Active NPI
Gayle K. Juenemann, ARNP
- Family Nurse Practitioner
- Washington, DC
National Provider Identifier
1548613730
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN1049286
- Practice address
- 810 5TH St NW
Washington, DC 20001 - Phone
- (206) 963-9012
- Fax
- (202) 548-8600
- NPI assigned
- Jul 22, 2016
- Last updated
- Aug 8, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP60681419 | WA | |
| Family Nurse Practitioner | 363LF0000X | RN1049286 | DC | Primary |
Addresses
Primary practice location
810 5TH St NW
Washington, DC 20001
Mailing address
5816 Wainwright Ave
Rockville, MD 20851-1946
Phone (206) 963-9012
Other practice location 1
9245 Rainier Ave S
Seattle, WA 98118-5569
Phone (206) 722-8444
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1469145600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533686400000",
"number": "1548613730",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5816 WAINWRIGHT AVE",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208511946",
"telephone_number": "206-963-9012",
"fax_number": "202-548-8600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "810 5TH ST NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "20001",
"telephone_number": "206-963-9012",
"fax_number": "202-548-8600"
}
],
"practiceLocations": [
{
"address_1": "9245 Rainier Ave S",
"address_purpose": "LOCATION",
"city": "Seattle",
"state": "WA",
"postal_code": "981185569",
"country_code": "US",
"telephone_number": "206-722-8444",
"fax_number": "206-721-6310",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JUENEMANN",
"first_name": "GAYLE",
"middle_name": "K.",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-07-22",
"last_updated": "2018-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WA",
"license": "AP60681419",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "DC",
"license": "RN1049286",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2018; 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.