Gailya Nicole Go, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

71008002A Issued in IN

Practice address

1155 N 1200 W
Middlebury, IN 46540-9372

Phone

(574) 825-3888

Fax

(574) 825-3999

NPI assigned

May 31, 2018

Last updated

May 31, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Northeast Internal Medicine Associates, PC

  • Internal Medicine Physician
  • Lagrange, IN
  • NPI 1174518500
  NPD (past)

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

{
    "created_epoch": "1527724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527724800000",
    "number": "1750873345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1155 N 1200 W",
            "city": "MIDDLEBURY",
            "state": "IN",
            "postal_code": "465409372",
            "telephone_number": "574-825-3888",
            "fax_number": "574-825-3999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1155 N 1200 W",
            "city": "MIDDLEBURY",
            "state": "IN",
            "postal_code": "465409372",
            "telephone_number": "574-825-3888",
            "fax_number": "574-825-3999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GO",
        "first_name": "GAILYA",
        "middle_name": "NICOLE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-31",
        "last_updated": "2018-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71008002A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Fenwick
• Firefly Home Care LLC
• Firefly Home Health LLC
• G. Weldon Friesen, MD
• Elizabeth B Gingrich, MD
• Amy Beth Goodman, M.S., CCC-SLP
• Goshen Health System Inc (Goshen Physicians)
• Goshen Health System Inc
• Goshen Health System, Inc (Goshen Physicians)
• Goshen Health System, Inc

• Family Nurse Practitioner in Middlebury, IN
• Providers in Middlebury, IN by specialty
• Family Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.