Active NPI
Gabriel Lantz
- Health Educator
- Bloomington, IN
National Provider Identifier
1588220016
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Educator
- Practice address
- 2401 N Walnut St
Bloomington, IN 47404-2069 - Phone
- (812) 340-9129
- NPI assigned
- May 9, 2019
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Health Educator | 174H00000X | Primary |
Addresses
Primary practice location
2401 N Walnut St
Bloomington, IN 47404-2069
Mailing address
615 N Staats Dr
Bloomington, IN 47408-2737
Phone (812) 340-9129
Other practice location 1
615 N Staats Dr
Bloomington, IN 47408-2737
Phone (812) 340-9129
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557360000000",
"number": "1588220016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "615 N STAATS DR",
"city": "BLOOMINGTON",
"state": "IN",
"postal_code": "474082737",
"telephone_number": "812-340-9129"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2401 N WALNUT ST",
"city": "BLOOMINGTON",
"state": "IN",
"postal_code": "474042069",
"telephone_number": "812-340-9129"
}
],
"practiceLocations": [
{
"address_1": "615 N Staats Dr",
"address_purpose": "LOCATION",
"city": "Bloomington",
"state": "IN",
"postal_code": "474082737",
"country_code": "US",
"telephone_number": "812-340-9129",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LANTZ",
"first_name": "GABRIEL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-05-09",
"last_updated": "2019-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bloomington, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.