Active NPI
Gail R. George, NURSE PRACTITIONER
- Family Nurse Practitioner
- Pocatello, ID
National Provider Identifier
1659405686
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 268A
- Practice address
- 1451 Fore Rd
Pocatello, ID 83204-4300 - Phone
- (208) 236-6360
- NPI assigned
- Mar 14, 2007
- Last updated
- Sep 9, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 268A | ID | Primary |
Addresses
Primary practice location
1451 Fore Rd
Pocatello, ID 83204-4300
Mailing address
2956 Trail Canyon Rd
Soda Springs, ID 83276-5216
Phone (208) 547-2369
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
| License | State | Type | Specialty |
|---|---|---|---|
| 268A | ID | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1252454400000",
"number": "1659405686",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2956 TRAIL CANYON RD",
"city": "SODA SPRINGS",
"state": "ID",
"postal_code": "832765216",
"telephone_number": "208-547-2369"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1451 FORE RD",
"city": "POCATELLO",
"state": "ID",
"postal_code": "832044300",
"telephone_number": "208-236-6360"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEORGE",
"first_name": "GAIL",
"middle_name": "R.",
"name_prefix": "Ms.",
"credential": "NURSE PRACTITIONER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-14",
"last_updated": "2009-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "ID",
"license": "268A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pocatello, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.