Shannon Elzelina Gamble, MS, CCC-SLP
• Dana Anne Gamblin, DMD MSD
• Christina T Gamboa, MD
• Jenna L Gantner, D.O.
• Natalie M Ganzel, MSW
• Gaps Health Co P.C.
• Rebecca N Garber, FNP
• Stacey L Garber, MD

• Family Nurse Practitioner in Greeley, CO
• Providers in Greeley, CO by specialty
• Family Nurse Practitioner in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.