Active NPI
Gail M Meyerson, RN, BSN, CDE
- Diabetes Educator Registered Nurse
- Highland Park, IL
National Provider Identifier
1740420744
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diabetes Educator Registered Nurse
- License
- 041318691
- Practice address
- 777 Park Ave W
Suite 1241
Highland Park, IL 60035-2433 - Phone
- (847) 926-5032
- Fax
- (847) 480-2705
- NPI assigned
- Mar 3, 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 |
|---|---|---|---|---|
| Diabetes Educator Registered Nurse | 163WD0400X | 041318691 | IL | Primary |
Addresses
Primary practice location
777 Park Ave W
Suite 1241
Highland Park, IL 60035-2433
Mailing address
2650 Ridge Ave
Evanston, IL 60201-1718
Phone (847) 570-2000
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
- Bachelor on Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041318691 | IL | MD | Diabetes Educator Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1236038400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1236038400000",
"number": "1740420744",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2650 RIDGE AVE",
"city": "EVANSTON",
"state": "IL",
"postal_code": "602011718",
"telephone_number": "847-570-2000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "777 PARK AVE W",
"address_2": "SUITE 1241",
"city": "HIGHLAND PARK",
"state": "IL",
"postal_code": "600352433",
"telephone_number": "847-926-5032",
"fax_number": "847-480-2705"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEYERSON",
"first_name": "GAIL",
"middle_name": "M",
"name_prefix": "Mrs.",
"credential": "RN, BSN, CDE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-03-03",
"last_updated": "2009-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "163WD0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Diabetes Educator",
"state": "IL",
"license": "041318691",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Highland Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 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.