Individual provider Active NPI

Gayle White, APRN FNPC

  • Family Nurse Practitioner
  • Salt Lake City, UT
National Provider Identifier
1851348924
Registry record updated Nov 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2082394405 Issued in UT
Practice address
8TH Ave C Street
LDS Hospital Wound Care Service
Salt Lake City, UT 84143
Phone
(801) 408-3638
Fax
(801) 408-8326
NPI assigned
May 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2082394405 UT Primary

Addresses

Primary practice location

8TH Ave C Street
LDS Hospital Wound Care Service
Salt Lake City, UT 84143

Mailing address

378 West 950 North
Centerville, UT 84014
Phone (801) 292-3199

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

State licenses

LicenseStateTypeSpecialty
2082394405UTMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195171200000",
    "number": "1851348924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "378 WEST 950 NORTH",
            "city": "CENTERVILLE",
            "state": "UT",
            "postal_code": "84014",
            "telephone_number": "801-292-3199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8TH AVE C STREET",
            "address_2": "LDS HOSPITAL WOUND CARE SERVICE",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "84143",
            "telephone_number": "801-408-3638",
            "fax_number": "801-408-8326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "GAYLE",
        "credential": "APRN FNPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-27",
        "last_updated": "2007-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "2082394405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 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.