Individual provider Active NPI

Gretchen L Schaal-Bates, LPN

  • Licensed Practical Nurse
  • Ontario, NY
National Provider Identifier
1659656833
Registry record updated Sep 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
287999 Issued in NY
Practice address
819 Boston Rd
Ontario, NY 14519-9372
Phone
(585) 507-3790
NPI assigned
Oct 19, 2011
Last updated
Sep 30, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 287999 NY Primary

Addresses

Primary practice location

819 Boston Rd
Ontario, NY 14519-9372

Mailing address

819 Boston Rd
Ontario, NY 14519-9372
Phone (585) 507-3790

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
287999NYMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1318982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348963200000",
    "number": "1659656833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "819 BOSTON RD",
            "city": "ONTARIO",
            "state": "NY",
            "postal_code": "145199372",
            "telephone_number": "585-507-3790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "819 BOSTON RD",
            "city": "ONTARIO",
            "state": "NY",
            "postal_code": "145199372",
            "telephone_number": "585-507-3790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHAAL-BATES",
        "first_name": "GRETCHEN",
        "middle_name": "L",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-19",
        "last_updated": "2012-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "287999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ontario, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2012; 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.