Individual provider Active NPI

Tanisha Pink-Gayle, WHNP-BC

  • Women's Health Nurse Practitioner
  • Fredericksburg, VA
National Provider Identifier
1962234914
Registry record updated Nov 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
0024191017 Issued in VA
Practice address
1300 Hospital Dr Ste 300
Fredericksburg, VA 22401-8451
Phone
(540) 656-2830
NPI assigned
Aug 19, 2024
Last updated
Nov 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 0024191017 VA Primary

Addresses

Primary practice location

1300 Hospital Dr Ste 300
Fredericksburg, VA 22401-8451

Mailing address

1300 Hospital Dr Ste 300
Fredericksburg, VA 22401-8451
Phone (540) 656-2830

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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

Enrollment IDStateProvider typePAC IDDetails
I20250313003248 VA Practitioner - Nurse Practitioner 0648792192 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1300 Hospital Dr
Suite 300
Fredericksburg, VA 22401-8451
Phone (540) 656-2830

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mary Washington Healthcare Physicians CurrentSince Nov 22, 2024 Accepting new patients
Mary Washington Healthcare Physicians CurrentSince Nov 22, 2024 Accepting new patients

Locations

1001 Sam Perry Blvd
Fredericksburg, VA 22401
Phone (540) 741-1100

1300 Hospital Dr
Ste 300
Fredericksburg, VA 22401
Phone (540) 373-4700

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1724025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730764800000",
    "number": "1962234914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 HOSPITAL DR STE 300",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224018451",
            "telephone_number": "540-656-2830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 HOSPITAL DR STE 300",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224018451",
            "telephone_number": "540-656-2830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINK-GAYLE",
        "first_name": "TANISHA",
        "name_prefix": "Mrs.",
        "credential": "WHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-19",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "VA",
            "license": "0024191017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

Verify at the official NPI Registry.