Individual provider Active NPI

Nicole Gilner

  • Registered Nurse
  • Kennesaw, GA
National Provider Identifier
1629864889
Registry record updated Apr 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
295262 Issued in GA
Practice address
3019 Cranbrook Walk NW
Kennesaw, GA 30144-5700
Phone
(678) 994-4109
Fax
(678) 994-4109
NPI assigned
Apr 15, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 295262 GA Primary

Addresses

Primary practice location

3019 Cranbrook Walk NW
Kennesaw, GA 30144-5700

Mailing address

3019 Cranbrook Walk NW
Kennesaw, GA 30144-5700
Phone (678) 994-4109

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

State licenses

LicenseStateTypeSpecialty
295262GAMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1744675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744675200000",
    "number": "1629864889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3019 CRANBROOK WALK NW",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301445700",
            "telephone_number": "678-994-4109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3019 CRANBROOK WALK NW",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301445700",
            "telephone_number": "678-994-4109",
            "fax_number": "678-994-4109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILNER",
        "first_name": "NICOLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-04-15",
        "last_updated": "2025-04-15",
        "certification_date": "2025-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "295262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennesaw, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.