Individual provider Active NPI

Gail Stillings-Burch, CRNFA

  • Registered Nurse First Assistant
  • Ormond Beach, FL
National Provider Identifier
1730274127
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered Nurse First AssistantTaxonomy code 163WR0006X
License
RN1756742 Issued in FL
Practice address
12 N Ravensfield LN
Ormond Beach, FL 32174-3892
Phone
(386) 274-5712
Fax
(386) 274-1926
NPI assigned
Oct 3, 2006
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
Registered Nurse First Assistant 163WR0006X RN1756742 FL Primary

Addresses

Primary practice location

12 N Ravensfield LN
Ormond Beach, FL 32174-3892

Mailing address

PO Box 730235
Ormond Beach, FL 32173-0235
Phone (386) 274-5712

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
RN1756742FLMDRegistered Nurse First Assistant

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1730274127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 730235",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321730235",
            "telephone_number": "386-274-5712",
            "fax_number": "386-274-1926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 N RAVENSFIELD LN",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321743892",
            "telephone_number": "386-274-5712",
            "fax_number": "386-274-1926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STILLINGS-BURCH",
        "first_name": "GAIL",
        "credential": "CRNFA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "FL",
            "license": "RN1756742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ormond Beach, FL

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.