Active NPI
Susanne Gail Gerhart, RN
- Registered Nurse
- Mansfield, OH
National Provider Identifier
1548577265
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN263969
- Practice address
- 305 Reed St
Mansfield, OH 44903-1040 - Phone
- (419) 571-9653
- NPI assigned
- Sep 1, 2010
- Last updated
- Sep 1, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN263969 | OH | Primary |
Addresses
Primary practice location
305 Reed St
Mansfield, OH 44903-1040
Mailing address
305 Reed St
Mansfield, OH 44903-1040
Phone (419) 571-9653
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5058303685/MA/J/01 | 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)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN263969 | OH | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1283299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1283299200000",
"number": "1548577265",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "305 REED ST",
"city": "MANSFIELD",
"state": "OH",
"postal_code": "449031040",
"telephone_number": "419-571-9653"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "305 REED ST",
"city": "MANSFIELD",
"state": "OH",
"postal_code": "449031040",
"telephone_number": "419-571-9653"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GERHART",
"first_name": "SUSANNE",
"middle_name": "GAIL",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-09-01",
"last_updated": "2010-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OH",
"license": "RN263969",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5058303685/MA/J/01",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mansfield, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.