Angela Kay Gillespie, L.P.N

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

PN113687 Issued in OH

Practice address

1338 Colegate Dr
Marietta, OH 45750-1329

Phone

(740) 374-8730

Fax

(740) 374-8767

NPI assigned

Sep 17, 2015

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1442448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442448000000",
    "number": "1871962159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1338 COLEGATE DR",
            "city": "MARIETTA",
            "state": "OH",
            "postal_code": "457501329",
            "telephone_number": "740-374-8730",
            "fax_number": "740-374-8767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1338 COLEGATE DR",
            "city": "MARIETTA",
            "state": "OH",
            "postal_code": "457501329",
            "telephone_number": "740-374-8730",
            "fax_number": "740-374-8767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLESPIE",
        "first_name": "ANGELA",
        "middle_name": "KAY",
        "name_prefix": "Mrs.",
        "credential": "L.P.N",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-17",
        "last_updated": "2015-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "PN113687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chyrsten Leann Gessel, ATC
• Jason Lee Gessel, D.O.
• Madison Hailey Gibbs
• Mickayla Gibson, LPN
• Rise A. Gibson, RDH
• Deborah Gilmore
• Jeffrey Lynn Gilmore, DDS MS
• Eva Giro, MD
• John Goddard, M.D.
• Erin S Godfrey, LPCC

• Licensed Practical Nurse in Marietta, OH
• Providers in Marietta, OH by specialty
• Licensed Practical Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2015; 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.