Individual provider Active NPI

Gail Diane Martin Bartlett, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Hibbing, MN
National Provider Identifier
1700919982
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
2005001683 Issued in MN
Practice address
1101 E 37TH St Ste 220
Hibbing, MN 55746-2933
Phone
(218) 263-8574
Fax
(218) 262-1915
NPI assigned
Mar 14, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 2005001683 MN Primary

Addresses

Primary practice location

1101 E 37TH St Ste 220
Hibbing, MN 55746-2933

Mailing address

1101 E 37TH St Ste 220
Hibbing, MN 55746-2933
Phone (218) 263-8574

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

State licenses

LicenseStateTypeSpecialty
2005001683MNMDPsychiatric/Mental Health 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": "1183852800000",
    "number": "1700919982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 E 37TH ST STE 220",
            "city": "HIBBING",
            "state": "MN",
            "postal_code": "557462933",
            "telephone_number": "218-263-8574",
            "fax_number": "218-262-1915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 E 37TH ST STE 220",
            "city": "HIBBING",
            "state": "MN",
            "postal_code": "557462933",
            "telephone_number": "218-263-8574",
            "fax_number": "218-262-1915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN BARTLETT",
        "first_name": "GAIL",
        "middle_name": "DIANE",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MN",
            "license": "2005001683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hibbing, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.