Active NPI
Adrienne Katherine Gary
- Prevention Professional
- Findlay, OH
National Provider Identifier
1932763075
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prevention Professional
- License
- 161971
- Practice address
- 1941 Carlin St
Findlay, OH 45840-1460 - Phone
- (419) 422-8616
- NPI assigned
- Apr 24, 2019
- Last updated
- Apr 24, 2019
- 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 |
|---|---|---|---|---|
| Prevention Professional | 405300000X | 161971 | OH | Primary |
Addresses
Primary practice location
1941 Carlin St
Findlay, OH 45840-1460
Mailing address
530 S Main St
Lima, OH 45804-1240
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| W2204012260 | Other | OH | AETNA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 161971 | OH | MD | Prevention Professional |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1556064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1556064000000",
"number": "1932763075",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "530 S MAIN ST",
"city": "LIMA",
"state": "OH",
"postal_code": "458041240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1941 CARLIN ST",
"city": "FINDLAY",
"state": "OH",
"postal_code": "458401460",
"telephone_number": "419-422-8616"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARY",
"first_name": "ADRIENNE",
"middle_name": "KATHERINE",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-24",
"last_updated": "2019-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "405300000X",
"taxonomy_group": "",
"desc": "Prevention Professional",
"state": "OH",
"license": "161971",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "W2204012260",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Findlay, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.