Individual provider Active NPI

Gail Macfarlane Pheeny, APRN

  • Gerontology Nurse Practitioner
  • Tampa, FL
National Provider Identifier
1699803593
Registry record updated Aug 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
ARNP1156072 Issued in FL
Practice address
1408 N West Shore Blvd Ste 260
Tampa, FL 33607-4590
Phone
(813) 607-2630
NPI assigned
Mar 1, 2007
Last updated
Aug 19, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X ARNP1156072 FL Primary

Addresses

Primary practice location

1408 N West Shore Blvd Ste 260
Tampa, FL 33607-4590

Mailing address

6400 Shafer CT Ste 700
Rosemont, IL 60018-4989
Phone (847) 692-1000

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)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Baycare Physician Partners, LLC Current Accepting new patients
Seasons Medical Group of Florida PA CurrentSince Aug 28, 2021 Accepting new patients
Seasons Hospice & Palliative Care of Tampa, LLC PastSince Aug 28, 2021 Accepting new patients

Locations

1408 N West Shore Blvd
Ste 260
Tampa, FL 33607
Phone (813) 607-2630

6400 Shafer Ct
Ste 700
Rosemont, IL 60018

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629331200000",
    "number": "1699803593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6400 SHAFER CT STE 700",
            "city": "ROSEMONT",
            "state": "IL",
            "postal_code": "600184989",
            "telephone_number": "847-692-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1408 N WEST SHORE BLVD STE 260",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336074590",
            "telephone_number": "813-607-2630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHEENY",
        "first_name": "GAIL",
        "middle_name": "MACFARLANE",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-01",
        "last_updated": "2021-08-19",
        "certification_date": "2021-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "ARNP1156072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2021; 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.