Individual provider Active NPI

Gail Lily

  • Rehabilitation Registered Nurse
  • Englewood, CO
National Provider Identifier
1891110292
Registry record updated Feb 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Registered NurseTaxonomy code 163WR0400X
License
RN0168468 Issued in CO
Practice address
3636 S Pearl St
Englewood, CO 80113-3806
Phone
(303) 761-1640
NPI assigned
Feb 22, 2014
Last updated
Feb 22, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 22, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Registered Nurse 163WR0400X RN0168468 CO Primary

Addresses

Primary practice location

3636 S Pearl St
Englewood, CO 80113-3806

Mailing address

1015 S Birch St Apt 307a
Glendale, CO 80246-2519
Phone (303) 525-0154

Other names 1

  • Gail Susan Weisman Former name

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
RN0168468COMDRehabilitation Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1393027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393027200000",
    "number": "1891110292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 S BIRCH ST APT 307A",
            "city": "GLENDALE",
            "state": "CO",
            "postal_code": "802462519",
            "telephone_number": "303-525-0154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3636 S PEARL ST",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801133806",
            "telephone_number": "303-761-1640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LILY",
        "first_name": "GAIL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-02-22",
        "last_updated": "2014-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WR0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Rehabilitation",
            "state": "CO",
            "license": "RN0168468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GAIL",
            "last_name": "WEISMAN",
            "middle_name": "SUSAN",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Englewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2014; 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.